Elderly and Vulnerable People: Loneliness and Isolation

Debate between Neil Hudson and Derek Thomas

Wednesday 6th December 2023 Westminster Hall

[Derek Thomas (St Ives) (Con)]

I beg to move,

That this House has considered loneliness and isolation in elderly and vulnerable people.

Imagine a room of people of all ages and demographics. In this gathering, there will be vulnerable people. It is reasonable to say that a small child is vulnerable. People with visual and hearing impairments could be described as vulnerable. People with severe learning disabilities or lifelong debilitating conditions could be described as vulnerable.

In that room full of people, we would also find those who feel vulnerable and withdrawn simply because of the way we do daily modern society. They are being left behind. They can no longer access what they may have taken for granted just a few years ago. Modern life has potentially destined many of them to a life of loneliness and isolation. I want to focus my thoughts this afternoon on those people, because their vulnerability does not need to be accommodated or catered for; it is entirely avoidable.

First, I thank my constituent, Chris Goninan, who has been the driving force behind the Penwith 50+ Forum for many years. This remarkable organisation celebrates its 20th birthday this year, after two decades of enhancing the quality of life for older people in Penwith. A vital part of improving their quality of life is tackling loneliness, whether that is through driving people to church or social events or starting a local radio station to keep them in touch. I was a district councillor when we started Penwith Radio. It is now Coast FM, but it has stuck to its core mission of connecting the local community, giving good local news, information and advice to people, and reassuring them, in their homes, about their local area and the part they play in it.

In three weeks’ time, the 50+ Forum will be hosting its Christmas lunch at Pengarth Day Centre for older people who would otherwise be spending Christmas alone. I look back with fondness at the work of the 50+ Forum. I had a role as the champion for children and young people on Penwith District Council. Together with Chris Goninan, the champion for older people, I organised intergenerational events such as car washes at the fire station in Penzance and St Buryan Garage. I also supported the St Ives 50+ Forum’s efforts to secure a minibus from the Department for Transport, which enables volunteers to ferry older people to meetings and appointments, which makes such a difference to the lived experience of many elderly people in my constituency.

It is appropriate to be holding a debate on loneliness among older people at this time, as Christmas can be the hardest time for those without family around them. According to Age UK, 1.6 million older people find Christmas day the toughest of the year, with over 1 million elderly people feeling lonely over the festive season.

Chris is among friends, as the British Red Cross has recently published a call to action on tackling loneliness and building community, which has been supported by over 90 sector partners, including Age UK, Mind and the Duke of Edinburgh’s Award. Together as a sector, they are calling for renewed national leadership on loneliness and connection, and a dedicated Minister for loneliness to lead a refreshed national strategy, overseen by the Prime Minister and supported by a cross-governmental team. The strategy would set out measurable objectives to be delivered across Government to address loneliness across all ages and among key risk groups. The sector is also calling for accountability for delivering on loneliness, and annual reporting by the UK Government, against their delivery of key strategic objectives, on how Government Departments have contributed to tackling loneliness and building connection, and national monitoring on levels of loneliness.

The Centre for Ageing Better is promoting a good home hub, which would offer practical support, advice about financial support, home assessments, trustworthy signposting—particularly to tradespeople and others who would work in the home—and support to get the most efficient and appropriate housing. This kind of model would ensure proper engagement and care that can specifically address isolation and loneliness.

Age UK is also fully engaged in the issues that Chris and his 50+ Forum friends are campaigning on, and has its own campaign, “Offline and Overlooked”, which focuses on ensuring that older people who are not online have fair and equal access to public services. An example of how Age UK is trying to address the problem is the telephone friendship service, which matches older people with a volunteer for a regular chat each week. Many older people say that the calls are the highlight of their week, and their volunteer friend might be the only person they get to speak to. In 2022, Age UK supported 239,656 telephone friendship calls, and 94% of people said that their wellbeing had improved since they started receiving the calls.

Age UK also runs the Silver Line helpline, a 24-hour, free, confidential service for older people. The Silver Line provides friendship, conversation and support for people aged 55 and over, especially those who may be experiencing loneliness and isolation. In 2022, the helpline handled 183,280 calls, but even this service is at risk, as we ditch copper landlines and switch to wi-fi-only connectivity in our homes.

There is no concern when the power supply is maintained. However, even this week, thousands of homes lost connectivity to the electricity supply due to the severe weather. I have some very concerned constituents, especially on the Lizard peninsula, who fear being completely cut off when this technology is fully adopted. I have yet to get an adequate response to inquiries that I have raised in order to reassure people that they will not be left in the dark without a phone or any means of communication. Age UK’s telephone friendship service or the Silver Line helpline is no use at all if a power cut kills people’s telephone connections.

