Dementia Care

Chris McDonald Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Chris McDonald (Stockton North) (Lab)]

I thought this evening that I might appraise the House of the story of Pat and John Hirst from my constituency. Pat was a nurse. She qualified in 1975 at Leeds general infirmary, and the following year she met John while studying in Liverpool. They married in 1978, raised their three sons and settled in Stockton. Pat returned to work after she had had her children, initially in nursing homes, caring for residents with dementia, then later at the University hospital of North Tees, where she worked for more than a decade.

In the final months of Pat’s time at the hospital, her performance as a nurse began to decline. Unbeknownst to her colleagues or her family, Pat was displaying the early symptoms of frontotemporal dementia, which we heard about earlier from the hon. Member for South Devon (Caroline Voaden). Pat’s colleagues did not realise that, so disciplinary action was initiated. John believes that Pat would have been dismissed, but she instead decided to retire on her 60th birthday, before the end of that year.

In early 2012, Pat experienced swallowing difficulties. She underwent tests across several hospitals, and the diagnosis came. No further explanation was provided, other than a referral to the local memory clinic—an experience of many people with dementia. That evening, John sat at his computer and searched online for more information. There, alone in his own home, he learned that the average life expectancy from diagnosis was between two and 20 years. He had not realised until that point that dementia could be a terminal illness. I think we can all agree that there must be a better way of finding out such devastating news.

Pat remained aware of her surroundings and her loved ones until the very end. In her final two years, she lost the ability to speak and could communicate only with her eyes. John recalls the look of fear in her eyes when it became clear that end of life care was beginning. At that point, she was fully aware that she was saying goodbye to her husband and her sons. Their grandson Henry is now two years old. He will never know his granny, but John is determined that Henry and others of his generation should grow up in a world where dementia can be diagnosed early, managed better and ultimately cured. John now volunteers with Alzheimer’s Research UK, and he recently completed a walk from Teesside to Newcastle to raise awareness and funding. For those not familiar with the area, that is quite a long distance. Even walking, he got there faster than he would have done on the Durham coast line.

In Stockton, we have about 1,300 people suffering from dementia, but it takes six weeks longer for a dementia diagnosis in my constituency than the national average. We clearly need to ensure that people are diagnosed early before symptoms become apparent, but it is also important that we raise awareness with the public and employers that early-onset dementia can and does affect people before retirement age, so that people do not suffer the kind of treatment that Pat did in her last year of employment.

While the impact of dementia is a difficulty for a parent, it adds a new dimension when that person is diagnosed at the age of 30 or 40. We have heard already that if nothing changes, one in two of us will be affected by dementia, whether individually, living as a carer or both. John speaks not only for himself and for Pat, but for the thousands of families across Stockton North and the country who are facing this condition. We owe it to John and to other families to ensure that the experience of dementia is no longer defined by lengthy waits, lack of information and financial hardship or, indeed, improved by people like John walking long distances from Teesside to Newcastle. Instead, it should be defined by early intervention, compassionate care, and meaningful progress through research.

Mental Health Bill [Lords]

Chris McDonald Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Chris McDonald (Stockton North) (Lab)]

I echo the remarks of previous speakers; it has been a privilege to listen to the depth of personal and professional expertise expressed in this debate. I do not share that expertise, as I think will become abundantly obvious in a short moment.

What do you get if you put a group of men in a room and ask them to talk about mental health? Half of them leave, and the other half run into the corners of the room. I do not know whether that rings true for the men in your life, Madam Deputy Speaker, but when I heard that, it reminded me of myself. I heard it from a chap called Graham in Norton in my constituency, rather than from Graham Norton. Graham has set up a men’s shed in Norton, which is a national scheme. It is a remarkable place where men can come together and talk about mental health, but they do so by engaging in other activities.

For those who have not been to one, a men’s shed is just like your shed—it has all the great things your shed has—but your mates are there as well. In the men’s shed in Norton, you can make model boats, or make things using the 3D printer, and it has the most amazing workshop, which includes a fantastic pillar drill. It made me think that I need a pillar drill for my workshop, to help my mental health. I met many men there; some were bereaved, some were suffering from serious or terminal illnesses, and others were feeling lonely. They gave me plenty of tea, and we had a really good chat—a really positive and uplifting chat—and there was a great deal of mickey-taking as well, which you always find when you get a group of men together.

That sort of facility is incredibly important for all the reasons we have heard about in discussions about men’s mental health. Not least among those, as we have heard a number of times this evening, is the fact that for men of my age, suicide is the most prevalent reason for death. We heard that from my hon. Friends the Members for Darlington (Lola McEvoy) and for Whitehaven and Workington (Josh MacAlister). In my constituency of Stockton North, men wait more than three months over the national average for treatment for mental health conditions—as do women; in fact, everyone does. Some form of talking therapy would really help with many conditions, which is why I want to take a moment to talk a bit about psychotherapy.

