Acquired Brain Injury

Carolyn Harris Excerpts

Thursday 9th May 2019 Commons Chamber

[Carolyn Harris (Swansea East) (Lab)]

First, I congratulate my dear friend the hon. Member for Rhondda (Chris Bryant) on securing today’s debate.

Every year, an estimated 350,000 people are admitted to hospital in the UK as a direct result of an acquired brain injury; to put that figure into perspective, that is one person every 90 seconds. Whether that is due to illness, accident or some other form of trauma, the severity of that injury and consequently the rehabilitation they require varies considerably. For those with severe brain injuries, the long-term issues can be vast, affecting their personality, relationships and behaviour. It is quite obvious that early diagnosis and better access to timely and effective rehabilitation will greatly improve a patient’s chance of eventually regaining their independence, but it is essential that we also look at the wider long-term complications of acquired brain injury and particularly at the associated problems that patients face.

At a recent session of the all-party parliamentary group for gambling-related harm, I met George. Back in 2009, George was a typical 23-year-old young man with a bright future. He had a decent job, a supportive family and a strong network of friends. It was on a night out with those friends that his life changed forever. In an unprovoked attack outside the nightclub where he had been spending the evening, George was punched with such force that he suffered lasting trauma to the left side of his brain. After spending several weeks in a coma and months in hospital, George was left with significant psychological, emotional, cognitive, behavioural and physical impairments.

As a result of the severity of his injuries and the complexity of his ongoing disabilities, George was eventually awarded significant compensation, but this only led him to further problems. A friend introduced George to online gambling, something he had no previous interest in, but he now had the time and the money. George very quickly became addicted, making frequent and significant deposits with a wide variety of online gambling platforms. The result is that George has lost all his compensation, as well as money obtained by taking out additional loans and credit cards. At one point, he gambled and lost—this is breathtaking—£67,000 in just 40 minutes. He is now at least £15,000 in debt and, with no income, has no hope of meeting these liabilities.

George is not alone. Research has identified that brain injury survivors are 27% more likely to develop problem gambling or addiction than the general population, and that risk is found particularly among people with frontal lobe damage. Headway, the brain injury association, which celebrates its 40th anniversary this year, is doing a fantastic job supporting people like George, but it has highlighted that much more needs to be done within the gambling industry to protect these vulnerable individuals.

Survivors of a brain injury are prone to impulsive behaviour, lacking in reasoning skills and often socially isolated. Add to this in some cases the fact that they are suddenly in possession of a large sum of money that they are not necessarily capable of controlling independently, and it is not difficult to see how quickly and easily addiction can develop. The gambling industry needs to offer more and to work alongside brain injury specialists to provide support for individuals. The Gambling Commission has said it will be strengthening the requirements of licences to better identify customers and make self-exclusion schemes more effective, but this is not enough on its own.

Brain injury survivors such as George have already suffered so much, with their bright futures indefinitely stolen from them because of the trauma or illness they have experienced. They continue to suffer daily from the lasting effects of their injury as well as the associated anxiety and emotional difficulties. From an early stage in George’s addiction, the gambling platforms were made aware of his vulnerability, but despite this knowledge they continued to allow him to gamble on their sites, robbing him of his much needed compensation, which was intended to give him a stress-free existence after his injury. Brain injury survivors are vulnerable, and at the moment the gambling industry appears to be exploiting that vulnerability.

It is not just about gambling. The consequences of brain injury affect so many people in so many ways, and we have to start looking more closely at this issue. We need better diagnosis, better care, and rehabilitation support, and I am very pleased to be a vice-chair of the APPG on acquired brain injury that my hon. Friend the Member for Rhondda has established and chairs with such great passion, and I congratulate him.