Junior Doctors Contracts

Huw Irranca-Davies Excerpts

Thursday 11th February 2016 Commons Chamber

[Mr Hunt]

I am happy to do that. The contract that we are going to implement gives junior doctors who work more than one in four Saturdays—so one in three Saturdays —a higher premium of 50%, so when taken on average, it is a higher premium for working on a Saturday.

[Huw Irranca-Davies (Ogmore) (Lab)]

As has been pointed out by my hon. Friend the Member for Newport West (Paul Flynn), there were no strikes in Wales yesterday. However, on the point made by the hon. Member for Central Ayrshire (Dr Whitford), there was an increase of 10% in the budget, equivalent to 135 places for nurse training, which is so critical for cover. That may be what led to a communication that I received from a junior doctor in England who said, “Could we have your Minister for Wales, please?” What does it say about morale in the NHS in England when, in football and rugby parlance, the Minister has lost the confidence of the changing room?

[Mr Hunt]

I think that is the first time in living memory in this House that a Welsh MP has got up and said that they think things are better in the Welsh NHS. Just look at the waiting times that people face for basic operations on the NHS in Wales—far, far longer than in England. We will take no lectures about how to run the NHS from Labour in Wales.

Contaminated Blood Products

Huw Irranca-Davies Excerpts

Wednesday 9th September 2015 Westminster Hall

[Ms Ritchie]

I thank the hon. Lady for her helpful intervention. The bottom line is that none of these trusts has provided adequate help or succour for those who have suffered immeasurably. These people need an acknowledgement of liability and a sum of money that will enable them to live independently and with dignity. Such a sum should be supplemented with ongoing payments to recompense them for years of lost income and for the physical and emotional trauma that the contraction of these viruses has caused.

[Huw Irranca-Davies (Ogmore) (Lab)]

I support my hon. Friend and welcome this debate. Will she stress that, although we are giving voice to people in this debate, we are unable to give their names because of the continuing stigma? Those people include the “The Forgotten Few”, some of whom are constituents of mine, who are co-infected with HIV and hepatitis C. They and their families have lived for many years with not only the financial hardship but the stigma. In every debate on this subject I have been unable to name them, but they deserve justice as well.

[Ms Ritchie]

I am grateful for that helpful intervention, which characterises the real emotional trauma and pain that people who have been given contaminated blood products have had to endure for many years. The uncertainty needs to be addressed as well. The only body and the only people who can address the problems endured by those affected are the Government.

There is concern that the compensation resulting from the consultation could come directly out of Department of Health funds. Nobody who is suffering as a result of contaminated blood products wants anyone else with any other type of illness to suffer because of a lack of resources. Dedicated funding should come out of the Government’s contingency funds for people who suffer from this ailment, because these are special circumstances.

Contaminated Blood

Huw Irranca-Davies Excerpts

Monday 20th July 2015 Commons Chamber

[Ben Gummer]

I thank my hon. Friend, and I have taken note of his comments. NHS England has just announced an accelerated review into hep C drugs, and the Parliamentary Under-Secretary of State for Life Sciences will give my hon. Friend further details on that, but we are moving quickly to ensure that the new range of drugs for hepatitis C in particular is brought into service as quickly as possible.

[Huw Irranca-Davies (Ogmore) (Lab)]

A constituent of mine is one of the 300 so-called “forgotten few” primary beneficiaries. What is the Minister’s response to him when he says that

“‘the forgotten few’ have lived with this for so long now, further hold-ups and enquiries will make things far too late for many of us, considering some are well into their 60s by now. No one can give me back my brother or the life I’ve missed but to have financial peace of mind, knowing I can secure my family’s future is the number one priority for me now, after years of hardship and uncertainty”?

There seems to be a real difference in tone and substance between the Minister’s comments today and what the Prime Minister said before the election, and I am seeking real reassurance.

