The continuing challenges facing Central Africa

Thank you, Mr President.

On behalf of the United Kingdom, I want to express our thanks to SRSG Fall for his continued efforts to support and promote peace, stability, and security in Central Africa, particularly under the difficult circumstances engendered by the COVID-19 pandemic.

We welcome the recent progress in the region, particularly the establishment of the new ECCAS Commission. But as SRSG Fall has set out, Central Africa continues to face serious political, economic, and security challenges, which have been exacerbated by the impacts of COVID-19. As ever, it remains important that the countries of the region work with the support of the UN, and together, to strengthen regional peace and security, protect civilians in conflict, and promote human rights and resilient to economic recovery.

In this regard, I commend UNOCA’s ongoing work on conflict prevention and mediation efforts across Central Africa. And I would encourage greater coordination between UNOCA and UN country teams in the sub-region, with a particular focus on strengthening early warning.

Mr President, the United Kingdom remains deeply concerned by the ongoing crisis in the North-West and South-West regions of Cameroon, which SRSG Fall described. The impacts on civilians continue to be profound. The conflict in this region has driven around 770,000 people from their homes and forced 60,000 people to seek refuge in neighbouring Nigeria. Only 30 percent of schools are currently open.

This conflict, compounded by the effects of COVID-19, has exacerbated humanitarian needs across the country. In September, the United Kingdom announced a further $6 million to fund humanitarian actors in Cameroon. This funding will provide vital assistance, including food, medical supplies, and sanitation provisions to tens of thousands of vulnerable people and brings our total humanitarian support to Cameroon in 2020 to $18 million.

We remain deeply concerned by reports of human rights violations and abuses committed by both security forces and separatists in the North-West and South-West regions. Among the many reported acts of violence against civilians, the killing of seven children by unidentified gunmen in Kumba in October was particularly shocking. We continue to support the Secretary-General’s call on all actors not to attack civilians, and we call for an end to violence and for unhindered humanitarian access.

The UK urges respect by all parties for human rights, including freedom of expression, association, and assembly. We continue to urge full cooperation by the Government of Cameroon with the office of the High Commissioner for Human Rights.

I commend the steps taken by the Government of Cameroon to address the crisis and respond to the recommendations, throughout the dialogue on October 2019, including the holding of regional elections on the 6th of December. These elections were an important step towards decentralisation. Inclusive dialogue remains and achieving a just, peaceful, and durable resolution to the North-West, South-West crisis, which meets the reasonable demands of the moderate majority. All parties should remain engaged in good faith, in dialogue and peacebuilding efforts, including the Swiss-led efforts to facilitate talks between the Government of Cameroon and separatist groups. I hope that Cameroon’s international and regional friends and partners will also continue to support efforts to restore peace and security in the North-West and South-West regions.

Mr President, The United Kingdom also strongly condemns the terrorist attacks on civilians in Cameroon’s Far North and across the wider Lake Chad Basin area. We express our condolences to the innocent lives lost, including the 70 civilians killed in Nigeria’s Borno state on the 28th of November. We welcome the efforts of the Multi-National Joint Task Force to tackle Boko Haram and Islamic State West Africa in the region. We urge the Governments of the Lake Chad Basin countries, with the support of international partners, to redouble their efforts to tackle the root causes of conflict. This should include efforts to improve governance, demobilise, and reintegrate former combatants, and mitigate the impacts of climate change on regional security.

Mr President, I would like to end with a few words about the Central African Republic. The upcoming presidential and legislative elections on the 27th of December will be an important milestone in the Central African Republic’s journey towards lasting peace. We urge the Central African Republic Government and all political actors in the country to ensure the elections are inclusive, peaceful, free, and fair. The UK has committed $640,000 to fund the elections through the UN and support the participation of women, youth, and marginalised groups. But elections are, of course, only one element of democratic governance. We hope to see continuing efforts by all stakeholders in the Central African Republic, to strengthen political inclusivity, protect and promote human rights, and meet the needs of the population, including with respect to basic security and humanitarian needs.

Thank you, Mr President.




