Tackling climate change will require local, national and international action

At Durban, leaders must show they understand the scale of the climate change emergency.

As delegates continue their discussions in Durban for the 17th Climate Change Conference they do so in the knowledge that this represents the last chance for developed nations to sign up to a second term of the Kyoto Protocol, which specifies legal limits for their carbon dioxide emissions, before it expires at the end of next year.

Recently I had the opportunity to join Oxfam to see for myself their REE CALL Livelihood interventions in the Satkhira District, Bangladesh. Whilst I was there I met with a number of women's groups who had come together to look at reducing the risks associated with climate change and increasing local risk awareness. They wanted to take more control and responsibility for their futures and had joined together to establish their local climate risks, priorities and to write a plan for local action. These community groups, formed to confront one specific issue, have started to branch out to look at other challenges they face.

Those women lived under constant threat from rising waters and devastating cyclones, and yet their hope and optimism was inspirational. It was heartening to see that at the same time as the Bangladeshi Prime Minister was hosting a vulnerable countries forum with the UN Secretary General Ban Ki-Moon to start addressing the challenge of climate change, local groups were organising to protect their communities and to build a better future for themselves and their children.

At the same time in the UK, Caroline Flint was launching the Labour Party's Climate Change Pledge which called on David Cameron to start showing international leadership on this issue. This means:

  • Seizing the opportunity to build a low carbon economy;
  • Pushing for a second period of the Kyoto protocol and working towards a global deal to reduce greenhouse gas emissions;
  • Delivering on climate finance.

It is this kind of action at a local, national and international level which is needed if the world is to meet the challenge of climate change.

Durban presents the UK and international community with yet another chance to show they understand the scale of the climate change emergency. Political leaders owe it to the women I met in Bangladesh and millions of others around the world to take bold and decisive action.

I travelled to Bangladesh with the GAVI Alliance for World Pneumonia Day, which is a day organised to highlight that pneumonia remains the world's leading killer of children under 5 and is largely preventable through vaccines. The GAVI Alliance is a public private global health organisation that helps to provide these vaccines to some of the world's poorest people. Earlier this year, the UK Government pledged an additional GBP 814 million to support GAVI, which has helped immunise 288 million children and saved an estimated five million lives since 2000. The organisation is looking to immunise more than 250 million children from 2011-2015 and save over 4 million additional lives.

I was delighted to be able to see the fantastic work GAVI are carrying out on the ground and you can see my World Pneumonia Day report from the field here.

Ivan Lewis is the shadow secretary of state for international development

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Is anyone prepared to solve the NHS funding crisis?

As long as the political taboo on raising taxes endures, the service will be in financial peril. 

It has long been clear that the NHS is in financial ill-health. But today's figures, conveniently delayed until after the Conservative conference, are still stunningly bad. The service ran a deficit of £930m between April and June (greater than the £820m recorded for the whole of the 2014/15 financial year) and is on course for a shortfall of at least £2bn this year - its worst position for a generation. 

Though often described as having been shielded from austerity, owing to its ring-fenced budget, the NHS is enduring the toughest spending settlement in its history. Since 1950, health spending has grown at an average annual rate of 4 per cent, but over the last parliament it rose by just 0.5 per cent. An ageing population, rising treatment costs and the social care crisis all mean that the NHS has to run merely to stand still. The Tories have pledged to provide £10bn more for the service but this still leaves £20bn of efficiency savings required. 

Speculation is now turning to whether George Osborne will provide an emergency injection of funds in the Autumn Statement on 25 November. But the long-term question is whether anyone is prepared to offer a sustainable solution to the crisis. Health experts argue that only a rise in general taxation (income tax, VAT, national insurance), patient charges or a hypothecated "health tax" will secure the future of a universal, high-quality service. But the political taboo against increasing taxes on all but the richest means no politician has ventured into this territory. Shadow health secretary Heidi Alexander has today called for the government to "find money urgently to get through the coming winter months". But the bigger question is whether, under Jeremy Corbyn, Labour is prepared to go beyond sticking-plaster solutions. 

George Eaton is political editor of the New Statesman.