[Ben Gummer]

I completely agree with the hon. Gentleman’s constituent that further inquiries will not provide him and his family with the service they require. That is why we are moving quickly to the consultation, which will be launched in the autumn. It will be a short one, and then we will move to a settlement. I want the hon. Gentleman’s constituent to feel that this Government have addressed his tragedy swiftly following the publication in March of the long-awaited report.

Penrose Inquiry

Huw Irranca-Davies Excerpts

Thursday 26th March 2015 Commons Chamber

[Jane Ellison]

I will certainly look at that matter, but I fear that I may not have time to put a response in the public domain. I can give an assurance to the Select Committee that were I to be in office in the next Parliament I would be happy to respond to that in detail. As the hon. Gentleman knows, we have had detailed exchanges on such matters over the past year.

[Huw Irranca-Davies (Ogmore) (Lab)]

The sad reality for all our constituents who are affected by this matter is that, after waiting for the Penrose report, nothing has materially changed for them during the life of this Parliament and it rests with the next Parliament to move forward. In a more positive vein, does the Minister have a view—personally and as a Minister and a representative of the Government—whether these people, whose lives have been torn apart, should be adequately compensated by the next Government?

[Jane Ellison]

I think the Prime Minister was clear yesterday when he told the House that returning to this important matter and these tragic events was a priority. The reason we say it is an interim response is that the Prime Minister and this Government feel that a more substantive response will need to be given in the next Parliament. Of course my feeling is that we need to return to this important subject and respond more substantively across a wide range of issues. I am well aware of the high concern among sufferers about the way in which the current financial assistance schemes work, and they will need to be considered in a great deal more detail.

Contaminated Blood

Huw Irranca-Davies Excerpts

Thursday 15th January 2015 Commons Chamber

[Huw Irranca-Davies (Ogmore) (Lab)]

I pay tribute to the right hon. Member for North East Bedfordshire (Alistair Burt) and others who have worked on this issue for some time, as well as those whose names are on the Order Paper today, those who contributed to the report of the all-party parliamentary group and all hon. Members who have spoken today.

I will not name any names in my speech—my constituents have asked me not to do so because of their continuing fear of stigmatisation. I shall use their words, however, because, frankly, I have nothing more powerful to say.

[Jessica Morden]

I thank my hon. Friend for giving way so early in his speech. He, like me, is the Member for a Welsh constituency. Does he agree that it is important that as we move forward the Government work closely with the Welsh Government, particularly on things such as treatments, so that there is help for those Welsh constituents now that health is devolved?

[Huw Irranca-Davies]

I agree very much with my hon. Friend. We need a UK solution because this is a UK problem, so work must be done in concert with the devolved Administrations and Governments.

My constituent says that in 1982:

“We were called into consultant’s office, at the…Hospital…My future wife was pregnant and we were strongly advised to have a termination. However, he was not specific about reasons why, other than the possibility of our child either having or carrying haemophilia, so we refused.

1983—Our son was born and they wanted to take a blood test from him. It was after this they told us of my…HIV infection, at this early stage they had no idea what it entailed. We were advised not to mention to other patients at the hospital and to refrain from sexual intercourse until they knew more. Thankfully our son did not have the virus. Feeling uncertain about the future, it was awful to be told we had to keep this to ourselves. At this time it was very much publicised in the media and friends of ours, who knew of my Haemophilia began questioning us on whether or not I had been affected. Suffice to say I felt I was on borrowed time and on my own admittance, went off the rails and neglected my son and new wife.

1985—My wife fell pregnant again and convinced I was going to die sometime soon, the fear and uncertainty about the future made us feel we had no option but to have a termination.”

He goes on to say that a support group was set up and:

“We began attending meetings with the group and felt better for the support but sadly the participants began dying at an alarming rate and it just made the situation worse.

1991—My brother, who also had Haemophilia and HIV passed away. Prior to this we had undergone clinical trials at the hospital and because we were brothers, he was given the placebo. The guilt I felt because I was taking the actual product and had survived was indescribable. The following year my second brother was tragically killed.

