Dementia and Alzheimer’s Disease

Debate between Barbara Keeley and Graham Stringer

Tuesday 12th April 2016 Westminster Hall

[Barbara Keeley (Worsley and Eccles South) (Lab)]

It is a pleasure to speak in this debate with you in the Chair, Mr Stringer. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this important debate. I recognise the remarkable amount of work that he does on social care and carers, and I thank him for that. We have had some excellent contributions from 14 hon. Members—almost too many to mention, so I will not mention them all. We are making some progress but we have a long way to go to improve care for people with dementia and support for their carers.

The Labour Government launched the first ever national dementia strategy, appointed the first national clinical director for dementia, and commissioned the National Institute for Health and Care Excellence to develop the quality standard for dementia. Together, those began the process of establishing memory clinics, providing better training for GPs and improving the quality of dementia care for people in hospital. I thank the hon. Member for Charnwood (Edward Argar) for mentioning that record. It is welcome that the Government are carrying on that work through the Prime Minister’s important challenge on dementia 2020. I am sure that hon. Members here today agree with the aims of that challenge but we have to accept that there is a long way to go before they become a reality.

Dementia is a distressing condition. In the long term we should be aiming for a cure, but while working to find a cure we must put equal emphasis on the care provided to people with dementia and the support provided to their families and carers. Carers UK reminds us that the symptoms of dementia can make providing care particularly difficult. People with dementia—we have heard about this in the debate—can grow agitated and violent, and night-time wandering and shouting can disrupt carers’ sleep.

Families report challenges in finding services that have the expertise to provide the right care and support. Of course, that means that it is more difficult for carers to get practical help or to take essential respite breaks as they do not have, or they lose confidence in, the quality and appropriateness of the care available. I welcome the strong case made by my hon. Friend the Member for Burnley (Julie Cooper) for better support for carers.

The care sector has a turnover rate of 25% so even when a care package at home is arranged, high staff turnover makes it harder to build familiarity and trust. For people with dementia, receiving care each day from someone they see as a stranger can be upsetting and confusing, and can make them more likely to refuse support, putting further pressure on their family carers. It is clear that improvement is needed, so can the Minister say whether the carers of people with dementia will be a key strand of the upcoming carers strategy?

I applaud the Alzheimer’s Society “Fix Dementia Care” campaign, which wants to ensure that people with dementia receive the highest standards of care in hospital, in care homes and in the home. It is of great concern that a survey of carers of people with dementia found that only 2% believed that hospital staff understood the specific needs of people with dementia, more than half felt that the person they cared for was not treated with understanding and dignity in hospital, and nine out of 10 felt that the person with dementia became more confused while in hospital.

The Alzheimer’s Society is calling for all hospitals to publish an annual statement of dementia care. In my area, it was pleasing that Salford Royal recorded information for patients with dementia and that the records showed that Salford Royal’s performance on a number of elements of care was better than national averages. However, other local hospitals did not record that information so there is much to do to bring that up to standard.

As part of improving hospital care for dementia patients, listening to carers would be a step forward. Nicci Gerrard is leading John’s Campaign for the right for family carers to stay with people with dementia in hospital, as we heard earlier. Nicci’s father John suffered a significant decline when he was in hospital for five weeks. Although the family felt that individual nurses and doctors were kind, conscientious and respectful, restrictions on waiting times meant that the family could not sit and talk to John, read to him, make sure he ate or keep him attached to the world.

John’s Campaign calls for the families and carers of people with dementia to have the same rights as the parents of sick children. They should be allowed to remain with them in hospital for as many hours as they are needed or are able to give. I understand that 272 hospitals across the UK have pledged their support to John’s Campaign. Will the Minister outline what is being done to improve hospital care for dementia patients and whether she supports John’s Campaign?

