PARLIAMENTARY DEBATE
Medical Aid During Conflict - 2 December 2024 (Commons/Commons Chamber)

Civilians always pay the highest price in conflict. Medical aid during conflict is critical to saving lives and, more importantly, is protected under international law. Yet, in recent conflicts, much of that lifesaving aid has been denied. Not only does that shame all of us on a basic human level, but as a surgeon where healthcare and aid have been at the forefront of my professional life and, notably, where I have been directly involved in providing aid, I feel that as a particular pain.

I secured this debate to highlight the fact that civilians and medical aid workers are impacted by armed conflict. Everyone caught up in conflict has an inalienable right to aid, and it is not the gift of any country or anybody else. I note that under international human rights law, the rights of the wounded and the sick must be respected in all circumstances, and attempts on their lives and violence against their person are strictly prohibited. Wilfully killing them or causing great suffering or serious injury to their bodies or their health constitutes war crimes, as grave breaches of the Geneva conventions.

I commend the hon. Gentleman, who I spoke to beforehand, for bringing forward such an important issue. Does he not agree that even during the worst of the world wars, and there have been some terrible wars over the past few years and there still is, the red cross symbolising medical aid was always a signal of ceasefire, and that that must still be the case today? Does he agree that we must further encourage all our allies and friends across the world to ensure that medical aid is never prevented from reaching those who need it most?

I thank the hon. Member for putting that so eloquently, and I wholeheartedly agree with every word and sentiment.

It is not just those typically physically injured by conflict that medical aid supports; it is those who need insulin for diabetes, dialysis machines to keep their kidney function working, and antibiotics to treat life-threatening bacterial infections. People who need basic medical support are caught up in the struggle. The figures support this: in Lebanon, 74% of people over 50 have two or more chronic conditions, so are at increased risk during times of conflict.

The same rate of aid is clearly not getting through in current world conflicts. Those suffering in Gaza are not receiving the same aid. Since April 2023, the escalation of armed violence in Sudan has resulted in famine and displacement. To our credit, in November 2024, this UK Labour Government increased aid to Sudan by £113 million, including medical aid. That has provided medical staff, out-patient consultations, emergency room admissions and access to feeding programmes for children and adults. Of course, there is lots more to do.

Since Putin invaded Ukraine in 2022, the UK has given £5 billion in non-military contributions and a total of £457 million in humanitarian support, including medical aid. That is in addition to what people are doing locally on the ground in every city in this country, including my own city of Glasgow, where my friend and surgical colleague Mr Vladyslav Shumeyko, a consultant surgeon at the Queen Elizabeth university hospital, has personally sent tons of medical aid to Ukraine. I pay tribute to his tireless, selfless work and that of other charity workers, whose contributions have saved thousands of lives.

I thank my hon. Friend for securing this fantastic debate. The whole House will benefit from his medical expertise and political commitment to this issue.

I had the great honour last week of hosting a meeting in Parliament to hear the heartbreaking testimony of Professor Nizam Mamode, a good friend and former colleague of my hon. Friend—he is a great transplant surgeon. Professor Mamode explained how during his work in Gaza this year for Medical Aid for Palestinians he treated child victims of drone strikes and snipers’ bullets. He said he had worked in war zones around the war, but nothing had been as horrific as what he had seen in the repeated, regular attacks on children in Gaza by the Israel Defence Forces. Does my hon. Friend agree that if the Israeli Government are allowed to get away with what they are doing in Gaza under international law, other regimes around the world will see it as a green light for thinking that civilians and medical staff are a legitimate target in war zones?

I am grateful for my hon. Friend’s intervention. That highlights this country’s adherence to the international rules-based order. We must always comply with international law, even—and perhaps particularly—when that may seem difficult.

I acknowledge the important work of organisations such as Islamic Relief, which operates in my Glasgow South West constituency, throughout the UK and across the world. Since October 2023, Islamic Relief has provided over £30 million in aid and delivered over 51 million hot meals in Gaza alone—and that does not include its work in South Sudan. Despite that, medical aid is severely restricted in Gaza. The United Nations Relief and Works Agency and other agencies have been unable to deliver essential medical equipment—including medical swabs to stem bleeding and lifesaving medications such as penicillin—and essential vaccine campaign roll-outs have been delayed. That has all been compounded by this weekend’s events.

I thank the hon. Member for giving way and pay tribute to him for securing this important debate. As well as providing valuable aid to various areas of conflict and need, does he agree that the UK and organisations such as the UN should do more to enable its delivery and to take action against the looters and oppressors who stop it getting to the people who need it?

I wholeheartedly agree with the hon. Member’s sentiments. Aid should not be impeded by anyone, be they state actors or individual criminals.