1993—In short I had given up, I knew I was going to die and felt I could fight no longer. I ended up in hospital with PCP pneumonia and my wife was told I had a matter of weeks. Even though I had given up on myself thankfully my family and the hospital staff hadn’t…and I eventually pulled through.”

He goes on to describe their three-and-a-half-year fight from 1995 to become the first couple with HIV status in the UK to adopt despite being told no, no and no again. He continues:

“2001—We were asked to consider adopting two more children”,

in addition to the one they had adopted during that period,

“a boy and a girl aged five and seven. We agreed and my wife finally had the family she had been craving. It was just after this, I was told I had also contracted Hepatitis C and possibly vCJD. Obviously we were devastated and all the old uncertainties we had pushed to the back of our minds pushed forward with force. However, all was not lost I was assured a treatment was available.

2002—Late in the year, I began treatment for Hepatitis C. We had been warned prior to this, I wasn’t going to be easy to live with but looking back now I feel this was an understatement. The two children we had living with us, had severe psychological problems and their behaviour just served to exacerbate the situation and subsequently the placement broke down.

2003—The two children went back into care and I found myself unable to cope with my grieving wife and my two existing children. I wasn’t in a very good place at this time and my wife and I came very close to separation. It was only because we had been together since we were sixteen and married at seventeen, we worked to stay together. The treatment reacted with my HIV drugs and I ended up in High Dependency with Pancreatitis. Following this, my wife had to sell her business as I was ill and unable to cope at home without significant help.”

[Diana Johnson]

My hon. Friend is making an incredibly powerful case, but what strikes me is that not only the individual is suffering but the family members are, too—the wife, the children and everyone else. It is striking.

[Huw Irranca-Davies]

Absolutely. It rips through not only the individual but their families, friends and every other aspect of their life.

I will continue to the end of my constituent’s story, as it goes on to this day. In 2004, the selling of the business meant that they had limited income and were unable to meet their bills. The debts piled up during their financial struggles and this put additional strain on the marriage. He goes on:

“2005—Our debt situation was spiralling out of control and as I felt a little better in myself my wife, who had studied for a degree while she was out of work could now get a…job as a care manager and she went back to work full time.

2006—We were asked about taking another child for adoption. Understandably following the breakdown of the last placement we were wary but agreed as everything seemed far better than it had been. It was in 2007 we had our second adopted daughter.”

From 2006 to 2010 they saved what they could to clear the debts they had accumulated since 2003. For the next few years, because of his deteriorating health, his wife had to return to part-time work rather than full time and the debts accumulated again. To bring this up to date:

“We have cleared our debts and with my wife working part time we are managing day to day to keep our heads above water. We have the basics we cannot save money or enjoy holidays. We keep away from past friends as I am well aware of how ill I look and do not want to answer their questions. I take a great deal of medication and am trying to live with the side effects, as is my wife!

The Macfarlane Trust had recently sent us a ‘disbursement of reserves’ form, requiring personal and in depth information to enable us to possibly have some money for home improvements. My wife and I felt it was an extremely unjust and unfair way of attempting to distribute funds amongst sufferers of HIV and their families. Not everyone would, or could qualify as they were in rental accommodation, or perhaps their home was not in need of improvements. It was causing a divide amongst the few that have survived this atrocity and we refused to complete it as any reserves we felt need to be distributed equally amongst those of us that are left. It seems the discrimination, separation and sheer lack of consideration for the primary beneficiaries is still very much in evidence.”

My constituents, like those mentioned in so many stories today, are asking not to have to go out with a begging bowl in complex situations, having to prove that they are worthy. This is an entitlement, not something to be begged for. They want some form of inquiry and a clear apology and there is a crying need for root and branch reform of the structures that have been put in place to help them. This is not working satisfactorily.

My constituents’ story will be reflected in the story of every person and every family affected. The disease does not simply affect them; it forces many into penury, marital difficulty and so many other social problems. It is time to sort this out once and for all.

Mitochondrial Replacement (Public Safety)

Huw Irranca-Davies Excerpts

Monday 1st September 2014 Commons Chamber

[Huw Irranca-Davies (Ogmore) (Lab)]

Will the hon. Lady give way?

