Sarah Champion

It is a pleasure to serve under your chairmanship, Sir Jeremy. I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this much-needed debate. I will focus on one specific aspect of the humanitarian crisis in Gaza where the UK can really make a difference: medical transfers to the west bank. Israel’s continued ban on medical transfers from Gaza to hospitals in the west bank, including East Jerusalem, costs lives every day. It is not an unintended consequence of conflict, but a deliberate decision. Before October 2023, Gaza’s health system functioned as part of a wider Palestinian medical network, with around 2,000 patients travelling each month from Gaza to hospitals in East Jerusalem and the west bank for specialised treatment. The Augusta Victoria and Makassed hospitals alone handled more than 40% of Gaza’s referrals. At times, nearly one third of their beds were filled with Gazan patients. However, that system collapsed overnight. Since October ’23, Israel has banned all internal medical transfers from Gaza. In January 2026, the Israeli Government confirmed to its own High Court that it is standing by its refusal to allow seriously ill patients to travel to the west bank, including East Jerusalem, citing vague security concerns but offering no evidence of the threat supposedly posed by innocent Palestinian civilians. As of early 2026, more than 18,500 patients approved by the World Health Organisation are waiting for evacuation because their treatment is unavailable in Gaza. More than 4,000 of those patients are children, and more than 1,000 people have already died while waiting for care. For every week that the ban remains in place, more preventable deaths will become inevitable. Israel permits some patients to travel abroad for treatment, with more than 4,000 patients evacuated to third countries. But that only makes its continued refusal to allow access to nearby Palestinian hospitals even harder to defend. Hospitals in East Jerusalem are within a couple hours’ drive of Gaza. The WHO has been clear: reopening that route is the fastest, safest and most cost-effective way to save lives. Instead, patients are forced through the Rafah crossing, which operates under extremely severe restrictions. Exits through the crossing are capped at around 50 patients per day, with each allowed only two accompanying family members. At that pace, they will not survive long enough to be treated. At the current rate, Save the Children estimates that evacuating those in need could take more than a year. Furthermore, while departures through Rafah are possible, re-entry is heavily restricted, with more than 20,000 Palestinians who left Gaza earlier in the war still waiting to return. That puts medical evacuees in an impossible position: if they leave for essential treatment, they risk permanent displacement. Medical evacuations must not become de facto forcible transfer. Under the fourth Geneva convention, Israel, as the occupying power, has a duty to ensure access to medical care and supplies, and to maintain medical services. Article 33 explicitly prohibits “collective punishment”. A blanket ban on all medical transfers imposed regardless of individual circumstances risks breaching all of those obligations. The Government rightly emphasise the importance of international humanitarian law, and now is the time to put that into practice. The Government should publicly urge Israel to lift the ban on internal medical transfers and continue emergency overseas evacuations only as a stopgap, not as a substitute for lawful access to nearby care. Restoring access to hospitals in the west bank and East Jerusalem would save lives, relieve pressure on Gaza’s collapsing health system and reaffirm the basic principle that the sick must never be treated as a security risk by default.