Dementia Support: Hampshire

Alex Brewer Excerpts

Wednesday 21st January 2026 Westminster Hall

[Liz Jarvis]

I absolutely agree with the hon. Member.

I heard from a constituent whose wife has Lewy body dementia and has lived in the same care home for several years. She is settled there and knows the staff. They know her needs, her routines and her personality. It is, by any reasonable definition, her home. Yet my constituent has been told that when money for his wife’s self-funded care runs out, she will not be supported to remain there because the home is not on Hampshire county council’s approved list. She will be forced to move away from familiar faces into an unfamiliar environment at precisely the stage when stability and familiarity matter most.

Families impacted by dementia frequently find themselves navigating a fragmented system, unclear funding decisions, delayed assessments and a complete lack of continuity of care. One of my constituents told me that his mum, who is in her 90s, has been informed that her savings have now fallen below the financial threshold. He requested a review from the county council months ago. Despite repeated chasing, he has been told that it may be many months before their situation is reviewed. In the meantime he has been placed in the impossible position of having to somehow find the funds to continue to pay care home fees that he cannot afford or risking financial instability for the care provider. That is not how a compassionate system should function. Continuing healthcare funding must be urgently reviewed. Too many families face flawed assessments that fail to recognise the complex needs of people with dementia, leaving them to shoulder enormous financial burdens at the most vulnerable moments of their lives.

[Alex Brewer (North East Hampshire) (LD)]

I am sorry to hear about the experience of my hon. Friend’s mother, and the experiences of my hon. Friend’s constituents. Many people in my constituency of North East Hampshire face similar challenges. I have personal experience with a relative who could not get a diagnosis in Hampshire despite many of us, as her family members, trying very hard to help her to do so. She ended up having to fund all her care herself, and did not get treatments that she might have needed. Does my hon. Friend agree that the Government must prioritise this care so that people with dementia can have continuity and the support that they need?

[Liz Jarvis]

Of course, I absolutely agree with my hon. Friend. There is too much confusion and delay around accessing assessments for dementia patients and their carers, and too much focus placed on ticking boxes rather than determining the most cost-effective options available to families.

Hospital discharge is another major pressure point, as up to one in four beds are currently filled by someone with dementia. I have been contacted by families whose loved ones have spent weeks in hospital only to face discharge into home environments with minimal support. My constituent Nicola told me that the consultant and occupational therapist caring for her father said that he should not be discharged because of his high risk of falls, but that their hands were tied by the county council. She said that the family were told to supervise, rather than to provide care, and to wait for carers to arrive. That meant her father would be left at risk of falls and accidents, or left sitting in soiled clothing, because no one was allowed to intervene. Family carers should not have to go through such endless battles, facing constant uncertainty about support and being stretched to the limit just to get their loved ones the care they deserve.

The ambition in the Government’s 10-year health plan is to move care from hospitals into the community, with greater access to neighbourhood health centres. That ambition is welcome but it will succeed only if dementia specialist support is embedded at its core. Neighbourhood health services must include dementia-inclusive multidisciplinary teams with access to specialist dementia nurses. Changes to the Hampshire carer support and dementia advice service have compounded those challenges. For 12 years, that service was delivered by Andover Mind, which provided advice, guidance and vital emotional support. It was changed with very little notice, as part of Hampshire county council’s ongoing savings programme, which is addressing a projected shortfall of £143 million for the coming year. Chronic underfunding of local government has meant that such non-statutory services are often cut back, despite being lifelines for so many people across the county.

Oral Answers to Questions

Alex Brewer Excerpts

Tuesday 6th May 2025 Commons Chamber

[Ashley Dalton]

I commend the work that my hon. Friend refers to. The new HealthTech innovation hub—a flagship project of the West Yorkshire investment zone—brings together West Yorkshire combined authority, organisations like the HealthTech Leeds partnership, academics, clinicians, policymakers and more than 250 health tech firms headquartered in the region. They are already driving forward health innovation together. As we have said before, we must learn about the best of the NHS and take it to the rest of the NHS. The 10-year plan will shift us to a model in which the NHS focuses on prevention, with more services delivered in local communities through new technologies.