[Fiona Bruce]

I will not give way again, as I said. Mr Deputy Speaker has asked me to limit my time quite severely in order that many other Members may contribute to this important debate.

It is vital that, taking advice from scientists, the decision about whether to proceed down this road is made by this House and is seen to be made by the public. It would be wrong for Parliament pre-emptively to sign off the legislation even if there were a provision in the regulations saying that the Government would not move to implementation until such time as the HFEA said it was content with the outcome of the pre-clinical report. That would be to outsource the final decision to technocrats, possibly behind closed doors, rather than in the transparent environment of this Chamber, in full public view. Parliament cannot be seen to provide pre-emptive mandates in relation to a subject on which there are such significant public safety concerns. We need scientists and experts to conduct the research but we must make the final decision.

I realise that you would like me to conclude, Mr Deputy Speaker. I will now do so with regret, because I would have liked to say a great deal more, particularly regarding the public concerns relating to the proposals. According to a ComRes poll, a limited number—only 18%—of the public are in favour of the proposals.

--- Later in debate ---

[Huw Irranca-Davies]

Will the right hon. Gentleman give way?

[Mr Willetts]

I will give way once.

[Huw Irranca-Davies]

I thank the right hon. Gentleman for kindly giving way and for his expertise in this area. It is of particular interest to my constituents Val Thomas of Cefn Cribwr and her sister Mrs Pitt, whose family have conditions that stem from mitochondrial deficiency. Does he agree that it is important to get accuracy in the record when we quote scientists, not least the correction that has been made by Lord Winston? He said this week to The Times:

“This is a marvellous thing for people with diseases that are incredibly rare and that have terrible consequences.

I am perfectly supportive of the regulations and I would vote for them.”

[Mr Willetts]

I confirm that my understanding is also that Lord Winston supports the advances in this area.

The evidence is pretty clear that this could alleviate human suffering, but I am not a simple-minded believer that the consequences justify whatever we do. Looking at my hon. Friends assembled in the Chamber today, many may say, “All right, this alleviates mitochondrial disease, but the price—the threat to human dignity or integrity—is too great.” I should like briefly to touch on those types of objection.

First, I do not agree with my hon. Friend the Member for North East Somerset (Jacob Rees-Mogg) that this somehow creates different people. We are not talking about the nuclear DNA that makes us who we are—the characteristics of our character or appearance. This is about a very distinctive part of DNA that has been called, for us laymen, a battery part of the cell, not the nuclear DNA, so it does not affect identity.

Livestock: Diseases

Huw Irranca-Davies Excerpts

Wednesday 14th May 2014 Ministerial Corrections

[Jane Ellison]

The following table states how many instances of the cystic stage (C Bovis) of the human tapeworm Taenia Saginata have been identified during official post mortem inspection and prevented from entering the food chain by officials working for and on behalf of the Food Standards Agency since April 2012.

[Huw Irranca-Davies]

To ask the Secretary of State for Health how many instances of (a) Cysticercus Tenuicollis (adult tapeworm - Taenia Hydatigena), (b) Cysticercus Ovis (adult tapeworm - Taenia Ovis), (c) Hydatid Cysts (adult tapeworm - Echinococcus Granulosus), (d) Generalised (cysts identified in multiple parts of the animal including the musculature the consumer would define as meat) and (e) Cysticercus Ovis have been identified at official post-mortem inspections and prevented from entering the food chain by officials working for and on behalf of the Food Standards Agency since 1 April 2012.

[Official Report, 1 April 2014, Vol. 578, c. 572W.]

Letter of correction from Jane Ellison:

An error has been identified in the written answer given to the hon. Member for Ogmore (Huw Irranca-Davies) on 1 April 2014.