Confirmation of guidance to vaccination centres on managing allergic reactions following COVID-19 vaccination with the Pfizer BioNTech vaccine

Dr June Raine, Chief Executive of the Medicines and Healthcare products Regulatory Agency (MHRA), said:

“We have this evening (Wednesday 9 December 2020) issued updated guidance to COVID-19 vaccination centres about the management of anaphylaxis, following two reports of anaphylaxis and one report of a possible allergic reaction following immunisation. This guidance confirms the precautionary advice to healthcare professionals which we issued yesterday evening.

“Today we convened an Expert Group of the Commission on Human Medicines’ (CHM), attended by experts in Allergy and Clinical Immunology, to robustly review these reports to consider any possible mitigation on the rare risk of anaphylaxis.

“Any person with a history of anaphylaxis to a vaccine, medicine or food should not receive the Pfizer BioNTech vaccine. A second dose should not be given to anyone who has experienced anaphylaxis following administration of the first dose of this vaccine.

“Anaphylaxis is a known, although very rare, side effect with any vaccine. Most people will not get anaphylaxis and the benefits in protecting people against COVID-19 outweigh the risks.

“Anyone due to receive their vaccine should continue with their appointment and discuss any questions or medical history of serious allergies with the healthcare professional prior to getting the jab.

“You can be completely confident that this vaccine has met the MHRA’s robust standards of safety, quality and effectiveness. The safety data has also been critically assessed by the government’s independent advisory body, the Commission on Human Medicines. No vaccine would be approved unless it meets these stringent standards – on that you can be sure.

“We have in place a robust and proactive safety monitoring strategy for COVID-19 vaccines which allows for rapid, real-time safety monitoring at population level. The fact that these incidents were picked up and reviewed shows that to be the case.

“Members of the public and healthcare professionals are encouraged to report suspected side effects through the Yellow Card scheme. We supplement this form of safety monitoring with analysis of data on national vaccine usage and anonymised GP-based electronic healthcare records, linked to other healthcare data, to proactively monitor safety.”

The MHRA’s updated advice is:

  • Any person with a history of immediate-onset anaphylaxis to a vaccine, medicine or food should not receive the Pfizer BioNtech vaccine. A second dose of the Pfizer BioNtech vaccine should not be given to those who have experienced anaphylaxis to the first dose of Pfizer BioNtech vaccination.

  • Vaccine recipients should be monitored for 15 mins after vaccination, with a longer observation period when indicated after clinical assessment.

  • A protocol for the management of anaphylaxis and an anaphylaxis pack must always be available whenever the Pfizer BioNtech vaccine is given. Immediate treatment should include early treatment with 0.5mg intramuscular adrenaline (0.5ml of 1:1000 or 1mg/ml adrenaline), with an early call for help and further IM adrenaline every 5 minutes. The health professionals overseeing the immunisation service must be trained to recognise an anaphylactic reaction and be familiar with techniques for resuscitation of a patient with anaphylaxis.

  • The individuals concerned received prompt treatment and are recovering well.

  • Like all medicines and vaccines, this vaccine can cause side effects. Most of these are mild and short-term, and not everyone gets them.

  • Link to Yellow Card scheme COVID-19 reporting site




Statement on UK-EU negotiations: 9 December 2020

Press release

A statement on UK-EU negotiations.

10 Downing Street

The Prime Minister and President von der Leyen met for dinner in Brussels this evening.

The leaders had a frank discussion about the state of play in the negotiations. They acknowledged that the situation remained very difficult and there were still major differences between the two sides.

They agreed that Chief Negotiators would continue talks over the next few days and that a firm decision should be taken about the future of the talks by Sunday.

The Prime Minister is determined not to leave any route to a fair deal untested, but any agreement must respect the independence and sovereignty of the UK.

Published 9 December 2020




Minister Lopez closing remarks on Westminster Hall debate on procurement

Thank you, Miss Eagle, it is a pleasure to serve under your chairmanship this morning. I should like to thank the Hon Member for Liverpool Walton for tabling this incredibly important debate, and other Hon Members for their contributions.

