The Earl of Courtown (Con)

My Lords, I join other noble Lords in thanking the noble Lord, Lord Crisp, for securing this important debate on what the NHS can learn from partnerships with hospitals in Africa and Asia. It was particularly interesting to hear his description of the situation in Myanmar, and I learnt much from the noble Lord’s speech. I should also declare an interest, like the right reverend Prelate. My daughter did her elective in Kerala, India, and she spent a year after the pandemic teaching at Warwick Medical School. She was only too aware of the importance of British doctors—people living in England—actually going to help and teach people coming from overseas, and of course there is much evidence of that at Warwick Medical School. As the noble Lord, Lord Crisp, said, we are a leader in this field. Partnerships between the NHS and healthcare providers abroad have been recognised as mutually beneficial by successive Governments. Under the coalition Government, Healthcare UK was launched as a joint initiative between the Department of Health, the NHS Commissioning Board and UK Trade & Investment to increase the profile of UK expertise in healthcare and the trade in healthcare goods and products overseas. Indeed, successive Conservative-led Governments provided funding for Gavi, the Vaccine Alliance. Governments have also signed agreements on healthcare with India and Kenya, and the previous Government published the two-year global health framework in 2023. All this work has helped to strengthen the UK’s reputation internationally as a global leader in healthcare. That is a reputation that has been hard won, and we will support the Government where they seek to improve healthcare provided through the NHS. We will work with Ministers to deliver these improved outcomes. This is slightly outside the Minister’s brief, but for these arrangements and partnerships to work, we need a functioning NHS. Unfortunately, as all noble Lords will be aware, the NHS has too often been brought to a standstill by industrial action, with patients bearing the costs. Can the Minister briefly say what Ministers are doing to protect patients from the damaging effects of strike action in future? Turning back to international partnerships between the NHS and healthcare services, can the Minister say what particular efforts are being made to engage with healthcare providers in Africa in the light of the ongoing Ebola outbreak? It would be useful for the Committee to hear what the Minister can say on this issue. I was also particularly interested to hear the report from the noble Lord, Lord Oates, of his time in South Africa and Zimbabwe. The fact is that partnerships help places experiencing so much undue suffering very much; it was interesting to hear about the noble Lord’s connections there. Once again, I thank the noble Lord, Lord Crisp, for bringing this debate forward. I look forward to hearing the Minister’s reply.