The full answer given was as follows:

[Jane Ellison]

The following number of instances have been identified at official post mortem inspection and prevented from entering the food chain by officials working for and on behalf of the Food Standards Agency (FSA) since April 2012:

Some conditions are not recorded by the FSA. The list of conditions for cattle, sheep, goats, pigs and poultry were created following expert working group workshops for each species over the last five years. Members of the workshops included stakeholders from the Department for Environment Food and Rural Affairs, Animal Health, EBLEX, BPEX, private veterinarians, industry vets, FSA, Association of Meat Inspectors.

The data for sheep, goats, deer and horses is from April 2012 to December 2013 all other species is April 2012 to March 2014.

NHS

Huw Irranca-Davies Excerpts

Wednesday 5th February 2014 Commons Chamber

[Andy Burnham]

Not for the first time, Government Members are showing how out of touch they are with what is happening. The hon. Lady says that she is not aware that any family is unable to afford a prescription item. Let me put her straight: that is what many families are facing at the moment, particularly those who are in work, who do not get free prescriptions. They are facing difficult choices about whether they can afford to buy their prescriptions. If she is saying she does not recognise that problem, then I am afraid she really needs to get out of this place a bit more.

[Huw Irranca-Davies (Ogmore) (Lab)]

I did not intend to intervene, but I should say to the House and to the hon. Member for Stourbridge (Margot James) that I met recently representatives from community pharmacy associations and others who said to me, explicitly and clearly, that people from what one would assume to be relatively well-off families—middle class and relatively affluent—who are prescribed multiple prescriptions are now choosing not to pay for them because of the cost of living and the squeeze on their finances. They are choosing to go without, and that is apparent at pharmacy counters.

[Andy Burnham]

My hon. Friend puts his finger on it. There are families who are choosing between eating, heating or other essentials, such as prescriptions. That is the reality for many families and it is having an impact on their health. For those on the Government Benches not to recognise that that is the reality of life for many people, I fear for the state that we are in. They have been shouting at me for the past few minutes about scurvy. I can tell the hon. Member for Taunton Deane (Mr Browne) that the number of admissions has doubled. There are a relatively small number of cases, but they are on the rise. He really should not sit there barracking and dismissing the whole problem. He would do well to look at the facts.

Today, the Secretary of State says that the NHS got better in the past year. He should say that to the 131,000 people left waiting on trolleys for more than four hours. He should say that to the people finding it harder to get a GP appointment under his Government, left ringing the surgery at 9 am to be told that nothing is available. He should tell that to the families of children who have suffered a mental health crisis, but are told that there are no beds available anywhere in the country and end up being held in police cells. The truth is that the Government have failed to get the A and E crisis under control and it is threatening to drag down the rest of the NHS. In the past 12 months trolley waits are up, waiting times are up, emergency admissions are up, cancelled operations are up and delayed discharges are up, too. That is the reality of what is happening in the NHS.

One of the main reasons for the intense pressure on A and E is the collapse of social care in England. In December, a report from the Personal Social Services Research Unit found that, due to local government cuts, social care support in the home has been withdrawn from about 500,000 older and vulnerable people. These are people who were receiving support in the home, but are no longer getting any help. Even for those people still receiving some support, we continue to hear stories of corners being cut: slapdash 15-minute visits where staff have to choose between helping people wash or helping people eat. If we carry on like this, our hospitals will become more and more full of older people. A and E will be overwhelmed by the pressure and that really is no answer to the ageing society. That brings me to the second part of our debate today: the solution.

What is clear to most people is that there will not be a solution to the sustained pressure on A and E without better integration of hospital services with social care, primary care and more collaboration between the two. What is also clear is that there is now great frustration among people working in the NHS that they are being prevented from developing solutions to the A and E crisis by a large barrier standing in their way: the Health and Social Care Act 2012. This Government like to talk about integration, but the fact is that they have legislated for fragmentation. Under this Government, market madness has run riot throughout the NHS and is now holding back solutions to the care that older people need.

Oral Answers to Questions

Huw Irranca-Davies Excerpts

Tuesday 14th January 2014 Commons Chamber

[Mr Hunt]

As so often, my right hon. Friend encourages us to raise our heads above the horizon and to look forward. He is absolutely right. There will be 1 million people with dementia by 2020 and, as he knows, most of those will have other long-term conditions alongside dementia. The name of the game will be looking after people so they can live healthily at home, which will be the focus of health policy.