As well as improving hospital care, there are real concerns about the state of social care. The Association of Directors of Adult Social Services reports that £4.6 billion has been cut from adult social care budgets and that 300,000 fewer people are receiving publicly funded services than in 2009-10. Social care has been an easy target for cuts. I am concerned now that the Chancellor’s aim to find a further £3.5 billion in savings by 2019-20 will hit council and social care budgets even further.

The Government have stated that, by 2020, they want to see an increase in the number of people with dementia being able to live at home with more personalised support available to them and their families. That is a laudable aim, but the Channel 4 “Dispatches” programme last week showed just how poor home care can be, with time clipped from care visits, careworkers working very long days and not being paid for travel time, care needs neglected, and no time for the careworker to talk and listen to the person receiving care.

This year and next year are tough years for social care funding because home care and residential care providers bringing in the so-called national living wage have estimated they will face costs of £330 million in 2016-17 with no additional funding for this Government policy. The better care fund only provides £100 million extra next year, so this year is a problem. It is not surprising that careworkers say that issues with their pay and conditions prevent them from delivering good quality care. Unison found that three quarters of domiciliary careworkers do not have enough time to provide dignified care and that 84% of service users not getting enough time for care are people with dementia.

Caring for someone with dementia is not just about aspects of physical care. It is about conversations—knowing the person and knowing what is a comfort to them. Across hospitals, primary care and home care, we need to improve staff training and understanding of how to support people living with dementia and how to support and work with their family carers.

Carers UK reminds us that carers are the experts in the care needs of the person they care for, so it is heartening that today, Dr Julie Wray of the School of Nursing, Midwifery, Social Work and Social Sciences at the University of Salford is launching her book, “Supporting families and carers: a nursing perspective”. I hope that her nurse colleagues use the book to develop their knowledge of how to work with carers of people with dementia. They are the people who make such a vital contribution to the care of all those people.

[Graham Stringer (in the Chair)]

I call the Minister. Would you leave a couple of minutes for Jim Shannon to sum up?

UK Shale Gas

Debate between Barbara Keeley and Graham Stringer

Thursday 18th July 2013 Westminster Hall

[Graham Stringer (Blackley and Broughton) (Lab)]

Will my hon. Friend give way?

[Barbara Keeley]

Will my hon. Friend wait until I complete this point? I will come to him in a moment. His constituency is at the other end of Salford from mine, and I know that he will disagree with what I say.

As we heard extensively from the hon. Member for Lancaster and Fleetwood, there is talk of a community bonus of £100,000 per well. The difficulty is that it is out of scale with the potential loss in house values that people will see. The 1% of any revenue will also come along far too late. If someone’s house has lost value and they have become fed up and moved away, they will not be helped by 1% of revenue.

[Graham Stringer]

Outside London and the south-east, the highest house prices in the country are in Aberdeen, due to the benefit of the oil industry in the North sea. Eventually, the improvements in the economy if shale gas is exploited are likely to lead to a rebalancing of the UK economy and higher house prices.

[Barbara Keeley]

My hon. Friend is entitled to that view, but I do not agree with him.

There are serious concerns about the impact of fracking on communities. I want to quote from the International Energy Agency’s “Golden Rules for a Golden Age of Gas: World Energy Outlook Special Report on Unconventional Gas”:

“Producing unconventional gas is an intensive industrial process, generally imposing a larger environmental footprint than conventional gas development. More wells are often needed…The scale of development can have major implications for local communities, land use and water resources. Serious hazards, including the potential for air pollution and for contamination of surface and groundwater, must be successfully addressed.”

Those are the issues and concerns that are starting to bear down on my constituents, and the notion that anyone living in an area where such things were being contemplated would see house price increases is just not realistic.

I want also to quote from a report by the Tyndall Centre for Climate Change Research produced by local academics at the university of Manchester:

“The depth of shale gas extraction gives rise to major challenges in identifying categorically pathways of contamination of groundwater by chemicals used in the extraction process. An analysis of these substances suggests that many have toxic, carcinogenic or other hazardous properties. There is considerable anecdotal evidence from the US that contamination of both ground and surface water has occurred in a range of cases.”

