Dementia Services in Ukraine

Andrew Mitchell Excerpts

Wednesday 10th January 2024 Westminster Hall

[The Minister of State, Foreign, Commonwealth and Development Office (Mr Andrew Mitchell)]

May I say at once, Dr Huq, that it is a great privilege, for only the second time in our joint parliamentary careers, to appear before you today? I am extremely grateful to my hon. Friend the Member for South West Devon (Sir Gary Streeter) for securing this debate, and for his tireless work in supporting the development of dementia-friendly communities. We must ensure that reform and recovery efforts in Ukraine meet the needs and priorities of the entire population, including vulnerable and marginalised groups. My hon. Friend has set out, with great eloquence, a plea in support of one of them.

The Minister for Europe, my hon. Friend the Member for Aldershot (Leo Docherty), would have been delighted to take part in this debate, but I am afraid that he is currently in Uzbekistan on ministerial business. It is therefore my pleasure to respond on behalf of the Government.

The impact of Russia’s illegal and unprovoked invasion has been devastating for the Ukrainian people. Families, children, and elderly and disabled people are forced to make ends meet while sheltering from Russian missiles. My hon. Friend the Member for South West Devon set out in graphic terms what that means for some families.

We know that the disruption caused by the war poses significant risks to social, political and economic stability in Ukraine, and that the insecurity across the frontlines has made it extremely difficult for humanitarian organisations to establish a sustained presence and support those who need it most. The war has severely impacted livelihoods and income, placing huge strains on Ukraine’s social safety net system. The poverty rate increased from 5.5% in 2021 to 24.1% in 2022, thereby increasing the demand for social assistance.

At least a quarter of Ukraine’s population was over the age of 60 before the Russian invasion. As a result, Ukraine has the largest percentage of older people affected by a conflict in the world. About 80% of single older Ukrainians—[Interruption.]

[Dr Rupa Huq (in the Chair)]

Order.

--- Later in debate ---

[Dr Rupa Huq (in the Chair)]

We were rudely interrupted by all these blooming Divisions today. Minister, the new, completely hard stop for this debate is 5.20 pm on the clock in this Chamber, so there are nine minutes left.

[Mr Mitchell]

As I was saying, Dr Huq, before we were interrupted by Divisions elsewhere in the House, about 80% of single older Ukrainians live below the poverty line and many of them are reliant on their pension as their sole income. Older people, particularly those living with health conditions such as dementia, struggle to evacuate and face barriers in accessing health services and social support.

In the Foreign Office’s disability inclusion and rights strategy, we have committed to a “life course approach”, striving to protect the rights of all people at all stages of their lives. We must recognise that older people and people with disabilities are experts in their own lives, and their full, active and meaningful participation in decision making is critical for a recovery that meets their needs.

I turn to British action in this respect. To date, we have pledged almost £5 billion in non-military support to Ukraine, which includes funding for humanitarian aid, social protection, and disability inclusion and rehabilitation services. In 2022, we established a civil society grant fund to support organisations, including those helping vulnerable and marginalised groups.

In June last year, along with Ukraine, we co-hosted the Ukraine Recovery Conference in London. Not only did that raise more than $60 billion in international support for Ukraine’s immediate reconstruction and long-term recovery, but our advocacy supported the Government of Ukraine to create a civil society dialogue platform for gender and inclusive reform. I had the honour of attending and speaking at that conference.

Through our multi-donor Perekhid initiative, we are working with Ukraine’s Ministry of Social Policy and UNICEF to strengthen Ukraine’s social protection systems and services. On 23 November last year, our ambassador in Ukraine spoke at a HelpAge International event on age-inclusive reform and recovery, where the Deputy Minister of Ukraine’s Ministry of Social Policy joined him on the panel. In his contribution, our ambassador was clear that the war has hit older people the hardest and that they must play a crucial role in Ukraine’s recovery. Britain supports the inclusive policies and programmes that meet older people’s needs. We must give them a voice and recognise their role in rebuilding their lives and communities, and my hon. Friend the Member for South West Devon made very clear the priority that we all expect to be attached to that.

We are also funding the World Health Organisation, which will partner with HelpAge International to conduct an updated national survey analysing the barriers and risks to older people in Ukraine in relation to healthcare. The WHO aims to provide humanitarian services to older people in the most affected oblasts of Ukraine, including support for their basic needs and case management of older people to access health and social services.

During his visit to Washington last month, the Foreign Secretary announced further programme allocations, including about £8 million for humanitarian activities focusing on the needs of the most vulnerable in Ukraine, such as older people and people with disabilities. We will continue to support the Government in Ukraine in pursuing recovery, reconstruction and modernisation that puts people at its heart.

Our diplomatic response has been comprehensive. We have helped to build a united international coalition against Russia’s invasion and in support of Ukraine. Russia remains internationally isolated, having lost 18 international elections in 2022 and 2023. The United Nations General Assembly vote in February last year demonstrated that the international community is overwhelmingly united behind Ukraine, with nearly three quarters of the entire membership voting for Russia’s immediate withdrawal and an end to the war. We have also worked with allies to strengthen NATO, expedite membership for Finland and Sweden and provide long-term NATO assistance for Ukraine. Without that activity, none of the things that my hon. Friend the Member for South West Devon spoke about would be possible.

To conclude, reform and recovery efforts in Ukraine must be inclusive and take into account the needs of the ageing population. We will continue to work with our allies to ensure that Ukraine gets the support that it needs to win this war, secure a lasting peace and build back better. We commend the bravery and resilience of the Ukrainian people in the face of Russian aggression, and we remain united across the House in our desire for them to prevail.

To my hon. Friend and his eloquent request for support for a very good cause, I pledge the interest of and help from officials in the Foreign Office to advance that cause. I cannot promise him, as he suggested, that there might be some pot of money available, but I can promise him that he and I share the same desire to drive forward this agenda, and we will do everything we can to help him in that respect. I remain confident that this will continue, and Ukraine can always count on the UK to stand by it.

Question put and agreed to.