[Huw Irranca-Davies (Ogmore) (Lab)]

Regular social interaction and a comfortable home environment are critical to the health and physical and mental well-being of older people. Has the Secretary of State carried out any assessment across Government or within his own Department of the effect of cost of living pressures and cuts in local services on the home environment, and on older people?

[Mr Hunt]

We are very conscious of that, which is why we introduced the triple lock on pensions and protected pensioners from the brunt of the cuts that this Government, sadly, have had to make to deal with the deficit we inherited.

--- Later in debate ---

[Jane Ellison]

My right hon. Friend is quite right to say that that is a real priority. The responsibility deal, on which we have worked with our partners, means that 70% of fast food and takeaway meals sold on the high street in the UK have clearly labelled calories, but there is always more to do. This is a priority for the responsibility deal and we are working closely with our industry partners to make more progress.

[Huw Irranca-Davies (Ogmore) (Lab)]

Does the Minister believe that social isolation, which is a key contributor to the health and well-being of older people living on their own, has got worse or has improved under this Government?

[Norman Lamb]

I think that social isolation, if we are honest about it, has got worse over quite a long period, particularly as extended families have been dispersed far and wide. The answer has to be for the whole of society and must involve statutory services working together with the voluntary sector. In Cornwall, one of the pioneers in integrated care, there is a fantastic collaboration between the voluntary sector and the statutory sector to ensure that they directly address the problems with loneliness.

G8 Summit on Dementia

Huw Irranca-Davies Excerpts

Thursday 28th November 2013 Commons Chamber

[Tracey Crouch]

I am sure that the Minister will have heard the good point that my hon. Friend makes. I would like to concentrate on the fact that there has been an increase in investment for research. There are various reasons why we need research, and I am sure the Minister will address my hon. Friend’s comments in his response.

[Huw Irranca-Davies (Ogmore) (Lab)]

The hon. Lady rightly talks about the low investment base from which we are starting on dementia research and prevention. One way to make limited resources go further is to co-ordinate properly and better across the regions and nations of the UK. There is good work going on in Wales, but that is also from a low base.

[Tracey Crouch]

I agree entirely with the hon. Gentleman. We need greater co-operation and collaboration across the world, and if that is needed across the world, we certainly need it at home.

We should recognise that the USA is committed to spending $550 million on dementia research, which is a reflection of the importance of the condition to its society. To be frank, however, the combined investment by the USA and the UK is small fry compared with the investment in research by the pharmaceutical industry. Any collaboration needs to include the global pharma leaders to ensure that they are financing research, bringing together their world-leading scientists and helping to achieve the breakthrough in the prevention and treatment of dementia that we all want. One of the most important outcomes I would like from the G8 summit is a long-term commitment to double investment in research to provide stable and predictable funding so that we can get closer to finding a cure and improved care.

--- Later in debate ---

[Huw Irranca-Davies (Ogmore) (Lab)]

I am delighted to speak in this debate on behalf of many of my constituents from all areas who have asked me to attend, listen and contribute. I will focus in particular on Wales and Wales and the G8, as well as on the importance of collaboration, but I want to thank the hon. Member for Chatham and Aylesford (Tracey Crouch), my right hon. Friend the Member for Salford and Eccles (Hazel Blears), the right hon. Member for Sutton and Cheam (Paul Burstow) and others, including my hon. Friend the Member for Liverpool, Walton (Steve Rotheram), not only for securing the debate but for championing the cause continually over a number of years. I also join them in praising the Prime Minister for putting this front and centre of the G8 summit. It is a worthy ambition, but as the right hon. Member for Sutton and Cheam set out, doing so has raised aspirations over what will be delivered. I sometimes feel for the Minister because he repeatedly faces people saying that we must do more on treatment, care, prevention and research on many conditions, but putting dementia four square at the head of the Government’s ambitions for the G8 summit shows that there is a level of desire for some real outcomes, not least of which should be long-term strategy and the co-ordination of spending internationally to make the most of it and see what more can be put into the pot. It is a once-in-a-lifetime opportunity.

