(11 years, 1 month ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My comments—I shall keep them brief, because I know that many Members want to speak—follow on nicely from those of the hon. Member for Cheltenham (Martin Horwood). I want to press the Government on what exactly they have been doing for the past month, and to question the “softly, softly” approach that they appear to have adopted.
I wrote to the Foreign Secretary a month ago, and I still have not received a reply to my questions. It has not escaped my notice that the Governments of other nationals held captive in Murmansk have been much tougher. The Dutch are taking legal action; Hillary Clinton, who has been mentioned, has spoken out very strongly; and Angela Merkel, the German Chancellor, who does not even have any nationals held in Murmansk, has picked up the phone to President Putin and made it clear that what has happened is unacceptable and should be resolved quickly. Yet when the Prime Minister was asked at Prime Minister’s questions last Wednesday what he has been doing, he said that he has simply been asking for updates. I am afraid that that is not good enough.
I want to put it on the record that my right hon. Friend’s point is supported by constituents of mine who are friends of Kieron’s. They have written to me to say that our Prime Minister really should get involved. I am sure that my right hon. Friend agrees.
I absolutely agree, not least because more Britons are being held by the Russians in Murmansk than people from any other country. As has already been said, there are six of them, of whom three are from Devon.
In a letter to me from his jail in Murmansk, the marine engineer from Exeter, Iain Rogers, has complained bitterly about what he sees as the British Government’s lack of action, compared with what is being done by his fellow captives’ Governments. He makes this direct appeal to the Prime Minister:
“I find it hard to believe that you are not outraged that British subjects have been kidnapped at gunpoint, detained and abused and yet so far you have done nothing except sit on your hands. It is time to act Mr Cameron. You have a duty to protect UK citizens and international law.”
Iain’s mum, Sue Turner, visited the Foreign Office last week. I understand that she did not get to see a Minister, which is regrettable, but she did see an official. At a vigil held for the Arctic 30 in Exeter on Sunday, she told me that she and the rest of the relatives share a concern that they are not being given enough information. She said that when they asked why more was not being done and said publicly, she was told by the Foreign Office official that Russia had not responded well to criticism from abroad in the past. We all know that, and it may well be the case, but this has been going on for more than a month.
Many of us do not have a great deal of faith in the Russian judicial system, and other Members have already referred to the prosecution of Pussy Riot and the state- sponsored persecution of gay and lesbian people in Russia. The British Government should make it absolutely clear to the Russians—yes, privately if necessary—that the situation is unacceptable, and that severe damage will be done to our bilateral relations and Russia’s already battered international image unless the hostages are freed forthwith. The Government also need to tell the relatives and the British public what they are doing to help.
My hon. Friend the Member for Rhondda (Chris Bryant) has quite rightly said that it would be inconceivable for the Sochi winter Olympics to go ahead unaffected if these 30 people from all over the world are still held illegally in a Russian jail. Does any hon. Member think that that would be an acceptable backdrop to an international sporting event? I hope that the Minister will reassure us by telling us what the Government are doing, and what representations he, and the Prime Minister personally, have been making. Are they supporting or are they a party to the Dutch legal action, and if not, why not?
(12 years, 5 months ago)
Commons ChamberThank you very much, Mr Speaker—and thank you very much for granting a debate on a subject that is of great concern to my constituents in Exeter, to people throughout the south-west, and, indeed, to people throughout the country. My own mother suffered from dementia, and died very young when I was just 18. That was in the days when Alzheimer’s and other dementias were only just beginning to be recognised. Since then we have made great strides in terms of our knowledge and understanding, and the treatment that is available to sufferers and their families. I pay particular tribute to the Alzheimer’s Society for its campaigning work and the support that it provides for people.
There are currently 800,000 people with dementia in the United Kingdom, and one in three of us will have it by the end of our lives, so this is an issue that touches, or will touch, virtually every household and every family in our country. Although progress has been made, there are still big gaps and unacceptable variations in levels of service and support, and I shall focus on three issues that cause particular concern: the rates of diagnosis; the availability of drugs for sufferers; and the overall resilience of the care system, on which many dementia sufferers and their families depend.
Everybody—including, I am pleased to say, the Government—accepts that early diagnosis is absolutely vital in ensuring that people with dementia and their families receive the information, treatment and support they need. At present, however, fewer than half—43%—of dementia sufferers have a formal diagnosis, and in the south-west that rate is even lower; in fact, my region has the lowest diagnosis rate of anywhere in England at just 35.4%, with my own county, Devon, having barely a third of sufferers diagnosed and Dorset having the lowest rate in the country at just 27%. As the south-west of England has a higher than average proportion of elderly people, and therefore more dementia sufferers, that is extremely worrying. Indeed, according to the Minister’s own figures, in Devon alone there are almost 9,000 people with dementia who have not been diagnosed. In contrast, average diagnosis rates across Northern Ireland are above 60%, and in Belfast the rate is almost 70%. What is the Minister’s explanation for this huge variation in diagnosis rates across the country, and what are his Government doing to address that?
Many fear that the Government’s upheaval of the NHS might make this situation even worse, not better. Putting GPs in the driving seat means that the level of awareness and understanding of the problem among GPs will be more important than ever. GP training is therefore vital, and I welcome the progress that is being made, such as in Devon, where an education programme for GPs has reached 374 practices across our county, and there are already signs of increased diagnosis rates. But education alone is not enough. GPs need to have access to help and support, but the key to improving diagnosis rates in the south-west will be to ensure that GPs can refer patients to memory services for diagnosis. I have heard reports of people waiting over a year for an appointment at a memory clinic, however.