The report also states that

“there are a number of documented examples of pollution events owing to poor construction and operator error. There are reports of incidents involving contamination of ground and surface waters with contaminants such as brine, unidentified chemicals, natural gas, sulphates, and hydrocarbons”.

Government Members appear to be saying “Nonsense.” I think I heard the Minister say it too, so I hope he can give me information that I can pass on to my constituents that will help to settle their minds.

--- Later in debate ---

[Graham Stringer (Blackley and Broughton) (Lab)]

I had not noticed that the air conditioning had changed.

I congratulate the hon. Member for Brighton, Pavilion (Caroline Lucas), whom I tend to either agree or disagree with 100%. Today I am afraid it is the second of those two positions.

There have been many excellent speeches on both sides, and I will try not to say what I was going to say, because that would mean repeating some of the points that have been made; instead, let me deal with some of the facts and issues that have come up.

One of the last points to be made was about water. While relatively little water is used, it has not been pointed out that there is, in most cases, a mile of rock between where the fracking takes place and the water table, so contamination is very unlikely.

On house prices, I was responsible, as chair of Manchester airport, for building the second runway there. At the bottom of it is a beautiful Cheshire village called Style. When the runway was being built, people claimed that house prices there would go down, but the only time prices were affected was during the campaign against the runway, when there were lots of signs up in the village. As soon as the campaign went away, house prices went up, even though the runway was taking very large planes. The fact is that house prices are related to economic activity, so my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley) can reassure her constituents that house prices will not be brought down.

[Barbara Keeley]

It is important to tell my hon. Friend that I already have evidence that, because of these developments, people are planning to move out of the area, which I would not want to happen, while others have said they will not move into the area. This really is having an impact.

[Graham Stringer]

That is completely consistent with what I was saying—that the fear of the activity, rather than the activity itself, is the problem.

I want now to move on to the science and to speak as a scientist. I agree with virtually everything the right hon. Member for Hitchin and Harpenden (Mr Lilley) said, apart from when he completely accepted what the Intergovernmental Panel on Climate Change said. We must remember that it involves a political process, which lies on top of a number of scientific papers; its work is not necessarily put together by scientists themselves.

The hon. Member for Brighton, Pavilion could be accused of being unrealistically precise in her comments about what is likely to happen in the climate over the coming years, and I would make two simple points about the science. First, I have talked to most of the leading scientists on climate change in this country and in the United States, and there is no known way of distinguishing natural variations in the climate from impacts caused by carbon dioxide—nobody knows how to do that.

Secondly, the models that have been used to predict the increase in temperatures have all been wrong. In the Met Office, we have the biggest supercomputers in the world, which are great at back-projecting climate, but their projections of climate into the future have all been inaccurate. That is just an indication that there is something unknown about the science, which is not to say that carbon dioxide is not a greenhouse gas, because it clearly is, and it has been known as such for a long time. However, an artificial precision is being introduced into the debate, and it really should not be there. We do not, therefore, often talk about the science.

My next point is about the costs of all the different policies and the price that will result. An interesting report by Liberum Capital indicates the difference between the cost of the Government’s policies on replacing the sources of our energy and the cost of replacing like with like. It finds that there is a difference of more than £200 billion between the two, and that will come out somewhere in the price of gas to our constituents.

The Government’s energy policy is based on taking a long-term position on the price of gas and oil—fossil fuels. Essentially, they are betting the house, the country or hundreds of billions of pounds that the price of fossil fuel will continue to rise. If that happens, and if renewables are put in place, they are likely to win their bet—and it is a bet. They will have to find the capital to fund those renewable energy supplies, but given that prices of publicly quoted shares in the European renewables market have dropped below their level in 2004-05, that looks very unlikely. If the Government lose their bet, our constituents will pay more for their energy than they should.