Right hon. and hon. Members have mentioned the ambition. My right hon. Friend the Member for Salford and Eccles spoke about turning the spotlight on to AIDS and HIV in the 1980s and 1990s, which really did make an unprecedented step change because there was an international focus on treatment and care. Massive interventions were made in previous decades on cancer treatment, and they had the same effect. There is a desire across the international community, especially given the opportunity provided by the G8, to have that same impetus. It is not simply an issue of spending; it is an issue of real focus and relentless drive on everything from prevention to treatment, care and research.

In Wales more than 45,000 people now have dementia, and that figure is forecast to increase to almost 60,000 by 2021. Hon. Members may be interested to know that in Wales only 38.5% have received formal diagnosis of their condition. That is lower than in other parts of the UK, which is interesting. There is good work going on within Wales. The Welsh Government published back in 2011 the national dementia vision for Wales, setting out their commitment to supporting research. The Welsh Government have also pledged to support research in dementia cause, cure and care. They offer funding opportunities to researchers who want to undertake research into dementia.

In the light of my intervention on the Minister’s speech, what is he doing to ensure that knowledge is disseminated well not only internationally but in Wales and England and other regions of the UK, that best practice is shared, and that research collaboration is streamlined properly? What is being done to co-ordinate at a government level in different parts of the UK work on dementia priorities? It would be a tragedy in times of stretched spending if there was duplication and a waste of effort all the way from social care through to research and so on. Let us make sure that it is all lined up in the right way. That is what the G8 summit can do on the international agenda as well.

[Mr Philip Hollobone (Kettering) (Con)]

I understand that around the world some $40 billion has been spent on dementia research, but all the drug trials have failed. The emphasis surely should be far more on prevention. Professor Smith, who was mentioned earlier, maintains that Alzheimer’s could be cut by a quarter. If he is right on that subject, that would mean massive savings on health care costs in Wales and across the rest of the country.

[Huw Irranca-Davies]

The hon. Gentleman makes a good point, which was also touched on by my right hon. Friend the Member for Salford and Eccles. It is a startling fact that 0.1% of funding goes into prevention. Surely there has to be greater emphasis on that, because the outcomes of prevention are so beneficial.

I am sure that the Minister is aware of what is going on in Wales. The Welsh Government’s National Institute for Social Care and Health Research funds and manages the research activity in Wales. The total spend last year was £75.7 million, of which £3.54 million was spent on biomedical research project funding. Just over 15% of the budget was awarded to researchers working on projects directly relevant to neurology research, including mental health. The same organisation awarded the Wales dementias and neurodegenerative diseases research network £743,000 over five years for its research. It is about knowing what is going on not only in Wales and different parts of the UK, but internationally so that we can co-ordinate and make the optimum use of regional, national and international spend on prevention, care, treatment and research.

My final point—it is probably one for another debate—is that we cannot divorce the strategic matters from the operational ones, and that means looking at the huge stretch in social care. There are real and intense pressures on social care, and not just on resourcing, but on staffing, staffing expertise and the necessary reform of long-term social care funding. That is probably a subject for another day, but the reality is that there are pressures on the ground affecting many people with different types of dementia and their families. There is real anxiety.

[Hazel Blears]

I appreciate that the debate is about the G8, but does my hon. Friend share my concern that the integrated transformation fund, the £3.8 billion that is supposed to relieve some of those pressures, brings together resources that are already being spent by local government and the NHS, so it is not actually new funding? Perhaps the Minister will address that when he responds to the debate.

[Huw Irranca-Davies]

I share that concern and hope that the Minister will turn his attention to it briefly. It is a major concern for the organisations and individuals out there.

In conclusion, I commend the Prime Minister for taking this initiative forward with the G8. It is a golden opportunity. Let us not miss it. Let us reach our ambition and our aspiration.