As the Minister will be aware, the Alzheimer’s Society recently wrote to all MPs asking us to write to our local primary care trusts in order to establish waiting times at memory services in their areas. I commend this initiative. Will the Minister say whether the Department of Health collects data on waiting times at memory services in the south-west—as well as in other regions? If not, will he arrange for NHS South of England to provide Members with this information?
The Royal College of Psychiatrists has established the memory services national accreditation programme, to ensure that services at memory clinics meet national standards. Does the Minister agree that all memory services should seek such national accreditation and that that should be a priority for local NHS managers?
As the Minister will also be aware, next month the all-party group on dementia will report on its inquiry into improving diagnosis rates. I understand that he has been invited to the launch of the report, and I hope he can confirm tonight that he will be able to attend.
The second issue I want to highlight is the variation in the availability of medicines for dementia sufferers. These medicines can make an enormous difference both to the progression of the illness and the quality of life enjoyed by the sufferer and their carers. The Minister will be aware of the massive—some reports have suggested as much as 50-fold—variation in the level of drug prescribing among PCTs in England. Again, the south-west does very poorly. We are not the lowest region in England in respect of prescribing, but we rank as the second lowest region after the west midlands. It is very worrying that our region, with its high proportion of elderly people and therefore of dementia sufferers, has the second lowest level of availability of medicines that could help them. Will the Minister explain the reasons for that, what the Government are doing about it, and how he can guarantee that this problem will not get worse under the Government’s reorganisation of the health service?
The third and final concern I wish to raise tonight is the financial hardship faced by dementia sufferers and their families because of the cost of long-term care. We know that, in some cases, that can run into hundreds of thousands of pounds; it can lead to families losing their homes or their inheritance because of the lottery of getting dementia. Many people rightly feel that that is deeply unfair. In my view, the long-awaited report by Andrew Dilnot on the future of long-term care provides a sustainable and equitable solution to that deep unfairness that some families face and to the general challenge of providing long-term care.
This is an incredibly important debate and my right hon. Friend has touched on a number of issues that affect my constituents. In a recent case, the mother of Lee Finn was in Derriford hospital with dementia; the family came in and read her chart—they had power of attorney— and saw that it said “Do not resuscitate”. The family had not been asked or consulted in any way. Does my right hon. Friend share my concern that, although there is some fantastic work going on in the field of dementia, crass errors continue to be made that cause families deep unhappiness? It is clearly not good for the dementia sufferers if the whole family is destabilised because of poor decision making.
I agree absolutely. As I said, and as I hope the Minister will endorse, training and awareness of dementia are vital not only in primary care settings but in secondary care settings, as in the case my hon. Friend raises. Some people who may seem to be extremely ill with dementia and who are in the situation she describes may in fact be physically perfectly fit and able to carry on living for some time. I hope that her local hospital will take up the case and provide a satisfactory response.
As I was saying, there is a strong feeling on both sides of the House that we need a sustainable and fair solution to the challenge of long-term care. That challenge particularly, but not solely, affects families with members who suffer from dementia because of the enormous costs imposed on them by having to pay for long-term care. I do not think it an exaggeration to say that there was great disappointment when the Queen’s Speech again failed to include a Bill to implement the Dilnot proposals. As far as it goes, the Government’s commitment to a draft Bill was welcome, but it would be helpful if the Minister told us when that draft is likely to be published and guaranteed that a Bill will be passed in this Parliament. May I boldly suggest that that would be a real legacy and worth working for?
(12 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
This has been an interesting and important debate, and I commend the hon. Member for Cambridge (Dr Huppert), and The Times, for running such a strong campaign and highlighting the dangers that are faced by cyclists every day on our streets, as exemplified by the horrific accident of The Times reporter. Let me emphasise the comments that have been made about her recovery.
Many of the issues raised cut across Departments, and it is important to send a message, perhaps through the Minister, about the need for those Departments to work together—I will return to that point. One issue that Members have raised repeatedly during the debate concerns sentencing policy and the fact that someone who goes out in their car or lorry and uses it irresponsibly as a lethal weapon may not be treated in the same way as someone who goes out with a club in their back pocket and damages another individual. We need to look at the way that courts view drivers who have behaved irresponsibly.
I would describe myself as a lapsed cyclist. My bike hangs, rather forlornly, in the cycle shed close to my London flat, awaiting reuse. Why am I a lapsed cyclist? Well, I have had a couple of near misses on London roads—a number of other Members have already commented on their experiences. My experience involved a classic problem for a cyclist. I was at a junction and a car wanted to turn left. Although I was in my bright yellow fluorescent top, it was completely oblivious of me and winged in front of me. I was lucky; I suffered no major injuries but only came off my bike. The motorist, however, carried on, completely oblivious to the fact that they had left a cyclist slammed into the railings.
My constituency in Plymouth is extraordinarily hilly—the hon. Member for Plymouth, Sutton and Devonport (Oliver Colvile) has touched on that—and it is not good for cyclists’ knees. Oddly, however, that is not the reason why people do not cycle in Plymouth as much as they could.
One issue that has not yet been raised in the debate concerns the importance of cyclists such as my hon. Friend claiming their road space. The problem seems to be that people, especially women cyclists, do not have the confidence to claim the road space that they deserve, even though doing so would make them much safer. People should get out into the road and give themselves plenty of space away from parked vehicles. If they do that, vehicles that are turning left will be more likely to see them.
My right hon. Friend makes a good point, drawing on his cycling experience. Some roads have junction spaces in front of the cars where cyclists can go, which makes the experience much safer.