I am also grateful to the NAO for their report. The care with which we spend taxpayers’ money matters very deeply to public confidence in government, and I do not wish this morning to present a carefully constructed political argument that seeks to dismiss the concerns that have been raised.

I want instead to be candid about the challenges the government had to navigate at the height of the pandemic, provide some context to the NAO report, and set out what went well and what undoubtedly could have been done better in the period they focus on between January and July.

I was on maternity leave at the height of the pandemic and only began my ministerial role at the Cabinet Office in June. As I took on that role, I confess to sharing some of the concerns that were raised with me in the House about the cost and circumstances of particular procurements, and wanted to assure myself of what happened – to understand the full story. Today, I hope to share that story with you, and to be as transparent as possible.

As I do so, I would ask Hon Members to keep three broad points in mind:

  • First, it is important to recognise the sheer volume of procurement activity in response to this national health emergency. By 31 July, over 8,600 contracts worth £18 billion had successfully been awarded, some 90% by the Department of Health in value terms. That’s compared to 174 contracts worth £1.1bn awarded by the Department of Health last year. In other words, this was a colossal upscaling of effort to take this country through the crisis. Of these, the NAO’s report examined just 20, naturally focusing on those that have attracted most public interest.

  • Second, due to time pressures I shall focus my comments on the areas looked into by the NAO report.

  • Finally, while it has become a political cliche to say we ‘must learn the lessons’ from particular events, in this case it is especially important that we learn the right lessons. It might make for a snappy headline or an eye-catching political campaign to suggest that the story of procurement during the crisis has been one of Tory corruption, but it behoves us all to understand what really happened so that we do not overlook what needs to change.

Market Context

At the height of the crisis in April – as the NAO describes in its report – health services around the world faced an unprecedented situation where demand for personal protective equipment (PPE) and other medical products far exceeded supply.

Faced with these exceptional levels of global demand, the usual vendors in China who serviced the NHS’s central procurement function very quickly ran out of supply and the world descended on a few factories in that country to bid for available items.

In this market context, the government needed to procure with extreme urgency, often through direct award of contracts, or risk missing out on vital supplies. It is here that I would like to address the first of several criticisms – that the Government ‘ripped up’ procurement rules.

This is simply not true.

Regulation 32 2.c of the Public Contracts Regulations, which predates the pandemic, explicitly allows for emergency procedures including direct award. No rules were suspended, relaxed or changed – this was just a case of using existing, legally compliant regulations for the purpose they were intended. Similar approaches were taken by many other countries, including Japan, New Zealand and Finland. In a situation of genuine crisis and extreme urgency, where offers had to be accepted or rejected in a matter of hours or days, it was simply not viable to run the usual procurement timescales, even by taking advantage of accelerated processes (which still require a minimum of 25 days).

Nor is it the case that the Government cast value for money considerations aside. All offers went through the same eight-stage assessment process, and where full competitions for PPE were not possible because of time pressure, prices were examined against a rolling benchmark of prices paid to protect the taxpayer from mispricing.

This is not to say prices weren’t higher across the board. In this massively overheated spot market, product was often going for over 5 times the normal price, made worse by the appearance of opportunistic middle men who started to put deposits down for product before reselling it for a high handling fee.

Of course the government would not normally pay these kinds of fees, but procurement teams were left with the choice either to buy the product – as was rightly, and vociferously, demanded – or not get hold of it for the NHS.

This situation was further complicated by what was going on internally – and this is what I mean by wanting to learn the right lessons, particularly about challenges within our systems. 450 people from across government were moved into DHSC to become a stand-up virtual team to urgently assist with securing PPE – a team normally only 21 people strong. In many ways this was an impressive feat…but it also meant a lot of people who did not know each other, working remotely on a range of different IT systems, with suppliers they did not know, on product they were not familiar with, in the most highly pressured market of their careers. As I say, this was not an easy operating context.

