Covid-19: Deteriorating Long-Term Health Conditions

Andrew Gwynne Excerpts

Thursday 10th March 2022 Westminster Hall

[Andrew Gwynne (Denton and Reddish) (Lab)]

It is a pleasure to serve under your chairmanship, Mrs Cummins.

I, too, congratulate the hon. Member for Bromley and Chislehurst (Sir Robert Neill), both on securing this debate through the Backbench Business Committee and on the powerful and detailed way he opened the debate today. I particularly thank him for sharing his and his wife’s experiences of rehabilitation and recovery from a stroke.

The last two years have placed extraordinary pressures on our healthcare systems, social lives and livelihoods. To protect the NHS, we were forced to make unprecedented decisions and put in place measures to stem the tide of covid-19 infections. We are now in a far better position, and the vaccine roll-out has allowed us to reclaim the freedoms and liberties that we were forced to forgo. However, in the wake of the pandemic, we now face a new challenge—one that will impact the public health of the country for generations to come.

As Members from both sides of the Chamber have passionately conveyed, we face a crisis with long-term healthcare and deteriorating conditions. As health leaders have noted, during the pandemic many professionals who provide rehabilitation services were deployed to other acute services for covid-19 patients. That resulted in reduced support for those with long-term pre-existing health conditions, and worse prognoses as a result. Examples of long-term conditions that have been particularly hard hit are included in the excellent “Moving forward stronger” report, which has been referenced by several Members.

The report, co-authored by charities and organisations including the Alzheimer’s Society, the Stroke Association, Macmillan Cancer Support and Age UK, paints an incredibly stark picture of the current situation in long-term care and rehabilitation. The Alzheimer’s Society outlines an almost 6% fall in dementia diagnosis rates. That puts individuals at risk of further deterioration, as reduced diagnosis ultimately results in reduced access to care. Diagnosis rates are also highlighted by Macmillan Cancer Support, which notes in the report that, as a direct result of the pandemic,

“there are more people being diagnosed at a later stage with more complex rehabilitation needs.”

Diagnosis is just one part of the problem. Cancer waiting times have been in freefall since 2010 and have now reached record levels. When Labour left office, 80% of patients who received an urgent GP referral for suspected cancer were seen for their first treatment within 62 days, which is above the target. Under successive Conservative Governments since 2010, that figure has plummeted. The NHS performance standard of 85% has not been hit since 2014. Right now, almost 30% of patients are having to wait anxiously for longer than two months to be seen for suspected cancer that may or may not be spreading.

That trend is also made clear by the Stroke Association, which highlighted that in 2019-20 only 34% of stroke survivors received guideline levels of physiotherapy and that only 19% received the right amount of speech and language therapy. Is the Minister aware of these statistics, and what is her Department planning to do to address them? Make no mistake: ignoring rehabilitation and long-term care has a massive impact on patients and the NHS more broadly. If we do not provide people with the proper treatment as soon as they need it, they will rely on the health system more and more. Put simply, rehabilitation is preventative.

The “Moving forward stronger” report makes several clear recommendations to the Government. I would be grateful if the Minister gave an assessment of these in her response. In particular, I would be interested—as I am sure other Members would—to hear her thoughts on the recommendation to ensure that each integrated care system has a regional rehabilitation lead and that a national clinical lead is appointed to implement a national rehabilitation strategy.

I think there is a consensus across the Chamber that we need to get a grip on long-term health conditions and that these issues have probably been neglected for far too long. They had not been brought into such public view before covid-19 hit, but it is important that we work across parties to ensure that they are dealt with.

I want to touch on something that the hon. Member for Strangford (Jim Shannon) mentioned: long covid, which is something that I suffer with. Recent statistics show that there are now 1.5 million long covid sufferers in the UK, with over 685,000 people living with symptoms for more than a year. I can tell the hon. Gentleman that brain fog is not fun for a politician. Seeing the words, but not being confident that you have grabbed them and put them in the right order, is really quite debilitating and hits your confidence hard. I have struggled with it, and I know many other people struggling with brain fog and other symptoms. I say to the Minister that the number of people with long covid is growing. Unless we urgently tackle the condition, I fear that we will face extraordinary pressures on our workforce and, indeed, on the healthcare system. Will she reassure long covid sufferers that her Department takes the condition seriously and will do everything it can to provide the requisite support and research to tackle it?

Finally, I want to focus on the mental health crisis, which is one of the issues to come out of the pandemic. There is no doubt that the lockdowns affected people’s mental health. In England, an estimated 10 million people have additional mental health support needs as a direct consequence of the pandemic. Two thirds of them had pre-existing mental health conditions that have been worsened by the pandemic, so perhaps the Minister could tell us what action the Government are planning to take to help those people.

Mental health care in this country needs a real injection of both political vigour and resources. It needs urgent attention, and those who access treatment at the moment experience, on average, a three-and-a-half-year gap between the recognised onset of illness and the start of treatment. In order to provide some solutions, the next Labour Government will guarantee mental health treatment within a month for all who need it, as well as recruit 8,500 new staff so that 1 million extra people can access treatment every year by the end of our first term in office. This is an ambitious but wholly necessary plan, which will not only revolutionise care, but meaningfully address the impact of the pandemic on our nation’s mental health.

I thank again the hon. Member for Bromley and Chislehurst for the way that he introduced the debate, and I thank other Members for contributing to it. The one thing that comes out of this—it was a compelling case put by Member after Member—is that we need a proper strategy to reform long-term care in this country. We will support the Government in doing that, but we need action now.