At the moment, further aid in Gaza has been suspended following an Israeli airstrike that killed five humanitarian workers employed by US-based organisation World Central Kitchen. The UN has said that it is necessary to stop the delivery of aid into Gaza because of the threat posed by armed gangs. UNRWA’s final decision comes after the latest airstrike. According to the Famine Review Committee, there is a strong likelihood of famine in Gaza. My conversations with colleagues on the ground in the region have confirmed how scarce food is, with very limited meat, cheese, snacks, fruit and vegetables. I understand that people are now surviving on rationed rice. What conversations has the Minister had with international partners to ensure that famine does not break out in Gaza?

As an international actor, it is imperative that the UK ensures that international law is upheld and medical aid reaches people caught up in conflict everywhere. International law dictates that people who are providing medical tasks must always be respected and, more importantly, protected. Medical professionals in the region are risking their lives to treat the injured and ill. My hon. Friend the Member for Rochdale (Paul Waugh) mentioned my colleague Professor Nizam Mamode, who recently returned from a month performing surgical operations in Gaza. He told me when he was there, and on his return, of the lives that he tried to save in increasingly difficult circumstances. He described it to me as hell on earth. What discussions has the Minister had with regional actors, including the Israeli Government, about ensuring the safety of those delivering medical aid in Gaza?

Ambassador Barbara Woodward, the UK permanent representative to the UN, recently said to the UN Security Council:

“There is no justification for denying civilians access to essential supplies. The Government of Israel must do more to protect civilians, civilian infrastructure, and allow aid to be delivered safely and at scale.”

I am sure that those words are wholeheartedly endorsed by all Members of this House. I am proud that this Labour Government restored funding to UNRWA, providing £21 million to support its work, and have given £5.5 million to UK-Med to support its lifesaving work in Gaza. That funding and aid is necessary, but I wonder whether it goes far enough. Our concern now is how we ensure that the correct amount of aid reaches the people of Gaza. What discussions has the Minister had with the Israeli Government to allow aid convoys to enter safely into the region?

Children in Gaza are dying and suffering needlessly. According to the UN Human Rights Office, nearly 70% of people killed in Gaza are women and children. That report has found unprecedented levels of international legal violations, including of the right to medical aid. This includes children now having complex medical needs without access to the requisite specialists in any other nearby country. What discussions could be had with regional actors and the UN about potentially bringing such children to the United Kingdom for treatment, as some of our international partners have already started to do?

I will conclude by reiterating the salient point that anyone caught up in conflict has the right to aid—it is not a gift or an act of benevolence by anyone else. We must now ensure that our record on this issue is one that future generations in this House can look back at, not with regret or contrition, but with pride.

We have had an excellent debate, led by my hon. Friend the Member for Glasgow South West (Dr Ahmed). I congratulate him on securing this debate, on his work in the national health service, on his ongoing commitment as a surgeon, and on his deep expertise in this issue. I am also grateful for the interventions of other Members present, and I will try to respond to the points raised.

This debate takes place at a timely moment, because the Minister for Development, my right hon. Friend the Member for Oxford East (Anneliese Dodds), is actually in Cairo as we speak. She is at the Gaza humanitarian conference, discussing—among other issues —the importance of ensuring that aid workers, including medical workers, can operate effectively and that civilians have access to the services they need. The Foreign Secretary, alongside his French and German counterparts, has also written this week to the Government of Israel to urge stronger action.

I begin by paying tribute to the extraordinary work that aid organisations and health workers are doing in some of the harshest conditions around the world. As Members would expect, the UK firmly supports all efforts to prevent conflict in the first instance, but where conflict does occur, those affected must have access to medical services. Medical workers and facilities must be protected in line with international humanitarian law. Access to medical services includes routine care for pregnant women, safe delivery of babies, child vaccinations and primary healthcare for all. Those services are always important, but they are especially so when people are desperate to reach a safe place; when food and clean water are scarce; and when sexual violence is an increased threat, as is so common during conflicts. The tragic loss of life among health workers, including in Gaza and Sudan, is a stark reminder of the dangers faced by those who deliver lifesaving medical assistance during conflict and crisis.

Let me now turn to how the UK is helping. In short, we are acting on three key fronts. First, we remain committed to promoting compliance with international humanitarian law and encouraging all parties to armed conflict to respect it. We are working to minimise impacts on civilians by protecting health workers and medical facilities, by working with the United Nations and the Red Cross to ensure that those affected by the conflict have access to the help they need, and by signing up to the political declaration on strengthening the protection of civilians from the humanitarian consequences arising from the use of explosive weapons in populated areas. We reaffirm long-standing and ongoing efforts to protect civilians in this regard.

