← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Catherine McKinnell

MP for Newcastle upon Tyne North · Labour · United Kingdom

IN THEIR OWN WORDS

The family of a terminally ill constituent contacted me in desperation last month after trying to resolve the pension issues of their family member since January. She died yesterday, with her pension still unresolved. Can the Minister be more specific for that family about what will be done to resolve this issue?

CIVIL SERVICE PENSIONS · 2026-07-06 · READ IN HANSARD

As the UK trade envoy to Italy, I thank the Secretary of State for confirming the GCAP funding in his statement. As MP for Newcastle upon Tyne North, I add my voice to those who want to see this as an opportunity to genuinely spread investment and opportunity that will build strength and resilience in our people right across the UK—they a…

DEFENCE INVESTMENT PLAN · 2026-06-30 · READ IN HANSARD

This report is welcome, but that does not make its existence any less tragic. Far too many mothers and babies have been failed, including mothers like my constituent Amie, who late last year was turned away repeatedly, despite reporting reduced movements. Her baby Seren was born stillborn.

NATIONAL MATERNITY AND NEONATAL INVESTIGATION · 2026-06-30 · READ IN HANSARD

Failures to address these issues have significant effects, both on the public finances and on the most vulnerable people in society, and, indeed, they are issues that are often reflected in our constituency mailboxes. I was contacted recently by a young woman who had reported child sexual abuse to the police last year.

HOME OFFICE AND MINISTRY OF JUSTICE · 2026-06-29 · READ IN HANSARD

Her husband was the victim of an assault by the defendant, who had raped his wife. They were forced to wait four hours for the trial to begin. They were eventually told that the defendant would arrive and that the delay to his delivery was causing the delay, but it had a knock-on effect on additional days in court.

HOME OFFICE AND MINISTRY OF JUSTICE · 2026-06-29 · READ IN HANSARD

Friend has said, we need a court estate that is fit for purpose in order to maximise the use of these additional days. I too have visited my local court, in this instance Newcastle Crown court.

HOME OFFICE AND MINISTRY OF JUSTICE · 2026-06-29 · READ IN HANSARD

The complete record

Every one of 4,961 lines we hold for Catherine McKinnell, in date order, each linked to its source. Free to read, in full, without an account. Page 77 of 100.

