(7 years, 6 months ago)
Commons ChamberAs always, the hon. Gentleman has a salient point to make in the Chamber. We thank him for the gallant service he gave in Northern Ireland. As a soldier, he made a magnificent contribution to the peace process we have in Northern Ireland, and we thank him for that.
Some people may not know this, but I am sometimes known to be a bit of a fiery person—I believe it to be the Scots blood I have in my veins—and of late it has taken great restraint for me to sit back and view the attempts by many in a so-called “shared society” to rewrite the history of the troubles of our Province. By doing so, they are blackening the name of men and women who deserve nothing other than praise. Most recently, we have seen the complete disregard that Gerry Kelly has shown for the family of local Strangford man James Ferris, who was stabbed while on duty during the night of the Maze break-out and subsequently died from his injuries. This disregard was vile and it should be roundly condemned by all right-thinking people; there is nothing romantic about the Maze prison break-out and the death of a prison officer. That this should be glorified by offering a so-called “prize” of a “Valentine’s gift” shows an appalling level of disrespect, insensitivity, offence and lack of remorse. The suggestion that a tale of how prison officers were shot, stabbed and beaten should be acceptable as a Valentine’s gift is vile to say the least. The bizarre world of Sinn Féin representation attempting to rewrite facts never fails to astound and wound the good people of the Province, especially those thousands who have been traumatised by IRA terrorism. I wish to remind people in this Chamber today of the real story there, which is that of a man who served Queen and country and had his life ripped away by unrepentant terrorists. We remember that sacrifice as well.
The latest declassified files have been opened, and am I the only one—I know I am not—who is sick, sore and tired of seeing personal opinions turn into attacks upon past serving soldiers, in this case the members of the UDR? As my hon. Friend the Member for East Antrim (Sammy Wilson) mentioned, a scurrilous opinion about the UDR in 1989 has been recently recorded as fact, which is insulting in the extreme. I served in the UDR in 1974-75 and 1976-77, and every one of those part-time UDR soldiers whom I had the honour of serving with were wonderful people; male and female alike, they joined to stop terrorism, from whatever source it came.
Let me remind hon. Members of a few truths that are backed up by the facts. The facts are that the UDR full-time and part-time soldiers worked long hours, under massive threat, checking under cars and living in the eye of the storm daily, along with their entire families. The facts are that 197 soldiers were killed, the majority when off duty, and a further 60 were killed after they had left the UDR. These are some of the facts of the case and people cannot deny them. I, along with many in this Chamber today, and indeed with most upstanding moral people of the day, was horrified to learn that 1,000 former soldiers, many of whom are in their 60s and 70s, were to be investigated, in respect of 238 fatal incidents. We are talking about men who gave up their family life and their freedom, who witnessed horrors, who were subjected to horrific life-changing scenes, and who held dying comrades in their arms and searched the rubble for missing limbs of their team. Having dealt with all of that, while wearing the Queen’s colours, they are to be subjected to investigations.
I understand very well the concept of closure and wanting justice. I want justice for my cousin Kenneth Smyth, who was murdered by the IRA on 10 December 1971, and for the four UDR men killed at Ballydugan, three of whom I knew personally, yet no multi-million-pound investigation is available for that. So I resent the idea that seems to be promoted at present that one life is worth more than another—it is not, and it never will be. The grief of a mother does not change with the colour of her hair, the area she lives in or the church she attends—it never can do, and why should it? As the Member of Parliament for Strangford, I call on this Government to turn around and do the only thing they can do, which is to ensure that our people are given the credit and fairness that they deserve.
The investigation revealed that bogus claims were made in a concerted attempt to defraud the Ministry of Defence and destroy the reputation of our armed forces, and this can never be allowed to happen. Intimidation of individual soldiers and the impact on their families must be assessed, and support and apologies at least must be given to them all. There must also be an assurance that the disregard shown to soldiers and their families throughout this farce of a procedure will never be allowed to happen again. Action should have been taken more swiftly than this; credible claims should have been differentiated more quickly from the bogus ones, and “innocent until proven guilty” should always have been the fall-back position. With the greatest of respect, this failure by the MOD must be addressed at this moment in time. It has taken the investigations by the Defence Committee and the hon. Member for Plymouth, Moor View (Johnny Mercer) to make a difference, and I congratulate all those involved in that scrutiny. Because of that, I hope that the lessons will be learned by all of us: never should claims without evidence be progressed; never should service personnel be left out on a limb; and never should we leave a man behind as we have seen done here, facing a republican agenda that revolves around attempting to portray murder as freedom fighting and terrorism as the end of oppression.
I think the whole House is incredibly moved by the hon. Gentleman’s words. From what he is saying, so movingly and eloquently, I believe he would agree that as a House, regardless of party, we owe a huge debt to all these people. I am sure he would join me in saying that, and I wish to join him in sharing his views, which he is expressing so eloquently and movingly to this House.
I thank the hon. Gentleman for his intervention, which probably came just at the right time.