Secondly, we are targeting our aid towards those most in need, whether by providing medical supplies, helping to train medical staff, or ensuring that those medical staff have safe access to patients.

Can the Minister inform the House how much of the aid provided by the UK is actually getting into Gaza, and to the people who need it?

The most recent figure in open sources from the weekend is that, of the usual 500 lorries going into Gaza, about 67 got in. That was in the press at the weekend. I am very pleased that my hon. Friend the Member for Glasgow South West talked about the importance of aid getting in. We have redoubled our diplomatic efforts in imploring that access be improved, so that we can get aid in. We have tripled the aid, but what is important is that we gain access. That is the case whether it is in the Gaza conflict, in Sudan or in helping desperately ill people in Myanmar. All across the globe where that is an issue, we are making access a key issue in our diplomatic work. Sometimes we are more successful at that than at other times, but we try to work across international organisations to ensure that crucial access for patients.

The FCDO is also funding partner organisations within countries, such as the World Health Organisation, UN agencies and the Red Cross, to help them to prepare for and respond to conflicts effectively. We are supporting a range of specialist non-governmental organisations and local partners to deliver critical medical services at the frontline, especially where no other partner can deliver. The key strength of locally led organisations is that they are staffed by people from the affected areas and the communities themselves.

The third way we are helping is by deploying specialist medical teams on the ground, of which my hon. Friend has a great deal of knowledge.

I thank my hon. Friend for highlighting the expertise of our hon. Friend the Member for Glasgow South West. Very modestly, our hon. Friend also mentioned another colleague from Scotland. It is these professionals who make such a difference on the ground, and I know the whole House is thankful to them for their work. I am sure my hon. Friend the Member for West Dunbartonshire (Douglas McAllister) is excited to have these experts in his constituency.

We know that there are times when the health system of a country is so depleted during conflict that there simply is not the capacity to help people despite international support. That is why we invest in the UK’s official emergency medical team, so we can deploy specialist medical staff to help save lives. As my hon. Friend the Member for Glasgow South West will be aware, the team are made up of highly qualified medics from around the UK and beyond our shores. They are trained to deliver high-quality surgical and specialist rehabilitation care to save lives and reduce disability. For example, the British emergency medical team have recently started providing services in Lebanon, treating patients with burns and other injuries. The same team have helped alleviate suffering in Gaza this year. Until now, they have provided 275,000 patient consultations across a wide range of medical services. He mentioned the winter, and there is a new term in the world of aid, which is winterisation, where aid organisations club together to address the specific issues that come up at this time of year.

I am sure hon. Members will agree that this is an extraordinary accomplishment under the most challenging of circumstances, yet perhaps one story captures the impact of all strands of our work better than anything else. I would like to share with the House the story of a three-year-old girl called Razan from Gaza. In the early morning hours of 1 September, a bullet passed through the thin fabric of the family’s tent. It went through her mother’s hip and lodged in the neck of her child. The child was rushed to a hospital run by UK-Med and funded by the FCDO, and the mother was taken to another facility for her own life-threatening injury. The little three-year-old girl was in surgery for three hours in a tented field hospital surrounded by fighting, fear and uncertainty. Miraculously, the bullet had narrowly missed her spinal cord, and thanks to the skilled work of the UK surgical team, it was removed and she has recently been discharged. That is only one story among a quarter of a million patient consultations seen by the British team, and it brings home the importance of the trained medics, critical supplies, and safe access that we talked of earlier.

Let me respond specifically to the point raised by the hon. Member for West Dunbartonshire (Douglas McAllister) about evacuations. We all know that the plight of sick and injured people in Gaza is deeply distressing, but we have tried to work closely with Israel, asking it to engage with partners urgently to establish sustained safe and timely passage for patients who need medical or surgical interventions that are not available in Gaza.

We recently announced £1 million for the Egyptian Ministry of Health and Population, delivered through WHO Egypt to support medically evacuated Palestinians from Gaza, because it is close to the region. The UK is also supporting the provision of essential healthcare to civilians in Gaza, including support to UK-Med for operating its field hospital. There are provisions that allow Palestinians to come to the UK for private medical treatment under the immigration rules. Where a relevant application is made, consideration will be given to exceptional circumstances, or where there are compelling or compassionate grounds. The Government are keeping all options under review in response to events in Gaza.

In conclusion, the UK remains fully committed to protecting medical workers and ensuring that people have access to medical aid during conflicts. While those actions are making a tangible difference on the ground, there is of course more to do. That is why we will continue to advocate for the protection of the most vulnerable, address barriers to accessing medical services, and strengthen our own medical and surgical capabilities to deploy in conflicts.

Question put and agreed to.