[Alex Brewer (North East Hampshire) (LD)]

A piece of technology that already exists that can prevent hydrocephalus is the humble tape measure. The Secretary of State said that he would ask the National Institute for Health and Care Excellence to conduct a review of the frequency with which infants’ heads should be measured to allow us to detect hydrocephalus early. The charity Harry’s HAT—Hydrocephalus Awareness Trust—based in my constituency says that this review is not necessary, and that the evidence is already there. Will the Minister meet me and the charity to discuss this further, so that more infants’ lives can be saved?

[Mr Speaker]

In fairness, the Secretary of State did meet them.

Hospitals

Alex Brewer Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Alex Brewer (North East Hampshire) (LD)]

My constituents are predominantly served by two hospitals: Frimley Park to the east and Basingstoke and North Hampshire to the west. Some 65% of Frimley Park is RAAC concrete, known to be highly unstable, so it is right that it is included in phase 1 of the new hospital programme and prioritised as urgently needing a complete new build. Basingstoke and North Hampshire hospital, however, has been moved to phase 3 and building is now scheduled to begin some time between 2037 and 2039, leaving staff and patients to endure the crumbling buildings for another 15 years.

That decision was made without a single ministerial visit—not one. However, I have visited the hospital and seen what is needed, so I can tell Ministers about the repairs needed to the ceiling to stop rain coming into patient wards and the windows that cannot open, cannot close or are not double-glazed. I can tell Ministers about the air conditioning and filtration systems that keep the air clean in the hospital’s operating theatres, which are already at their maximum capacity. Replacing those systems will become essential within five years, and there is no physical room to add to what is there.

I can tell Ministers about the flooring that connects two important parts of the hospital over a car entrance, which is in a poor state and held together with industrial tape. Patients are being trolleyed across that uneven, unstable flooring on a daily basis. The tape holding the site together is both literal and a metaphor for the state of the system and of hospitals right now in this country. Ministers would know that if they had visited the hospital. One third of the repairs needed are high-risk—not a phrase we want to hear associated with our hospital structures and systems.

[Lisa Smart (Hazel Grove) (LD)]

I completely agree with my hon. Friend that in none of the repairs we are talking about to our hospital infrastructure do any of us want to use the phrase “high-risk”. Stepping Hill hospital serves my constituents; I have met the Minister about it and I look forward to welcoming her to visit it later this year. Despite needing a reported £134 million spent on it, Stepping Hill is not on the new hospital programme. I am sure my hon. Friend agrees that the health of our nation is directly related to the wealth of our nation, and that investing in hospital infrastructure is thus an extremely good investment in all of our population.

[Alex Brewer]

I thank my hon. Friend for her intervention. Health and wealth are two sides of the same coin and we need to invest in both, which is why the delays are a false economy. Maintaining Basingstoke and North Hampshire hospital for the next 15 years will cost almost as much as the rebuild, making it a false economy and a categorically bad financial decision as well as a bad health decision. There is no point in investing in a multimillion-pound brand new air filtration system in a building that is falling down.

In June 2024, the Prime Minister who was then the Leader of the Opposition visited Basingstoke town but not the hospital. Assurances were given and reported in the Basingstoke Gazette that the hospital would be built by 2030. In February after the announcement, I asked the Prime Minister about the logic of the delay, given that it will clearly be a significant financial burden for taxpayers while continuing to limit healthcare delivery. I was told that the hospital would be built, but not when. This is a clear step backwards. With the exception of the shadow Minister, we all know the situation in which the previous Government left the country, but that is not a reason for economically and medically unsound decisions now. I invite the Minister—or any Minister—to visit Basingstoke and North Hampshire hospital with me to understand the full financial and health implications of this decision for local people in North East Hampshire.