As concern grew about the level of PPE that might be required to deal with the challenge of covid, the Prime Minister put out a call to action. With great commitment and energy, the British public and business community responded. This meant that in very short order, commercial teams were dealing with over 15 000 offers of help. Leads were coming in faster than they could be processed, and when they were rejected or if they were delayed, people started chasing through their MPs.

High priority Lane

In order to manage this influx of offers, a separate mailbox was set up to handle this area of work.

This is the oft-cited ‘high priority lane’, which colleagues on the other side of the House have sought to portray as something far more sinister than it was.

Far from being a ‘secret referrals lane’, this mailbox was in part a triage for directing more credible leads, and in part an engagement/communication tool for managing correspondence from parliamentarians of all colours, including Opposition MPs. As the NAO itself says, it was right that we looked to sift credible PPE offers from others.

The most important thing to note – as the NAO does in its report – is that all PPE offers, no matter from where they came, went through the same eight stage checks. This was not a case of special treatment for friends of Ministers.

There has been excitable public commentary to say you are 10 times more likely to get through if you have Tory friends. This mail box had a higher conversion rate because, if anything, this demonstrates that the initial triage worked, as these leads were often more credible and proved fruitful once they had gone through the due diligence process.

Even so, it is important to note that of the 493 offers which came through the priority mailbox, only 47 were taken forward – in other words, 90% were rejected. Indeed, over 20,000 individual product offers were rejected between end March and mid June because of the robust due diligence processes put in place by commercial teams. Members will have likely seen a number of vocal companies who were rejected from this process making their concerns known on television. It is worth saying that the government effectively has no right of reply as in setting out candidly why these bids were rejected, commercial confidences would be broken.

So called ‘Chumocracy’

The existence of this separate mailbox has added fuel to the fire of those accusing the government of ‘chumocracy’.

But if they have read the NAO’s report, they should have noted its conclusion that, ‘we found that ministers had properly declared their interests, and we found no evidence of their involvement in procurement decisions or contract management’. Our own internal audit on PPE has also so far not found any conflicts.

No PPE contracts were awarded by reason of who referred them.

I would like to remind colleagues that ultimately there was very little waste – of all the product in question, so far only 0.5% of what was ordered has been found to be unusable.

Room for Improvement

But that is not to say that we cannot improve.

Admittedly, there was not an adequate stockpile, and the lack of a central stock control system made it difficult to get a clear grip on the demand signal coming from the NHS – this is an extremely important issue to rectify going forward.

We have also had to rapidly address a strategic over-reliance on China. We have now built up our national capability and our resilience, with the potential for 70% of PPE to be produced in the UK.

These are lasting national enhancements, which I hope will be bolstered through the work of the Department of International Trade’s Project Defend which is looking into other areas where we are critically dependent on other countries for important parts of our manufacturing.

The NAO was also absolutely right in identifying delays to publishing documentation in relation to emergency procurements. The sheer pace of activity meant documentation was not perfect. The result is that contracts have not been published online as quickly as they should have, and it has been left to the Department of Health to piece together the relevant paperwork from different IT systems. I regret that this lag in our normal transparency timescales has created a sense of mistrust.

However, we are nearly there – at the time the NAO did its scrutiny work, only fifty per cent of required contract award notices had been published. As of 3 December, I can say that 96% of PPE contract award notices are now on TED (the European public procurement journal) and 94% on Contracts Finder.

Comms Procurement

I have concentrated today on PPE as this was in large part the focus of the NAO’s two most recent procurement reports. However the NAO also looked at communications contracts, so I would like to spend a moment on this.

For context, a number of external research agencies were engaged by the Cabinet Office’s communications unit to test public reaction to Government messaging on public health. This was crucial to helping us understand people’s attitudes and behaviours during this time, and refine public health messaging accordingly to drive behavioural change.

At the time I began my ministerial role, there were reports suggesting that some of these contracts for communications services had been improperly let, which naturally I was not happy about. Unfortunately I cannot comment in detail on the specifics of these contracts because the department is still working on its detailed defence and disclosure in the ongoing judicial review proceedings. However, I can say that following a preliminary internal fact-finding exercise, the Cabinet Office resolved to delve into this properly and commissioned an independent expert review led by Nigel Boardman to consider these findings and set out on areas for improvement, with particular reference to the process and guidance that teams in the Cabinet Office have access to.

