I thank the right hon. Gentleman for his question. Decisions on how ODA will be used will be considered as part of the ongoing spending review. Reducing the overall size of the budget will necessarily have an impact on the scale and shape of our work. I can say, however, that our important work and support for Gavi is immunising 300 million children and saving up to 8 million lives, and our £1 billion pledge to the Global Fund for 2023-25 is supporting prevention and treatment for HIV, tuberculosis and malaria, and will help to save over 1 million lives.
I agree with the Minister on what he just said, but Gavi says that the changing policy will mean that 37.9 million fewer children will be immunised, which means that over five years, 600,000 will die. How on earth does he live with himself with that policy?
With the greatest of respect, the right hon. Gentleman will know my record on these important issues, having advocated for them over many years in this place and outside. I do not accept his characterisation. Decisions have not yet been taken; they are being taken as part of the spending review. He will know that the UK is one of the largest donors to Gavi. We have committed £1.65 billion in the current strategic period up to 2025 and that will make an important impact on children’s lives around the world.
Gavi was created very much with the UK as a driving force. It is one of the proudest achievements of the previous Labour Government. It has immunised almost 2 billion people in the world, and not only is it saving lives but it is important for jobs and work here in the UK in our fantastic life sciences sector. Will the Minister give a commitment that we will continue to be a leading force in Gavi at the replenishment in June?
The Foreign Secretary has been discussing these important issues with the Health and Social Care Secretary. My hon. Friend is right to point out the important role of Gavi, as well as our role in that. The decisions will be set out in due course, but I hear what she and, indeed, other hon. and right hon. Members are saying on this important issue.
I call the shadow Minister.
It is very clear from Ministers’ answers that we still have no indication about which programmes and where will be affected by the planned reductions to ODA and from when exactly the cuts will be effective. We are told to wait for the spending review, but many organisations, including those tackling infectious diseases, are left to face uncertainty and to work at risk. Will the Minister tell us what instructions have been issued to his Department’s humanitarian aid programmes about what they are expected to do between now and the spending review in June?
We clearly have difficult decisions to make, but the FCDO is not pausing all ODA programming and not creating a cliff edge in this year. We are focusing on ensuring that every pound will be spent in the most impactful way in the new context. That is a very difficult decision, as the Prime Minister, the Foreign Secretary and I have set out. We will set out the details in due course, but we are listening closely to Members in this House and, indeed, to the many partners and stakeholders we work with on these important issues.