Anyone can be lonely, but the elderly and the disabled are particularly vulnerable. One in three people over the age of 75 says that their loneliness is out of control. Life events such as the loss of a partner, combined with reduced mobility or managing on a fixed income, isolate people from social contact, which we all need to combat loneliness. Those factors can converge and reinforce themselves; loneliness affects mental health, which causes people to lose confidence in their ability to socialise, or to feel overwhelmed in social settings, and so they become more lonely.

[Dr Neil Hudson (Penrith and The Border) (Con)]

I congratulate my hon. Friend on securing a debate on this vital topic. As he will know as a fellow member of the Environment, Food and Rural Affairs Select Committee, we published our report this year on rural mental health. Rural isolation is a real risk factor, in terms the pressures it places on people’s mental health. We stress the importance of connectivity, whether physical in terms of transport, or virtual in terms of broadband or the mobile phone signal. I have been privileged to welcome new bus vehicles to my constituency—the Border Rambler and the Fellrunner vehicle—which were provided by volunteer networks and offer people a lifeline. Does he agree that it is important to support rural bus networks at central and local government level, as well as at volunteer level? They are a lifeline for people, and we should strongly support them.

[Derek Thomas]

I support that, and my hon. Friend is right to refer to our report from the EFRA Committee. In my constituency, we have a number of community-led bus schemes. Douglas Woolcock, for example, runs two buses that allow people to get to appointments and other things that they need to lead normal lives and fulfil normal functions. It is right to welcome broadband and all the things that connect homes and communities, but so often we rely on community organisations and volunteers to provide some of these services—things that it is important that only communities can do—but they should not be welcomed at the expense of things that maybe the state should continue to support and foster.

To support that point, the Minister’s own Department has reported that loneliness can contribute to early death. The effect of loneliness on mortality is thought to be on a par with that of other public health priorities, such as obesity and smoking, and it also increases the risk of depression, low self-esteem, reported sleep problems and an increased stress response. Loneliness also creates a greater risk of cognitive decline and the onset of dementia, all of which are good reasons to be discussing the issue today and trying to find solutions to address loneliness and isolation as much as we can.

We referred to fibre and broadband connectivity, and some older people are able to break the cycle through technology. That is a fantastic thing. Like many of us, one 70-year-old in my constituency discovered Zoom over lockdown. Now her family has to work around her busy schedule of Zoom calls to friends old and new all over the world. Evenings are out because she talks to America, and early mornings are for new friends in New Zealand. But—and this is a big “but”—she was only able to do that because she had a grandson who could talk her through setting up Zoom on her computer. I would like to meet him so he can help me. She also had a daughter who could talk her through buying a computer. I could not say how often I go to my 16-year-old just to try to set up wi-fi calling on my phone.

For many elderly people, that is not the case. Social isolation leads to digital exclusion, and digital exclusion leads to further social isolation. Life becomes more difficult for the 2.4 million people aged 65 or over who do not use the internet. The more they are cut off from everyday activity, the lonelier they become. The same is true of people with disabilities, who make up 60% of internet non-users.

The Government have not published a digital inclusion strategy since 2014, yet so much of our lives is online now. We can all give anecdotal evidence and examples from our own lives, but the statistics show an increase in average monthly data usage of 731% since the 2014 strategy was published. As many of us do more and more on our smartphones, it is easy to forget that more than 3 million people aged 65 or over do not use one, and 1.6 million do not even possess a mobile phone.

Another point that tends not to get much airtime is the dramatic shift in how some letter and small parcel delivery companies have evolved their business. The delivery man or woman rarely takes time to wait for someone to answer the door or even check if anyone is in. Instead, they use their technology to record the delivery and move on to the next address. Although it is not the job of delivery drivers to look after the wellbeing of residents, this is another aspect of human interaction lost to people who might not see anyone from one day to the next.

We are all familiar with the recent campaign against ticket office closures on the rail network, and we will remember the argument that 86% of train tickets are now bought online. However, we need to remember who is buying the other 14%—or, as is the case in Penzance, who is buying the third of tickets that are sold in the ticket office. As one of my constituents wrote to me when Penzance ticket office was under threat,

“Not everyone has computers or mobile phones, especially in Cornwall where mobile reception can be poor and many older people aren’t computer-savvy. The staff in Penzance are professional, kind and thoughtful. They demonstrate an understanding of levels of ability both physical and mental. They are never impatient or unkind and frequently find a much better deal than friends do online!”