  1. 2015/16 is shaping up as the crunch year and we expect some councils to be placed in a position where they do not have the money…to meet their statutory obligations.” That is a truly damning statement, and if it comes to fruition, it will be residents of constituencies such as mine, in Newcastle North, who will pay the price.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  2. Ahead of the autumn statement, the Conservative chairman of the Local Government Association, Sir Merrick Cockell, commented: “The next two years are make or break for many councils and the Chancellor has it in his power to either deliver a stable environment in which they can plan for the unprecedented challenges ahead, or he can deliver uncertainty and risk which will put even more stress on vital local services and push councils toward failure…This Government is testing the resilience of councils to breaking point and in many areas the cracks are starting to show.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  3. Far from Opposition Members bigging up the cuts, those cuts will place much greater pressure on the financial sustainability of councils sooner than would be the case if they were proportionate. The Minister may decide to use his response to the debate to continue to bury his head in the sand on this critical issue. Perhaps he thinks that if he sticks his fingers in his ears and sings loudly enough, we will all just go away, but it is not just Opposition Members and Labour-run councils that fear that, although they are clearly the ones worst affected by the Government’s decisions.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  4. Now that this no longer holds true the provision of statutory services can and will only be achieved by councils in poorer areas with higher services demands by charging a higher Band D council tax than wealthier areas of the country. As the Government is effectively restricting increases in council tax this will in effect mean that similar levels of service (including statutory services) can no longer be provided in poorer areas of the country or those areas with higher calls on statutory services.” Crucially, the officers say: “It is unclear whether Ministers...fully understand the implications of the new funding system that they have introduced.” With regard to the title of today’s debate, the key concern is the cumulative impact of higher percentage cuts and higher cash cuts in spending power per dwelling.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  5. It will not just close the funding difference between these areas but in time will potentially reverse it...This effect is happening because the Government’s funding system now focusses on self-sufficiency and providing incentives for areas where economies grow as opposed to applying the core principles of providing sufficient funding to reflect the different needs to provide statutory services across the country and to compensate for very different abilities to raise money locally from a standard council tax. These were the core principles introduced…in 1993/94 by the Conservative Government at that time. The principles were aimed at ensuring that residents anywhere in England could receive a standard level of service to meet their needs with a similar council tax charge for similar bands of property.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  6. Newcastle, as an urban and relatively deprived city, faces significantly greater spending pressures than the two councils that the Minister frequently chooses to compare it with. However, as Newcastle city council officers have pointed out: “The reduction in spending power of areas with higher needs and lower resources and the increase in spending power in the wealthiest areas is a trend that will continue each year if the Government continues to operate the grant system as is currently proposed.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  7. Friend the Member for Birmingham, Edgbaston also referred to—I appreciate the concerns of the friend to whom she referred—and which the Minister often likes to cite, will see its spending power rise by £60 per dwelling, and Windsor and Maidenhead’s will rise by £32 per dwelling. Therefore, although the spending power of cities such as Newcastle is being significantly cut, the spending power of some of the wealthiest and least deprived areas of the country is not only being protected but increased under this Government. The straight fact is that the additional spending power of cities such as Newcastle has not originated from some unfair funding decision of the past, but reflects very real differences in spending pressures and, in particular, differences in the requirement for statutory services.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  8. Members and I have suggested on several occasions, including today, that that measure is absolutely meaningless if it is used simplistically to compare total spending power without taking into consideration the completely different spending pressures facing cities such as Newcastle and those facing other parts of the country with totally different needs and challenges to support. The Minister repeatedly fails to mention the scale and the speed of the change in spending power that is proposed for the next two years. Newcastle may have a higher total spending power than certain parts of the country, but it faces a cut in that spending power of £232 per dwelling over the next two years. In sharp contrast, Wokingham, which my hon.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  9. That figure rose during the consultation process to £100 million, following further cuts announced in the 2012 autumn statement and the local government finance settlement. However, following the 2013 spending round and provisional local government finance settlement announced in December 2013, Newcastle city council now believes it faces a funding gap of £108 million over the same period. I have no doubt that the Minister will again seek to dismiss concerns about the scale of the cuts faced by cities such as Newcastle by reminding us, again, of the “spending power” that Newcastle has at its disposal—it is groundhog day, after all—but I suggest, as other hon.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  10. Concerns that the poorest councils or those in the north will suffer disproportionately are well wide of the mark”. —[ Official Report , 8 January 2013; Vol. 556, c. 293.] What is the reality facing cities such as Newcastle? In the debate last year, I outlined how in 2012 Newcastle city council had started to consult on a three-year budget for the period from 2013-14 to 2015-16 in the light of the unprecedented funding challenges it faced. When it began the consultation process, it believed it was looking at a funding shortfall of £90 million over three years as a result of disproportionate central Government funding cuts and rising cost pressures, such as inflation, energy prices and the costs of providing services to an ever-ageing population.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  11. I therefore look forward to hearing his response and seeing whether he will acknowledge the impact of those decisions on communities and services in cities such as Newcastle. However, given the provisional local government finance settlement that was confirmed to the House on 18 December, I am not holding my breath. The United States celebrates groundhog day on 2 February, but I think mine might be occurring at the beginning of this month, because on 8 January last year, I introduced an Adjournment debate on the effect of funding cuts on Newcastle city council, during which I was complacently told by the Minister: “Predictably, the doom mongers have been consulting their Mayan calendars and issuing dire warnings about the end of the world as we know it and a billion pound black hole in local budgets.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  12. It is a pleasure to serve under your chairmanship, Mr Crausby. I, too, congratulate my hon. Friend the Member for Birmingham, Edgbaston (Ms Stuart) on securing this important debate. She is a tireless campaigner for the people of Birmingham and, like me and many of my colleagues on the Opposition Benches, is simply unwilling to let the issue of unfair cuts to local government go. Indeed, I have lost count—I am sure that the Minister has too—of the number of times I have raised with him and other Ministers the impact of disproportionate cuts on cities such as Newcastle, yet he continues to bury his head in the sand about the scale of the consequences of the decisions that the Government are taking.

    FINANCIAL SUSTAINABILITY (LOCAL GOVERNMENT) · 2014-01-07 · READ IN HANSARD

  13. The Minister knows that quoting spending power levels completely ignores the different challenges that areas such as Newcastle and Liverpool are facing. On the new homes bonus, will he explain the fairness of the north-east contributing £42.3 million to the pot while receiving only £29.3 million in return?

    LOCAL GOVERNMENT FINANCE · 2013-12-18 · READ IN HANSARD

  14. My constituency office took a phone call from an ex-serviceman yesterday who is now thankfully in receipt of a war pension, disability living allowance and employment and support allowance. However, while he was waiting for four weeks for Atos to deal with his appeal, he had to use a food bank. Does the Minister agree that that is an absolute disgrace?

    FOOD BANKS · 2013-12-18 · READ IN HANSARD

  15. Shockingly, those flows outweigh the amounts that those countries receive from aid and foreign direct investment. We have the power to prevent that, but until we do so, we will effectively keep giving with one hand and taking away much more with the other.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  16. Those are all elements over which we can exercise some control. We are rightly proud of our aid spending in this country, and I strongly welcome the Chancellor’s confirmation in Budget 2013 that the Government intend to meet and build on Labour’s legacy, which was to set the UK’s historic target of spending 0.7% of gross national income on overseas aid. It is time, however, to take that a step further. We must ensure that resources are provided in a broader context that ultimately reduces developing countries’ dependence on aid. To do so, we have to look in our own backyard at how domestic business legislation can have a major impact on international poverty. Western business frameworks facilitate illicit financial flows out of Africa.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  17. Many of the tools that allow corruption to happen are within our control. I therefore hope that today’s debate, albeit brief, will contribute to the momentum of calls for change. When we speak about corruption, we think about malevolent characters in places far removed from the UK, such as Nigeria, Afghanistan and the Democratic Republic of the Congo. While those might be the sites of theft and where the devastating consequences impact on people, the deals themselves might be taking place just down the road from Parliament, in our capital city. In truth, corrupt officials in developing countries would find it much harder to steal from their citizens if they were unable to use the tools provided by international business, which includes UK citizens, UK-based companies and those listed on the London stock exchange.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  18. It is a pleasure to serve under your chairmanship this morning, Mr Howarth. I am pleased to have been granted this debate, which I secured as co-chair of the all-party group on anti-corruption, a role that I share with my hon. Friend the Member for Glasgow Central (Anas Sarwar). I am pleased that a number of other members of the all-party group are present today. We are here to highlight the United Nation’s international anti-corruption day, which took place on Monday this week. Citizens and parliamentarians have been marking the day right around the world, and I am pleased that the United Kingdom is playing its part, too. It is very appropriate that legislators in this country should highlight international anti-corruption day, because we are in a particularly good position to do something about it.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  19. However, many of these deals, such as the lost funds in the Abacha case, are alleged to have been laundered through British banks, and it is our own country’s role in this global scandal to which I turn.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  20. Before I go on, it is worth commenting on the scale of the problem. Deals very similar to those that I just described lost the Democratic Republic of the Congo—a country at the very bottom of the UN’s human development index—more than its total annual health and education budget combined. In Nigeria, General Sani Abacha stole an estimated $1.3 billion while in power from a country where the national income is just $260 a head. I suspect that the Minister, who is from the Department for Business, Innovation and Skills, is wondering what he is doing here, or is slightly concerned that he has arrived to respond to the wrong debate, because much of what I have discussed so far relates to the Department for International Development.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  21. The shell company hides the often overly close relationship between the individual buying the assets and the person selling them, and corporate vehicles essentially render owners unaccountable for their actions. After the deal, both the Minister and the company have illegitimate wealth from which they wish to benefit, and that is where the second element implicating international business comes to the fore: the laundering of ill-gotten gains through western financial institutions. To access the global marketplace, individuals need reputable banks in countries with strong property rights, such as our own. Without banks willing to take their cash, criminals would be unable to reap the rewards. Shell companies and money laundering are two major tools provided by western businesses that facilitate devastating global corruption.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  22. A multinational company guarantees winning the tender by sweetening its application with a large bribe. It most likely does so using a shell company to provide anonymity and an almost total guarantee that the money will be unrecoverable by officials. Alternatively, perhaps the Government sell the mines directly to a recently registered company with no employees, premises or registered activities. The Minister oversees the sale of the assets at as little as 5% of their market value, and the company then sells the assets on for a hefty profit, making sure that the corrupt Minister is well compensated personally for his generous deal.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  23. Since the creation of the Department for International Development by the previous Labour Government in 1997, the UK has played a leading role in tackling these problems, and we should celebrate that important work and recognise that it is very much being continued under the coalition Government. It is vital that we continue to provide targeted, efficient and comprehensive aid where we know it will have a significant impact on the life chances of our fellow global citizens. However, those citizens are not simply asking us for direct assistance; they are asking us to look at how the conditions that we regulate continue to make and keep poor people poor. To consider the role of western countries in this scandal, let us take a hypothetical example. A corrupt Minister tenders the mining rights to his country’s substantial mineral wealth.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  24. The hon. Gentleman makes an interesting point, and I am interested in what the Minister will say in responding to this debate. As the Government, they could exercise their influence to ensure that UK ambassadors play their part in tackling international corruption, which we know damages developing countries. It is important to recognise the context in which we are speaking. Today is 11 December, and on this day, 800 women will die unnecessarily in childbirth, 29,000 under-fives will die from preventable causes, 67 million children are not in school when they should be and almost 1 billion people will go to bed hungry. The money to remedy that appalling situation is entirely available but is often being stolen for private gain.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  25. However, we are also implicated through our links to British overseas territories and Crown dependencies, which, together with the UK mainland, account for one third of all shell companies. A number of thefts from the Democratic Republic of the Congo, for example, were routed through the British Virgin Islands. Thirdly, and on a very positive note, we are also linked by our potential international leadership on this issue. Since 1997, the UK has proved itself at the forefront of international development work and has recently taken steps to lead the world in global transparency too. We very much support the steps that the Government have taken in relation to transparency, particularly the recent Lough Erne declaration, after the G8 summit there.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  26. My hon. Friend makes the case very well and I thank him for his work in the all-party group promoting these issues. He succinctly highlights the key message that we want to convey to the Minister. He can work with other Departments, which will help us do what we can to bring an end to some of the corruption that is causing devastation in developing countries. Our role is in part a consequence of the sheer scale of our financial services, which undoubtedly play a major role in the nation’s economy. The UK accounts for 18% of cross-border banking and houses 251 foreign banks—more than any other country. London has been voted the most attractive financial centre for asset management and is the largest currency trading centre in the world.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  27. I thank the hon. Lady for that intervention. In fact, I was just coming to that point about what we can do on the issue of shell companies and beneficial ownership. I very much welcome—we all do—the steps that the Government have taken to date. Indeed, I personally called for those steps to be taken in my role as shadow Treasury Minister during the consideration of this year’s Finance Act. We have become the first country in the world to commit to developing a public register of beneficial ownership, but it is vital that we implement it effectively. Above all, it must achieve its fundamental purpose of identifying the individuals who benefit from and control a company.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  28. Where company ownership is not direct, individuals should be asked to explain how they exercise control, and when control changes it should be noted within a reasonable time period. Lastly, it is important that the information is published in line with the principles outlined in the G8 open data charter, to which the UK is a signatory, and on a very practical note, it must be machine-readable and searchable, because the amount of information contained will be vast and it is of no use if it cannot be searched.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  29. The hon. Gentleman makes an important point. The key is that this register of beneficial ownership cannot be used as a smokescreen to hide the identities of companies and the individuals who control them. It must be part of the solution to ensure that we have greater transparency, and it must have the effect that I know the Government want it to have. It is important that beneficial owners are required to provide information such as a passport number or date of birth, so that the register provides a unique, verifiable identifier for every person listed. It is also important that the information goes through some means of verification by Companies House. For example, it could be cross-checked with other registers, such as those of the Driver and Vehicle Licensing Agency or the passport authority.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  30. I will conclude by turning once again to those who suffer the impact of these devastating crimes. I would like to relay the words of a Zambian nurse quoted by ActionAid in one of its reports about the alleged abuse of shell companies. She describes what her hospital would do if it received the money that was owed to it. She says that “maybe that money would be used...to access hard to reach places.” She goes on to say that at present the hospital staff can only reach “surrounding areas which we are able to walk to.” The President of Equatorial Guinea’s son purchased a Gulfstream jet with suspicious funds, so he could probably solve that problem for them. However, I doubt that he will do so on his own. Instead, let us take the opportunity that we have here in the UK Parliament to do it.