[Melanie Ward (Cowdenbeath and Kirkcaldy) (Lab)]

My hon. Friend mentioned men’s sheds. I was delighted to visit the Kirkcaldy men’s shed in my constituency recently to see the amazing work that the people there do. Listening to this debate, I have been struck by the positive changes that this Bill will bring, and by the contrast with Scotland. The people I speak to from almost every local service raise the issue of the mental health crisis across Fife, be they from the NHS, charities or the police. NHS Fife has asked for funding from the Scottish Government to sort out our mental health crisis and was told to not even ask. That is such a contrast with where we are in this place, and I am sure my hon. Friend agrees that action needs to be taken in Scotland and in Fife.

[Chris McDonald]

I absolutely agree with my hon. Friend. It will not be very long before voters in Scotland have the opportunity to contrast the Scottish Government with what a Labour Government deliver, and hopefully they will chose the latter.

I mentioned psychotherapy. For a profession that has been around since the time of Freud, it is remarkably unregulated; there is no professional register, no form of legally enforceable complaint, and no way to ensure that someone found guilty of misconduct is stopped from practising. In fact, anyone can call themselves a therapist. In 2007, the previous Labour Government considered some form of regulation for therapists, and I encourage the Government to include such regulation in the Bill; it would be the ideal place for it. Since 2007, there has been a strong increase in private practice, and in legal cases arising from issues to do with psychotherapy. Of course, there are also online influencers. Professor Dame Til Wykes—an expert in this area—described them as “selling snake oil”. As my hon. Friend the Member for Southampton Itchen (Darren Paffey) mentioned, that is another reason why we need stronger safeguards and regulation of social media for children.

Essentially, an unqualified psychotherapist could do harm, but the issue is more likely to be the missed opportunity to do good—perhaps a failure to diagnose a more serious condition or, frankly, a missed chance to save somebody’s life. Regulation is supported by the profession. Chloe, a professional, urged me to raise this issue with the Secretary of State; I am doing that now, as he is in his place. This is an opportunity to restore confidence in the profession, and for us all to pick up where the last Labour Government left off.

As I say, half the men in a room will run out of it when mental health is mentioned. What is the answer to that? Graham gave me the answer: “Put a broken lawnmower in the middle of the floor. A big conversation will ensue, and two hours later, all the men will know each other’s names, and the names of each other’s families. They’ll have talked about how they are feeling and whether they are doing okay. You probably will not have a repaired lawnmower, but you will have lots of suggestions.” There is a good reason for that: men generally are not good speaking face to face, but they can speak shoulder to shoulder.

Access to Dentistry: Somerset

Chris McDonald Excerpts

Tuesday 1st April 2025 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is a pleasure to serve under your chairship again this morning, Mr Stuart. I thank the hon. Member for Frome and East Somerset (Anna Sabine) for securing this important debate on access to dentistry in Somerset.

We know that there are challenges in accessing NHS dentistry across the country, with some areas facing acute challenges. Put simply, too many people are struggling to find an NHS appointment. In the two years up to June 2024, just 31% of adults were seen by an NHS dentist in Somerset’s integrated care board, which covers the hon. Lady’s constituency, compared with 40% across England. In the year to June 2024, only 42% of children in Somerset ICB were seen by an NHS dentist, compared with 56% across England. The fact that the number of adults and children in Somerset ICB accessing an NHS dentist is even lower than the already struggling rate across England is concerning.

Somerset is facing significant workforce pressures, and there are not enough NHS dentists available to do the job. As of March 2024, there were 334 vacancies in the south-west for full-time equivalent NHS general dentists. The 29% vacancy rate is the highest of any English region.

It is a shocking fact that the No. 1 reason for children aged five to nine being admitted to hospital in our country is to have their teeth removed, with a primary diagnosis of tooth decay. It is a truly Dickensian state of affairs.

[Chris McDonald (Stockton North) (Lab)]

We have heard about the dental desert in Somerset. Stockton in my constituency has also been branded a dental desert. I welcome the 4,000 new appointments that the Government have granted for Stockton North and the surrounding area. However, given the urgency that he has described, particularly for children’s health, I ask the Minister whether the Government are taking any measures to accelerate the roll-out of those appointments.

[Stephen Kinnock]

We will absolutely ensure that integrated care boards are delivering to the target they have been set. If we see any evidence of slowing down or backsliding, we will certainly intervene to ensure that appointments are accelerated. I would also be more than happy to receive representations from my hon. Friend if he feels that performance in his ICB is not delivering.

The state of NHS dentistry in Somerset, and the nation as a whole, is simply unacceptable and it has to change.

Rare Cancers Bill

Chris McDonald Excerpts

2nd reading
Friday 14th March 2025 Commons Chamber

[Chris McDonald (Stockton North) (Lab)]

Those of us who have lost a friend or a family member to cancer will no doubt have heard them described—often, I think, somewhat unhelpfully—as courageous, but this morning we witnessed the most courageous exposition I have ever heard in my life from my hon. Friend the Member for Calder Valley (Josh Fenton-Glynn). I thank him for the privilege of allowing us to listen to his loving tribute to his brother. We also heard from a number of Members, including the hon. Members for Kingswinford and South Staffordshire (Mike Wood), and for Witney (Charlie Maynard), and, most forcefully, my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh), about the pressure of time, and the urgent need to do something to find a cure or treatment for rare cancers. We have heard a number of moving speeches this morning, but I will allow hon. Members to relax and recharge their emotional batteries a little bit, because I will address the issue of time, and the practical considerations of how we can turn drug discovery into treatment as speedily as possible. To do that, I will lift the lid on our drug supply chain and set out the vital role that the NHS can play in it.