Democratic Unionist party Members and others today wish to set the record straight for future generations: the atrocities during the troubles, from whichever “side” they arose, were nothing more than evil murder. There is no glory found in taking the lives of 10 men in a van who were on their way to work. There is no honour in leaving wives without husbands, mothers without sons and children without a father. There is no rallying cry around bombs which took the lives of men, women and children within the wombs of women out shopping. There is no victory in the indiscriminate slaughter of people who were worshipping in their church on a Sunday morning. The glory is in the legacy of men and women who gave their all for freedom and democracy; the honour belongs to those who have lived their lives with the sorrow of great loss and yet chose not to retaliate. The rallying cry is for those who quietly ask that the memory of their loved one is not tarnished or decimated by lies or media spin. The victory belongs to the right-thinking people of Northern Ireland, who, despite having no reason to trust, love or forgive, have chosen to support the rule of law and justice, and now are waiting for us to give them the support they deserve in these dark hours. I finish with this point: we remember the truth, we stand to honour those who are fallen and we promise to protect their legacy.
(8 years, 11 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
I beg to move,
That this House has considered dementia care services.
It is a pleasure to lead this debate—the first in my name since my election—under your chairmanship, Mr Davies. It is also a pleasure to debate with a Minister whose commitment to this cause is well known, on a subject of such importance. Indeed, its importance grows daily.
I am particularly pleased to see my hon. Friend the Member for Wealden (Nusrat Ghani) next to me. I hope that she plans to speak in this debate, because her work in her constituency on this subject, and the depth of her knowledge, is well known and will be of great benefit to the House.
Dementia is incredibly cruel; it can take a person away from you even while they are still with you. It is estimated that there are around 850,000 people with dementia in the UK; that 21 million people have a family member or close friend with dementia; and that a third of people over 65 will develop it. The majority of those 850,000 people are over 65, but an estimated 17,000 people below that age have dementia. In my constituency of Charnwood, it is estimated that just over 1,000 people have dementia. All of this—put aside the human consequences for a moment—is estimated to cost around £23 billion per annum, with a huge proportion of that being met by families, either through care that they engage or through the free hours of care that the 670,000 voluntary carers provide. The challenge before us is huge.
Significant progress on dementia has been made in this country in recent years. However, while we as a society have made significant strides in improving our longevity and our ability to fix and patch up our physical selves through the medical profession, our understanding of and care for the mind have fallen behind somewhat. Dementia poses a massive financial challenge to our country, as people live longer—a good thing, but a partial consequence is an increase in the number of dementia cases.
The last Labour Government should be rightly proud of their work in bringing forward the first national dementia strategy, and I pay tribute to them, through the shadow Minister, for that far-sighted step. It is a baton that the current Government, and particularly this Prime Minister, have seized with vigour; there has been the Prime Minister’s challenge on dementia 2012, the G8 dementia summit, and the Prime Minister’s 2020 challenge. All this is hugely positive, and dementia is an issue on which there is considerable consensus in all parts of the House, and among all the parties represented within it. However, we must not think for one moment that we have done enough, nor lose the momentum built up thus far.
I congratulate the hon. Gentleman on bringing this matter to the House for consideration. A great many of us across my constituency of Strangford and the whole of the United Kingdom of Great Britain and Northern Ireland know people who suffer from dementia. Just last week, I had the opportunity to go to what is referred to as a memory café, which is organised by the Alzheimer’s Association, which is a wonderful organisation. I met some wonderful people, as well as their carers and families. Does he recognise the good work that the Alzheimer’s Association does? Does he feel that now is the time to not only raise awareness of Alzheimer’s but commend the Alzheimer’s Association for its work?
In addition to the hon. Gentleman’s many talents, which are well known in this House, he appears to be a mind-reader, as I was about to come on to that subject, having visited a similar memory café on Monday. He is absolutely right to highlight and pay tribute to the work of such places. On Monday, I went to the Syston community centre, where our local Alzheimer’s Society group was holding its regular Poppies memory café session for about 30 carers and people with dementia. As I am sure the hon. Gentleman did on his visit to his local memory café, I met some amazing people and it was a fantastic session. My memories of that session, and the lessons I learned from it, remain with me; I continue to reflect on them. However, across the UK, including in my region—the east Midlands and Leicestershire—the access to and coverage of such vital services remains patchy; that was a message I got loud and clear from the people I spoke to. As I suggested, that session left me in no doubt about the vital role of dedicated and passionate carers, including the amazing people whom the hon. Gentleman and I met, in helping people with dementia.
Yet again, it appears that another hon. Member has the facility of reading minds and anticipating speeches, because I was about to say that there remains too little understanding of dementia in our communities, despite the progress made, and dementia-friendly communities and workplaces can play a hugely important role in supporting both those who have dementia and those who care for them.
I encourage the Minister to push all Government Departments to become dementia-friendly workplaces, and to keep talking about dementia and raising awareness of it. I also encourage her to keep the NHS talking about it. I know that other hon. Members—not least the shadow Minister, the hon. Member for Oldham East and Saddleworth, who is chair of the all-party group on dementia and possibly the only dementia champion in this House—will continue to raise these issues, as the shadow Minister has done over many years.