This review and its results were yesterday published on GOV.UK. The report is rightly forensic in its analysis and hard-hitting in its recommendations and I am pleased to tell colleagues that we will be taking forward all 28 recommendations in full.

Wider Reform

Before I close, I think it is worth saying a little about some of the wider civil service reforms we are proactively pursuing that address some of the concerns beyond the NAO report:-

  • On the use of consultants: We are looking at how we better skill-up civil servants and reduce our reliance on consultancy use, looking at potentially having our own in house consultancy.

  • We are also consolidating the number of IT systems used across the civil service to make it easier to move people internally at speed and for their systems to be compatible.

  • And we are soon launching our procurement green paper. While these proposals have long been in development, they will include specific measures to strengthen transparency and make sure we can have a choice of direct award and more competitive tendering during crises. At the moment, there is either a full fat procurement which is far too slow in emergency situations or direct award, which leads to the kinds of concerns we have debated this morning.

I know the Hon Gentleman for Liverpool Walton is concerned in particular about issues of company conduct in procurement. The Green Paper will include proposals for using the exclusion rules to tackle unacceptable supplier behaviour such as tax evasion; embedding transparency by default; and developing faster review methods to speed up the court process on legal challenges to genuinely improper procurements.

Conclusion

I would just finally say that the public is absolutely right to demand that we spend their money with care, and I hope the proactive and candid approach I have set out today is reassuring.

Ultimately, let me remind colleagues that we were procuring for a purpose: that purpose was to get us through this pandemic. We satisfied the demand from the NHS, buying 32 billion items of PPE, reporting no outages and establishing a 4 month stockpile of PPE from November 2020 onwards.

Given the extraordinary context, that’s an extraordinary feat. I would finally like to pay tribute to colleagues in the civil service, in the commercial function, who may not be on the front line in NHS terms, but have done extraordinary things in this very difficult operating context and I thank them for all the work they have done.




Government launches consultations to crack down on company fraud and improve corporate transparency

  • Three new consultations will support reforms to clamp down on fraud and give businesses greater confidence in transactions
  • further consultation on new powers for Companies House to query information and take steps to improve the quality and value of financial information it holds
  • government to take forward plans to restrict the use of corporate directors on company boards, to stop criminals from hiding behind complex corporate structures

Plans to combat fraud and give businesses confidence in who they are working with have been announced by the Government today, with the launch of three consultations on reforms to the UK’s register of company information.

Today’s announcement follows the publication in September of the government’s wider plan to reform the Companies House register.

Under the new proposals, directors cannot be appointed until their identity has been verified and the register’s powers will be expanded so that it can query, investigate and remove false or inaccurate information.

Minister for Corporate Responsibility Lord Callanan said:

Today’s proposals set out further detail on our far-reaching reforms to ensure the Companies House register is fit for the 21st century – allowing us to crack down on fraud and money laundering, while providing businesses with greater confidence in their transactions.

One of the consultations opened today will seek views on how the new discretionary power for the register to query new, submitted information will work in practice. The proposals will help close loopholes that lead to abuse of the register, facilitating a crack down on the misuse of corporate structures by criminals.

The proposals also look to reduce the administrative burden on businesses and boost the quality of data on the register by making the filing process more consistent, with one consultation exploring how the quality and value of accounts filings can be improved. The plans also propose making Companies House a fully digital organisation, with all companies required to submit accounts to the register online.

A further consultation on corporate directors will take forward plans to restrict the use of opaque chains of corporate control. Under the plans, only companies whose boards comprise real people with verified identities will be allowed to act as corporate directors of other companies. The move will stop criminals from concealing their true identities behind complex corporate structures, while continuing to allow law-abiding companies to use corporate directors for legitimate purposes.

Where any new controls are introduced as part of the reforms, Companies House will keep the burden on business as low as possible and will continue to look for ways to make access to its services as smooth, quick and efficient as possible.

View the 3 consultations here: