Another three years to wait for 0.7% overseas aid?

The Tories have again delayed their pledge to meet the UN aid spending target.

The Observer yesterday reported that the Department for International Development (DFID) have pushed back their commitment to spend 0.7% of gross national income (GNI) on overseas aid from 2013 to 2015. The report is based on the new update to DFID’s business plan which now lists the end date for both the commitment to legislate and also the commitment to meet the UN spending target as "Mar 2015".

I’ve written for The Staggers several times about the government’s slow back-track on this commitment, here, here and here. The commitment is clear. The coalition agreement, says on page 22:

We will honour our commitment to spend 0.7% of GNI on overseas aid from 2013, and enshrine this commitment in law.

But, on page 117 of the Conservative manifesto, the commitment, and the timing of it, was more explicit:

Will be fully committed to achieving, by 2013, the UN target of spending 0.7% of national income as aid. We will stick to the rules laid down by the OECD about what spending counts as aid. We will legislate in the first session of a new Parliament to lock in this level of spending for every year from 2013.

The Observer suggests that Labour will try to force the government’s hand by using a private member's bill from a Labour member of the development select committee. Previously, the International Development Secretary, Andrew Mitchell, told Channel 4 News that the bill is ready and that "the law will come… but it must take its place in the queue."

Previously, I speculated that the go-slow was simply to avoid the optics of a backbench Tory rebellion. But the change to DFID’s business plan suggests that the legislative delay is necessary because the policy itself is to be delayed. This move might be popular with the public at a time when public finances are under pressure, but it would represent a breach of trust and would break the manifesto commitments of both governing parties.

Next week, IPPR and the ODI are publishing a report on UK public attitudes towards international aid and development as a contribution to the next phase of UK campaigning on poverty reduction and global development. Broken promises from the government risk returning the political and public debate on development to an unproductive political competition about spending, at the expense of the conversation that the public want to hear about results, change and progress in the developing world.

The last time they were in office, the Conservatives halved the aid budget. Labour trebled it. One reason the Conservatives made the promise was to achieve all-party consensus and put the issue beyond doubt. A broken promise on 0.7% would significantly damage the UK’s international position as a leading advocate for development and poverty reduction.

Next week sees the eagerly awaited publication of the ONE campaign’s DATA report that assess the record of rich countries against the promises they have made to the world’s poorest. The UK’s ability to pressure other donors to keep their promises will be seriously compromised if the Government reneges on its own commitment.

If David Cameron is going to show global leadership as the co-chair of the panel creating the next set of international development goals, he needs to start by showing leadership in his own Parliament and seeing off the opposition in his own party. Labour’s private member's bill may force his hand but a true global leader doesn’t whip from behind, they lead from the front.

Update: DFID have been in touch and say: "The position has not changed. The Bill is ready and will be introduced when Parliamentary time allows. The Business Plan has been updated to reflect the final date by which the Bill can be made law within this Parliament.”

Richard Darlington was Special Adviser at DFID 2009-2010 and is now Head of News at IPPR - follow him on twitter: @RDarlo

International Development Secretary Andrew Mitchell looks at a refugee at the Dagahaley refugee camp in Dadaab, near the Kenya-Somalia border. Photograph: Getty Images.

Richard Darlington is Head of News at IPPR. Follow him on Twitter @RDarlo.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear