The Arts: Health Effects

Lord Vaizey of Didcot Excerpts

Wednesday 11th October 2017 Westminster Hall

[Mr Edward Vaizey (Wantage) (Con)]

I beg to move,

That this House has considered the effect of the arts on health.

It is a great pleasure to appear under your chairmanship, Ms Dorries—obviously with some trepidation, as I know that you are a hard taskmaster. I hope that we can exchange messages on WhatsApp afterwards, about how well I have done in this afternoon’s debate.

[Ms Nadine Dorries (in the Chair)]

Only if you are going to read them.

[Mr Vaizey]

Health and wellbeing is much on our minds at the moment, and I am co-chair of the all-party group on arts, health and wellbeing, so this is a great opportunity to debate the significant role that arts-based interventions can play in addressing a wide variety of health and social care issues.

In July the all-party group published an inquiry into that important issue—I am holding it up to get the appropriate screengrab, which can go viral on social media. I can see that the Minister is holding it up as well. If someone could pass it to the Opposition spokesman to hold up, we could get a full house. The report was the result of two years of research and discussions with individuals and organisations from the worlds of health, arts, academia and politics. I assure the House, because I had nothing to do with it, that it is of the highest quality. The people who can take credit are Rebecca Gordon-Nesbitt, who effectively wrote it, Alexandra Coulter, who runs the all-party group with such effectiveness, and my colleague Lord Alan Howarth, the chairman, who invited me to become the co-chairman.

The inquiry and report provide considerable evidence to support the idea that arts-based approaches can help people to stay well, recover faster, manage long-term conditions and experience better quality of life. It is important to stress that arts engagement and participation can have a positive impact at every stage of a person’s life. I was struck, for example, when reading the report—I should have known this fact—that one in five mothers suffers from a mental health condition at the time of, or in the first year after, childbirth. The report shows some of the interventions that can help. In Stockport an arts on prescription pilot offered visual art and music projects to women who had or were at risk of postnatal depression. Every woman who participated experienced improvements in their general health, and all but one experienced a reduction in their level of depression. Funding for that service was lost, but similar programmes have been replicated around the UK, with comparable results.

Childhood is another important area where the arts can have a huge impact. I leave aside the effect that music and arts education in schools can have on children’s wellbeing, as well as their educational attainment, although no doubt it is a subject that we will return to in future debates, but it is estimated that possibly 850,000 children suffer from mental health and related physical health problems. Some of the most serious mental health problems can manifest before the age of 24—indeed, in half of cases they manifest before the age of 14.

Such mental health problems can be prevented or mitigated through early intervention. The Alchemy Project, which uses dance as an early intervention in psychosis, had a remarkable effect on mental health. Two groups of young participants with no experience of dance were pushed to work with professional artists. At the end of the pilot both cohorts demonstrated clinically significant improvements in wellbeing, communication, quality of life and many other variants.

[Gloria De Piero (Ashfield) (Lab)]

A 44-year-old woman in my constituency suffered from depression and anxiety, and she tells me she is not yet recovered from her illness but is now strong enough to go every day to an amazing place called the Huthwaite Hub, which relies in large part on lottery funding. Does the right hon. Gentleman agree that former coalfield communities do not get their fair share of funding from the lottery, which would enable more projects like that to help many more people?

[Mr Vaizey]

The hon. Lady is a very distinguished former arts spokesman, and I know that when she was the Labour party’s spokesman for the arts she highlighted the fairness of lottery funding distribution. Again, without wishing to dodge the question, that is another debate. I am pleased that the Arts Council, for example, is now much more focused on ensuring that more money goes outside London than it has in the past. She makes a fair point that, fundamentally, there is a project in her constituency making a real difference to one of her constituents, and that is to be applauded without any quibbles from me at all.

Let me run through a few brief examples, because I know that many Members want to speak. An arts on prescription programme run by Arts and Health in Cambridgeshire found that three quarters of participants saw a decrease in anxiety. There is clear and growing evidence that with illness and long-term conditions, arts engagement can alter the morphology of the brain and help speed recovery from neural damage. The Royal Philharmonic Orchestra and Humber NHS Foundation Trust have run Strokestra, a pilot collaboration where, through music-based active sessions, almost every single participant who had suffered from a stroke saw a reduction in their symptoms and experienced great social benefits such as enhanced communication. A range of other studies have shown similarly positive effects. Group singing and dance has been shown to improve the voice and movement of people with Parkinson’s disease, and singing enhances lung function and the quality of life for people with chronic respiratory disorders. Arts-based interventions such as listening to music have also been shown to reduce the physiological effects of cancer and coronary heart disease.

[Dan Carden (Liverpool, Walton) (Lab)]

May I take this opportunity to plug the Liverpool Philharmonic, which has done similarly good work for the past eight years? Lead musicians and musicians work one-on-one and in groups across my constituency and the wider Liverpool city region. Unfortunately I have not had time to read the report, but if that has not been looked into, it is a great study of positive work that is being done across my constituency.

[Mr Vaizey]

The Liverpool Phil is an absolutely amazing organisation. I know that you, Ms Dorries, will know it from your own childhood. May I also particularly commend its work on the In Harmony programme, which is one of the most remarkable education initiatives that we have seen? It was started under the last Labour Government but carried on, I am pleased to say, by the current Government.

[Kate Green (Stretford and Urmston) (Lab)]

I congratulate the right hon. Gentleman on securing the debate. I very much agree with his examples of where arts can be used to help people with recovery or to manage long-term conditions. I am sure that he would be interested in the Nordoff Robbins music therapy programmes that are run in my constituency. Does he accept that there is a wider role for the arts in public health, and does he think that there is an opportunity to align public health targets and ambitions with music and other arts interventions?

[Mr Vaizey]

I completely agree with the hon. Lady, and I was going to mention Nordoff Robbins. It is the largest music therapy charity in the country. It reaches 7,000 people every year and aims to double that participation by the end of the decade. She is exactly on point: Public Health England is meant to be involved in focusing on prevention. To a certain extent we have to shift the whole health debate from cure. Cures can be important, but we do not do enough about prevention, and the arts can play an absolutely crucial role. I back her point 100%, and may I also say that I am happy to accept any interventions that plug great examples of how the arts are having a great impact on health and wellbeing?

[Fiona Bruce (Congleton) (Con)]

Would my right hon. Friend join me in congratulating the dramatic society in my constituency, the Congleton Players? They make a tremendous contribution towards community life, and last week they presented their 290th production. It was a comedy, “Murder at Checkmate Manor”, and I have to say that I laughed throughout, as did the audience, so much that I could sense endorphins were glowing within me—and all for only £8 a ticket.

[Mr Vaizey]

I absolutely endorse my hon. Friend’s players. I look forward to visiting them—in fact, I know that the Minister will visit on the 300th production that the players perform. He said that to me before the debate, and I know that he will stick to his commitment. My hon. Friend the Member for Congleton (Fiona Bruce) can tell her constituents to look forward to welcoming my hon. Friend the Member for Salisbury (John Glen).

The other obvious area to talk about is age. As we luckily have an ageing society in the sense that people are living to be older, the arts can play a huge role in helping people with some of the conditions that come as one reaches one’s later years.

[Chris Ruane (Vale of Clwyd) (Lab)]

On longevity, is the right hon. Gentleman aware that someone born today has a 50% chance of living to more than 105 and that a 20-year-old today has a 50% chance of living to more than 100? As the period of old age grows, it is important that we have fulfilling activities for older people.

[Mr Vaizey]

The hon. Gentleman is absolutely right, and he has given me a wonderful introduction to the next part of my speech. Age UK has found that taking part in creative activities such as the arts has the most direct influence on a person’s wellbeing in later life. Indeed, in 20 years’ time we expect more than a million people to have a dementia diagnosis, and engagement with the arts can provide significant help in meeting that enormous challenge. For example, music therapy, which has already been mentioned, has been proven to reduce agitation and the need for medication in two thirds of participants with a diagnosis of dementia. A good example is A Choir in every Care Home, a new project from Live Music Now that is encouraging music and singing in care homes across the UK. That supports evidence that finds that regular group singing can enhance morale, reduce loneliness and improve mental health. Of course, it can also help those who are suffering from a terminal illness. There are legion examples of how the arts and health are working together and making an impact.

[Alex Chalk (Cheltenham) (Con)]

Will my right hon. Friend join me in paying tribute to all those who volunteer to help to administer the Cheltenham festival of performing arts, which has been running since 1926? Does he agree that as evidence grows of the potential harmful impact of excessive social media use on adolescent mental health, it has never been more important to get young people out from behind their phones to instil confidence, teamwork and communication to provide for happy and fulfilled lives?

[Mr Vaizey]

I completely agree with that. It is not only children who suffer from excessive use of social media; that can apply to all categories of people.