A recent survey showed that 25% of 18 to 25-year-olds are keen to learn and understand more about dementia, as opposed to only 15% of those aged 55-plus; that was a 2012 YouGov survey, so it is relatively recent. While it is encouraging that young people are keen to understand and learn more about dementia, those figures are still far too low.
One thing that I became aware of after visiting the memory café last week and speaking to some of the people there—by the way, the Big Lottery Fund was one of the funders of that café, so it is doing good work—is that the age of those being diagnosed with dementia and Alzheimer’s is starting to fall. There are some people in the 40-to-50 bracket who have dementia, which worries me. Does the hon. Gentleman feel that there is anything we can do to raise awareness of that issue?
The hon. Gentleman makes a valid point. Just last Saturday, I was at a gala in Anstey, which is a village in my constituency, and a man came up to talk to me about this issue. He said that a lot of emphasis is put on those in their 60s or 70s who develop dementia, but he told me about a lady who had developed it very early in life, which creates a whole new set of challenges around children, paying mortgages and the support that should be in place but is not always there. I will come on to the support that is or is not in place shortly.
The second part of the picture is about diagnosis and care. Diagnosis rates have improved. In 2011-12, only 45% of people with dementia received a formal diagnosis, but Department of Health figures suggest that the figure is now up to 59%, which is real progress. I know that 66% was the target set for the end of this year, but can I encourage the Minister to go that little bit further and press for a 75% target for diagnoses by 2017? That is ambitious but achievable, and if we do not set ambitious targets we will not achieve them.
However, diagnosis is only the start. Too many people tell of being diagnosed and then receiving no information or support, or only very limited information or support. In a recent Age UK survey, 89% of those surveyed said that they did not feel they had enough information about dementia. We need to improve GPs’ understanding of dementia care; many GPs are fantastic, but that is not universal. We need to ensure that after a diagnosis, people and their families receive information on “What now?”, as well as support. What steps do the Government propose to take to create minimum mandatory standards to ensure that everyone with a diagnosis receives swift signposting and advice from dementia advisers and a proper support package for them and their carers, possibly through the NHS outcomes framework?
We all know—all the research shows this—that once someone is diagnosed with dementia, if they are to continue to lead a full life, it is best for them to be able to live independently at home with their family, but if they are to do that, we must ensure that carers are cared for and supported, and that support plans are in place—as much for the carers as for any individuals with dementia. A recent pilot in Norfolk on the use of Admiral nurses—they are the dementia equivalent of Macmillan nurses, and although they are sadly rather less well known, they do a fantastic job—saved more than £400,000 and provided a strong local support service for carers and people with dementia. What consideration have the Minister and the Department given to how that might be made more widely available? What support can be given to local authorities in that respect?
We are all aware of the funding pressures faced by local authorities—not least my own, Leicestershire. It gets one of the lowest per-head funding settlements in the country, and I hope that that can be reviewed and revisited in this Parliament, with rural councils being given a fairer share. While I would not presume to burden the Minister with responsibility for dealing with the local government finance settlement as well, what progress has been made nationally on developing integrated dementia care pathways, which can go some way to alleviating financial pressures?
While care and support to stay independent at home are key, there are times when people with dementia have cause to be admitted to hospital, and here the picture is by no means universally good. According to a recent survey, 41% of hospitals do not include dementia awareness training in staff inductions, and only 36% have a care pathway in place. Many people with dementia still have real problems when they are admitted to acute care. More research into the quality of personalised care for those with dementia, particularly in hospitals, would be immensely valuable. It is estimated that a quarter of hospital beds are occupied by people with dementia, although they might not necessarily have been admitted for dementia. On average, such people have a 20% longer hospital stay than others.
While some hospitals have made progress in having dementia-friendly wards, it simply is not enough. We should have hospitals that are dementia-friendly in their entirety. We often hear of instances of people with dementia not having that noted on their hospital records, meaning that no allowance has been made for it. We also hear of carers and partners not being allowed to stay with relatives with dementia in hospital, which often leads to acute anxiety and distress among those patients at being in an unfamiliar environment without any familiar faces around them. I hope that Simon Stevens and the NHS can look at that.
The national dementia strategy and the Prime Minister’s challenges on dementia for 2015 and 2020 set out an array of targets and objectives. The key to success, however, will be proper implementation to deliver clear and focused outcomes that are measured, monitored and reported. Will the Minister update the House on the implementation plan to achieve the objectives that we all welcome, and to ensure that dementia care gets its share of the very welcome additional funding that the Government have pledged to the NHS as a whole? Specifically, as we look at how to improve care and support, 37 NHS vanguard sites are piloting new care models, but only three make specific mention of dementia. Will she consider adding to that number? The National Institute for Health and Care Excellence is updating the 2006 clinical guidelines on dementia. That work is due to be completed in September 2017. Will she make representations to NICE on updating the dementia quality standard as part of that? It is an important tool in driving up NHS standards in this area.
The third and final part of tackling dementia is research. We have seen some encouraging early signs over the summer that finding a way of slowing down the progress of dementia might be that little bit closer. There is still a long road ahead for that research, but it is a reminder of the importance of a continued focus.