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  31. The overseas anti-corruption unit, which sits within the City of London police, is also funded by DFID and since its creation in 2006 it has investigated more than 155 cases where corruption or bribery were alleged, resulting in more than 115 suspects being investigated and in the arrest of 80 individuals involving a number of sectors, including energy and natural resources, security, humanitarian aid, construction and engineering, and publishing. For every pound invested in that unit, Her Majesty’s Revenue and Customs retrieves between £10 and £30 from the clutches of shell companies and returns it to the UK public purse. In times of austerity, the Government should clearly be prioritising areas of work that provide such good value for money.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  32. As legislators, we are often very quick to add to the statute book, but of course it is vital that existing laws are enforced. The all-party group on anti-corruption was recently briefed by the head of the Metropolitan police’s proceeds of corruption unit. The unit, which is funded by DFID, costs just 2% of the amount of money that it has recovered, and just 0.3% of the amount of money that it is currently investigating. A £50 return for every pound of investment seems to be a pretty good deal.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  33. Currently, 99% of illegally obtained money flows undetected through the financial system. The seizure rate could be as low as 0.2%. How many people would steal millions of pounds if they had a 99.8% chance of keeping it? The report suggests that there should be a new law against corrupt enrichment, which would allow suspicious assets that vastly outweigh the declared wealth of a politician or public official to be seized until proven legitimate. That would shift the burden of proof to the individuals wishing to invest, and away from businesses, which are already under significant obligations. I would be interested to hear the Minister’s views on this proposal. It is also important to stress the important work of law enforcement in this area.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  34. As a result of the deferred prosecution agreement that HSBC signed in order to avoid more serious punishment, its compliance with anti-money laundering laws is being independently monitored for five years. HSBC will be monitored not just in the United States; the Financial Conduct Authority will also be monitoring HSBC’s compliance with UK laws during the next five years. I would be interested to hear the Minister’s views on whether those monitoring reports should be published. There are some general anti-corruption steps that the Government should consider taking. I draw to the Minister’s attention a Transparency International report on asset recovery that was released this week. Clawing back the money stolen in the type of deals that I have talked about is vital, but at present it is extremely rare.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  35. In 2011, the Financial Services Authority found that 75% of banks, including the major ones, had inadequate checks in place and a Treasury report published just last month described the common failures as “fundamental Anti-Money Laundering/Counter-Terrorist financing obligations... that all firms should be aware of.” The new banking standards created by the Bill present an ideal opportunity to embed anti-money laundering compliance, both at the very top and throughout the culture of British banking. Finally on the subject of money laundering, it is worth noting that this week is the anniversary of the imposition of a $1.9 billion fine on HSBC for transacting with Mexican drug lords, terrorist financers and those in countries subject to sanctions, including Libya, Burma and Iran.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  36. I and other members of the all-party group on anti-corruption will make sure that the Government make every effort to introduce the legislation to make that happen. Money laundering has been much discussed in recent days, during the passage of the Financial Services (Banking Reform) Bill. Noble members, including former members of the respected Parliamentary Commission on Banking Standards, not least the Archbishop of Canterbury, have been calling on fellow legislators to take this opportunity to tighten up our anti-money laundering regulations, because our current checks are inadequate.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  37. The hon. Lady makes a very important point. This register of beneficial ownership should not be an onerous burden on business. It should not only make it as easy as possible for banks’ due diligence officers, civil society groups, investigative journalists and foreign law enforcement officials to use the information on it, but for companies themselves to register the relevant information with the necessary authorities. The more people who are able to access this information easily, the more we can guarantee its accuracy. It is vital that the register is fit for purpose, so the eyes of parliamentarians from across the House will be on the Government as they implement their own pledge next year.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  38. I apologise for taking the Minister back slightly, but he somewhat glossed over the register of beneficial ownership. I welcome the Government’s making a verbal commitment—he said that they are working on producing that register—but will he comment on the specific requirements that I proposed about the detail in respect of how it will be produced? He must accept that it is not enough simply to have a registry that is titled “Beneficial Ownership” but has no practical function, as such.

    CORRUPTION (INTERNATIONAL BUSINESS) · 2013-12-11 · READ IN HANSARD

  39. That is over 60% more than what pharmaceutical company Abbott is charging low-income countries. What are the Government doing to address those concerns and ensure that we do not create a ticking time bomb? To conclude, I thank my hon. Friend the Member for Airdrie and Shotts again for securing this debate and for the work that both she and the all-party group on HIV and AIDS do. Given events today, it is fitting to reflect once more on the words of Nelson Mandela, who we know experienced at first hand the suffering that HIV and AIDS can bring. He famously said: “Poverty is not an accident. Like slavery and apartheid, it is man-made and can be removed by the actions of human beings.” That poverty is a barrier to life-saving medicines for millions of our brothers and sisters. That is our call to action today.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  40. Médecins Sans Frontières has warned of the consequences for middle-income countries of tiered pricing—the practice of selling drugs to different countries at different rates according to their socio-economic status. That is another reason why the middle-income label must be used with caution: it must not hide the fact that the majority of the poor live in those countries. MSF has voiced strong concerns about the potential consequences of those countries being locked into bad deals. I will highlight one example. Although generic competition brought the price of first-line HIV drugs down by close to 99%, from over $10,000 per person per year a decade ago to $120 today, tiered pricing leaves middle-income countries paying as much as $740 per person per year for the second-line drug combination lopinavir/ritonavir.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  41. Three of the top five countries with the highest HIV burdens globally are middle-income countries, as are eight of the 10 countries with the highest tuberculosis burdens. Middle-income countries also have far lower rates of antiretroviral coverage for people living with HIV than low-income countries, and much higher rates of multi-drug resistant tuberculosis. The concern has been expressed that withdrawing funding to middle-income countries too quickly could undermine the gains that have been made through scaling up access to reach key populations, which so far have prevented a global HIV pandemic. Will the Minister comment on the extent to which a more transitional approach has been considered—one that recognises the need to build countries’ capacities for the longer term?

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  42. “Towards Zero Infections” outlined plans to focus bilateral HIV funding on a narrower range of countries, in line with the Department for International Development’s 2011 bilateral aid review. It concluded that the UK should end bilateral programmes in 16 countries, many of them middle-income countries. That shift is based on the view that aid should be focused on low-income and fragile countries that are not able to eradicate poverty themselves. The Government have decided to end their bilateral relationships with South Africa and India. But the fact is that three quarters of the world’s poorest people currently live in middle-income countries, as do 58% of people living with HIV; the projection is that that figure will rise to 70% by 2020.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  43. Will the Minister outline what steps the Government are taking to ensure a much greater take-up by pharmaceutical companies? In the meantime, what alternative strategies are the Government pursuing to ensure that global access to medicines is being fully considered? Although that issue was touched on in the Government’s review, it is a major challenge facing us. What steps are the Government taking to ensure that intellectual property rights and patent protections do not, as my hon. Friend the Member for Airdrie and Shotts aptly put it, prevent necessary treatments from being accessed by the millions around the world who are currently without the drugs they need and the millions who will need those drugs in the future? The final issue I want to highlight concerns middle-income countries.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  44. Currently many HIV medicines are designed for a developed country market, and issues such as what happens when a patient needs to take HIV medicines in combination with TB medicines have not been considered—I know hon. Members have looked at that matter closely. There are also not many special HIV drugs for children because, thank goodness, not many children in the developed world have developed HIV. At the request of the international community, the medicines patent pool was created. It negotiates with the patent holders of priority HIV medicines to sub-license their products to generic manufacturers to manufacture and sell them at a lower cost. Since last year we have seen a more encouraging uptake from pharmaceutical companies, from GlaxoSmithKline to Roche and Gilead Sciences, but there is still clearly a long way to go.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  45. Ten years ago, the basic HIV treatment cost $10,000 per person per year; today, thanks to generic production, the same medicines are available for $87 per person, enabling 3 million people to access treatment across the world. To avoid a treatment crisis, those kinds of price reductions need to happen again with newer HIV medicines. The report therefore urges pharmaceutical companies to co-operate by allowing generic manufacturers to produce HIV medicines cheaply specifically for developing countries, asking them to put their medicines into a patent pool for that purpose. That would also allow researchers to work on making HIV medicines suited to the developing world.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  46. The situation is described powerfully in the excellent report by the all-party group on HIV and AIDS, “The Treatment Timebomb”. Millions of people who will need treatment in future will need more expensive medicines, as they will have become resistant to the basic HIV combination therapy; also—and this is welcome—people with HIV are living longer. Second and third-line treatments currently cost at least seven times more, and when the basic treatment stops working, getting access to them is a matter of life or death. That combination—more people needing more complex treatment—needs to be addressed now to avoid a potential crisis later. The all-party group’s report gives a cogent argument as to how it is possible to make those medicines more accessible.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  47. That achievement was propelled by a surge in donor funding and by the drastic reduction in the costs of first-line antiretroviral treatments, from $10,000 per patient 10 years ago to around $100 today. My hon. Friend the Member for Airdrie and Shotts referred to the Government’s recent review of their position paper on HIV and AIDS, “Towards Zero Infections”. I want to bring a few issues that remain of concern to the Minister’s attention. Although remarkable progress has clearly been made in ensuring access to treatment for many, the World Health Organisation estimates that another 16 million people out of a total of 26 million are eligible for HIV treatment but lack access to it. Added to that is the fact that by 2050 it is estimated that over 50 million people will need HIV treatment.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  48. It is an honour to mark that day with colleagues who feel equally strongly about these issues. I want to focus on access to medicine and the human rights injustice that too many people still face in that regard. Hon. Members are already aware of the figures, but they are worth repeating: at the end of 2012, 9.7 million people worldwide had access to antiretroviral therapy in low and middle-income countries, compared with just 300,000 10 years earlier. We should recognise that achievement, but should guard against the complacency that the hon. Member for Stafford identified so poignantly. Antiretroviral drugs have changed the way that HIV is viewed, from being a death sentence to being an illness.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  49. It is a pleasure to serve under your chairmanship this morning, Mr Dobbin, and to have the opportunity to speak in this important and timely debate. I congratulate my hon. Friend the Member for Airdrie and Shotts (Pamela Nash) on securing the debate and making an incredibly powerful opening speech. It is a pleasure to follow the hon. Member for Stafford (Jeremy Lefroy), who made an equally knowledgeable and powerful speech. My hon. Friend the Member for Airdrie and Shotts poignantly—and rightly, at this time—highlighted the work done by Nelson Mandela in his lifetime to improve the situation for people with HIV and AIDS. He made the incredibly powerful statement: “AIDS is no longer just a disease; it is a human rights issue.” It is timely to think of that today, as it is international human rights day.

    HIV AND AIDS · 2013-12-10 · READ IN HANSARD

  50. That failure—the slowest recovery in 100 years—means that the Prime Minister and the Chancellor do not have a chance of meeting their promises to balance the books by 2015.

    COST OF LIVING · 2013-11-27 · READ IN HANSARD