Hull city of culture has, I think, been an unequivocal success. It was Andy Burnham who called for a city of culture, but I am pleased to say that it was this Government who saw Derry/Londonderry and now Hull achieve such huge success. There have been brilliant ideas. I was told about something—I do not want to get into too much detail here—called Getting Physical with Men in Sheds, which apparently was a health programme. That was alongside Upswing, which involves circus in care homes; the Wellcome Trust working with 10 pilots to look at the impact of the arts on dementia, ageing and breathing disorders; Reading Rooms, to combat loneliness and isolation; and the Butterfly Effect programme, again on dementia. I mention again Aldeburgh, a well-known arts institution in Suffolk and the work that has been done for it on using music as a powerful tool for social change in the field of health and wellbeing. There are too many examples to mention.

I have been contacted by people from all over the country. They have talked about harp therapy—therapy with a harp instrument. The Canal and River Trust talked about its arts interventions. The London Art Therapy Centre, started in 2010, is working for people with mental health issues. The British Red Cross talked about some of the areas it works in and emphasised the need to prevent people from getting unwell as opposed to intervening when people are unwell. And of course there is Nordoff Robbins.

The current demands on our health and social care system call for innovative solutions. As I hope I have demonstrated in part, and as many interventions have demonstrated, arts engagement has a hugely beneficial effect on health in people of all ages, so it must play a vital role in the public health arena. Most pertinently, the greatest challenges to health and social care to come will be from an ageing population and a prevalence of chronic conditions. The evidence shows that the arts can play a significant role in preventing illness and infirmity from developing and worsening in the longer term.

That approach is particularly in keeping with NHS England’s “Five Year Forward View”, published in 2014, which emphasises a need for a radical upgrade in preventive health interventions. Arts-based approaches can provide a cost-effective response to this objective. Mental health carries an approximate annual economic and social cost of more than £100 billion—about the same as the total NHS budget. The arts can play a significant role. A mental health recovery centre in Wales, co-designed by users and utilising the arts, has saved the NHS £300,000 a year, while an arts on prescription project has led GP consultations to drop by a third, saving £200 per patient. A social return of between £4 and £11 has been calculated for every £1 invested in arts on prescription.

Arts-based approaches can also help health and social care staff in their own work. Within the NHS, more than £2.5 billion is lost through sick days every year. Arts engagement helps the staff to improve their own wellbeing, too, but it is not a habitual part of the training and professional development of health and social care professionals. With so much evidence supporting the effectiveness of the arts to improve health and wellbeing, it is clear that more should be done. With the correct support, this approach can really flourish.

What the all-party group is really calling for is a culture change, not legislation or regulation. Arts-based interventions offer an alternative resource to systems that are under increasing pressure and need fresh thinking. One of the report’s key recommendations is for leaders from the worlds of arts and health to come together to establish a strategic centre to support the advance of good practice, promote collaboration, co-ordinate research, and inform policy and delivery.

The Government can, of course, play a vital role. They can help the conversation between the relevant bodies and organisations and help this objective to be realised. We need greater engagement with policy makers, and Ministers must therefore be part of the process. I really hope that the Minister will engage with colleagues not just in his own Department but in the Department of Health, the Department for Education and the Department for Communities and Local Government, to develop a cross-departmental strategy to support the delivery of arts-based interventions within our health and social care systems.

I am delighted to see the Minister in his place; I think this is our first debate together. I have to say—although I am parti pris—that I hear only incredible reports of his work, so I do not want him to take this the wrong way, but part of me wishes a Health Minister were responding to the debate instead of him. It is a matter of some sadness to me that the last Health Minister to make a speech about the role of the arts in health was Alan Johnson. The current Health Secretary is a former Culture Secretary, who knows the sector well and should understand the opportunities that it presents to make a real impact on health and wellbeing.

I know the Minister will give a brilliant response. As he is aware, the White Paper formally recognises the all-party group’s report and states that the Government will make a formal response. However, I hope that in the coming weeks and months we will also hear from Health Ministers on this very important subject, and from other Ministers whose Departments’ policies have a great impact on wellbeing.

--- Later in debate ---

[Mr Vaizey]

Three things. First, I hope that the all-party group will get a response from the Department for Digital, Culture, Media and Sport. Secondly, the mood of the House is that we want a letter from the Health Minister, don’t we? [Hon. Members: Yes.]

Thirdly, everyone who has attended today and so brilliantly contributed to this debate is now officially a member of the all-party group. So let us carry on and we will invite the Health Minister and the Arts Minister to our first meeting.

Question put and agreed to.

Resolved,

That this House has considered the effect of the arts on health.