There are lessons we can learn from the covid pandemic when it comes to the drug supply chain. We very quickly developed a vaccine in the UK, in Oxford, but we saw quite quickly that the vaccine was worth nothing until it was in the arms of the population. Getting that done required a big effort, including in industry. As we heard from my hon. Friend the Member for Gravesham (Dr Sullivan), industry is also important. The Fujifilm factory in Billingham in my constituency manufactured one of the covid vaccines, and it will shortly turn Billingham into the largest biopharmaceutical manufacturing centre in the UK. When it was making the vaccine, it found that it had a big problem. This brings into play another town, just up the River Tees from Billingham, in the constituency of my hon. Friend the Member for Bishop Auckland (Sam Rushworth). Members may have heard of it—it became famous for a particular reason during the pandemic—but they may not be sighted on the reason why I will talk about it, which has more to do with glass than glasses. Barnard Castle is home to GlaxoSmithKline, which bottled the vaccines. There was, at the time, a global shortage of bottles for vaccines, and in the UK we have only one glass manufacturer capable of doing that job, although soon there will be another in St Helens.

Hopefully, after that little overview, Members can sense that there is a big industrial supply chain issue that we need to address before we can get treatments to the people who need them most. In fact, there are a number of researchers working on this area. I am sure that when we think of research into rare cancers, we think of people in white coats and laboratories in places like Oxford, Cambridge and Imperial, but I urge us to also think about the process operators in Billingham, the bottle fillers in Barnard Castle and the furnace operators in places like Glass Futures in St Helens, who are also working hard on research projects to deliver those treatments.

The second issue that I would like us to consider is the role that the NHS can and must play. I want to see a transformatively different approach from the NHS in this area. A month ago in Parliament, I met representatives of Pancreatic Cancer UK, which I know supports the Bill. They talked to me about pancreatic enzyme replacement therapy, which is a treatment for pancreatic cancer, and about the difficulties in sourcing sufficient quantities of treatment. We all know from our constituency surgeries that there is the same issue with common drugs; people suffering with other conditions and people who have children with attention deficit hyperactivity disorder and so on are struggling to get the drugs that they need.

Part of the issue is that we rely so much on imports. We could be manufacturing these products in the UK. The NHS is the single biggest purchaser of drugs in the world; it has the market power to demand that production be centred in the UK. That would bring clear economic benefits to the UK, but it would also shorten cycle times for innovation, because the researchers and the manufacturers would be close to one another, and it would ensure security of supply in the UK. It would mean that we could be proud of manufacturing drugs that help to treat people around the world. It would also fit in with our industrial strategy. My right hon. Friend the Secretary of State for Health and Social Care was talking only yesterday about the importance of life sciences to our industrial strategy, and about their creating British jobs in research and in factories.

I very much thank my hon. Friend the Member for Edinburgh South West (Dr Arthur) for introducing the Bill. He described his father-in-law as a dignified man; my hon. Friend gave an incredibly dignified speech, and I am sure that his father-in-law will be very proud. We look forward to the days when people who suffer from rare cancers are not offered such treatments as breathing into a brown paper bag, as my hon. Friend described, or taking a paracetamol, as my hon. Friend the Member for South Shields (Mrs Lewell-Buck) described. Instead, we should use the power of our NHS and the efficiency of our UK supply chains to turn discoveries into drugs, and trials into lifesaving treatments.

Oral Answers to Questions

Chris McDonald Excerpts

Tuesday 15th October 2024 Commons Chamber

[Stephen Kinnock]

The hon. Gentleman has considerable expertise in this area, given his background. I would be happy to discuss that issue with him, but I remind him that although there may well be specific issues, there is a generic problem: the total and utter failure to ensure investment, reform and strategic thinking about our system.

[Chris McDonald (Stockton North) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (Wes Streeting)]

Today, I am publishing the full findings of Dr Penny Dash’s review of the Care Quality Commission. Her interim report made it clear that the CQC was not fit for purpose, with fewer inspections being carried out, urgent follow-ups being neglected and patient safety being put at risk. Today, she makes seven recommendations for improvement, and I have made sure that the CQC has begun urgently putting them into practice. We are also publishing a review of the CQC’s deeply flawed single assessment framework today. Sir Julian Hartley will shortly begin as its new chief executive, with my full support.

[Chris McDonald]

My constituent Mark has been unable to find an NHS dentist for his 19-month-old child, even at the seventh time of trying. My right hon. Friend well understands the crisis he has inherited. Will he meet me to discuss the shortage of dentistry in Stockton North and across Teesside?

[Wes Streeting]

I am sorry for my hon. Friend’s constituents, and so many others who are dealing with the consequences of the Conservatives’ failure on dentistry. I would be delighted to meet him to discuss the challenges in his area.