(1 day, 11 hours ago)
Commons ChamberEveryone deserves high-quality care when they need it—that is particularly the case for those with dementia, who often have some of the most complex needs—but the sad reality is that social care services in this country are in crisis. The disease has a huge impact not only on the patients, but on their family and friends as they struggle to care for them.
Richard wrote to me about his experience of being a full-time carer for his wife of 55 years. She has ataxia, compounded by dementia. She is losing her ability to walk or talk, write or use the phone, or follow simple instructions, and Richard has to be with her 24/7 to ensure her safety. The daily routine starts with getting his wife out of bed; transporting her to the bathroom; helping her with the toilet; getting her into the shower and then getting in the shower to shower her; helping her clean her teeth; getting her back to the bedroom to dry her hair and dress her; taking her downstairs via their self-funded stairlift; getting her into a wheelchair to transport her to the dining table for breakfast; and then taking her back to the lounge. She may sleep for a little bit, but sooner or later there will be a call for help to go to the toilet, so it is back into the wheelchair, back on the stairlift and back on the toilet. Richard will clean and dress her, and then she will go back on the stairlift, back into the wheelchair and back into the lounge, where the whole palaver will repeat after five minutes, as she has forgotten that she has already been to the toilet and cannot be convinced otherwise.
That is just one small part of a day, and it sounds relentless. Owing to a recent back injury, Richard has had to employ a carer for two mornings a week to help. He wants to care for his wife as long as he can, but one day he may have to move her to a nursing home, and that worries him. He reckons it will cost approximately £1,800 per week and rising due to the increase in national insurance, and he is now worried that in pandering to populism on immigration, the Government may make it even harder to recruit carers. He says:
“Once again, it is the least fortunate and needy of us who will bear the cost.”
Another constituent wrote:
“When my wife was first diagnosed with Alzheimer’s in 2019, we were given a couple of booklets and told to prepare for the inevitable.”
He went on to explain that for a couple of years, including during the covid lockdown, they saw no one apart from the occasional surgery visit, until a crisis in 2023 led to the community mental health team being involved. For a while, his wife got a fair amount of support, but when the mental health team deemed her stabilised, that support was withdrawn, leading to another crisis in January 2024. He is very worried that the whole cycle will play out again and again.
My hon. Friend reminds me of a conversation that I had with William, a constituent from High Ham who has been caring for his wife, who has had Alzheimer’s for many years. He has relied on the intensive dementia support team in Yeovil, but the service has recently been reorganised. As a result, it has become quite fragmented across Somerset and there is no central contact or clear structure. There are incomplete records, leaving some carers adrift. Does my hon. Friend agree that streamlining dementia care services is vital to ensure clarity and co-ordination for carers?
(6 months, 3 weeks ago)
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The funding is very welcome, but we need to make sure that it is fit for purpose and reaches our customers. That is the most important thing. Far too many rural areas are in very hard-to-reach areas, so the money should be fit for purpose.
Openreach’s gigabit economy report estimates that full-fibre coverage could boost UK productivity by £72 billion by 2030 and bring over half a million people back into the workforce. If the Government want to achieve the growth that they have spoken about, they must recognise that there are huge opportunities in rural areas, and adequate broadband coverage is crucial to achieving that.
I also represent a very rural area. Despite the fact that it is a stone’s throw away from Bristol, there are people who do not have adequate services. Does my hon. Friend agree that the timeliness of getting the service is also important? If professionals such as doctors wait a long time for the installation, that is as much of an issue as the speeds once the service is installed.
I could not agree more. The ongoing spending review must take that into account and must ensure that the remaining unspent funds for Project Gigabit are spent on ensuring that hard-to-reach areas are indeed covered.
I thank the Chamber Engagement Team who provided me with quotes from members of the public in preparation for this debate. The following demonstrates just how damaging poor broadband is to productivity in people’s lives. Alison, a small business owner, said that slow broadband impacts the entire productivity of the business, from accessing emails to downloading and uploading files to suppliers. With more and more people working from home, poor broadband puts rural people at a massive disadvantage.
My constituents in Charlton Adam work in technology and video editing, often from home; but due to poor broadband speeds, they are continually hampered by poor download and transfer speeds. When inquiring about the cost of connecting fibre to their premises for on-demand services, they were quoted an astonishing price of £270,000.
Poor broadband also impacts farming and agricultural businesses.