Dementia: Covid-19

Simon Clarke Excerpts

Thursday 12th November 2020 Westminster Hall

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

I congratulate the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) on securing today’s debate. It is obviously an immensely important and sensitive topic, and it is right that it should be brought to the attention of the House.

We all know that the pandemic has caused great heartbreak across our country, nowhere more than in our care sector. Our care homes do vital work looking after the elderly and infirm and we owe them and their dedicated managers and staff a great debt of gratitude after all the challenges they have faced over the past year. I have had several very productive meetings with them in Middlesbrough South and East Cleveland. They want to do their best for the people in their care and their families, and some have shown great ingenuity in seeking to ensure that visits from loved ones are still possible.

None the less, as we have just heard from my right hon. Friend the Member for Tatton (Esther McVey), we know there is a real issue with family access for many sufferers with conditions such as Alzheimer’s and dementia, and that it is taking a devastating toll. That pain is not measured simply in mortality numbers; for many of the families of the sufferers with those conditions, it is the deterioration in their loved ones’ capabilities during the isolation they have endured this year that is particularly concerning.

We know that many residents in care homes have had hardly any visits, and some have had no visits, since the crisis began in the spring. How deeply sad that can be has been brought home to me by a number of moving messages from constituents such as Kelly Holmes from Coulby Newham. Her dad was diagnosed with dementia in February last year, and he does not understand why it is not possible for Kelly and her mum to visit. He regularly rings them, distressed and confused about why they have not visited and worrying that no one cares about him. The repetition of that conversation is obviously deeply distressing for the family.

Rebecca Skelton from Nunthorpe has spent 90 minutes in the past eight months with her mum, Ann, who suffers from dementia. She said:

“Before Covid my mother could not converse with me and my family but there was always a smile of recognition when going to visit her, as though she still knew who we were. The thought of not having this when I do get to see her is breaking my heart and causing me severe depression. The thought of her feeling that we have abandoned her by not visiting is causing more anxiety, I only hope that the smile is still there when I do get to see her.”

I have received so many other messages. I thank Mr Malcolm Guest, a constituent of my hon. Friend the Member for Redcar (Jacob Young), who raised the case of his mum Annie; and Lesley Turnbull, who contacted me on behalf of her husband Tim, who has Lewy body dementia. Her words have really stayed with me:

“I have begged him not to give up and I got a reaction, I always get a reaction when I say I will be with you soon.”

In the limited time available, I will make a simple plea: some of the new lateral flow tests—it is great news that they are being rolled out across large parts of the country, including to all authorities in the north-east—ought to be prioritised so that relatives can have access to their loved ones in care home settings. My hon. Friend the Member for Redcar and I have already written to the director of public health for Middlesbrough and Redcar and Cleveland with precisely that request, and I hope that the Minister might offer her thoughts on it. More broadly, I welcome the Minister’s commitment a few weeks ago to explore giving family carers key worker status. I hope that can be actioned, because it could make a real practical difference.

Finally, it would be remiss of me not to acknowledge the real upsurge in hope brought about by this week’s news of the Pfizer vaccine, which is obviously fantastic. I strongly support the Government’s proposed prioritisation of those who will receive the vaccine as soon as the necessary checks have been finalised and roll-out can begin. We must resist the toxic anti-vaccination propaganda that is circulating alarmingly widely on social media and state the truth that effective vaccination will be the end of covid-19 and will pave the way to ending the suffering of so many of our constituents living with Alzheimer’s, dementia and so many other conditions, and the suffering of their families. It can and will restore the love, company and sense of belonging that we all wish to experience at the sunset of our lives. It cannot come too soon. I commend the efforts of the Minister and her colleagues in helping to make sure that we are ready, as a society, as soon as the vaccine is ready to be given to the public.

Oral Answers to Questions

Simon Clarke Excerpts

Tuesday 6th October 2020 Commons Chamber

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

It is important that communities, such as mine in Middlesbrough, can see a way out of the tighter local restrictions that have now been imposed. Notwithstanding my right hon. Friend’s earlier, very reasonable answer to the hon. Member for Bradford South (Judith Cummins) about the impossibility of setting hard metrics for the release from lockdown, can he set out what would constitute a path out? Does it include, for example, a sustained fall in transmission rates?

[Matt Hancock]

The level of cases matters, but so too does the direction of travel, and when the number of cases is falling—especially if it is falling rapidly—that is the sort of indicator that we will look at. One example is the action we took in Leicester a few months ago now, where we removed some of the most restrictive measures when the numbers were coming down sharply.

Covid-19

Simon Clarke Excerpts

Monday 28th September 2020 Commons Chamber

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

It is a great privilege to be called so early in such an important debate. This is my first opportunity to address the House since leaving the Government earlier this month, so I want to pay tribute to those I worked with in local government and my former Department. It was a great privilege, and they are exceptional people.

Having stood recently in my right hon. Friend the Secretary of State’s place, I can testify that this is a difficult time to be in government. I pay tribute to him and his colleagues for everything they are doing on our behalf at a moment of national crisis. I know how exacting it is.

This is clearly a very important moment in our national debate about our strategy on coronavirus. It is a time for clarity, consistency and courage. I welcome the measures that the Prime Minister announced last week. Covid-19 is an awful disease and it is essential that the public respect the rules that are in place for their protection, from the rule of six to the guidance on hands, face, space, which will undoubtedly save lives. I supported those measures precisely because they are limited and proportionate. Fundamentally, we owe it to the British people to be totally honest with them about the situation. Until we have a vaccine, we are going to be living alongside the threat of the virus and some of those we love may die. We do not know when a vaccine will become available or precisely how effective it will be.

Faced with that reality, we need to be clear sighted about the choices that are open to us. It is therefore right that, as the Government have chosen, we should seek to keep as much of our economy and society open as we possibly can. If we could say with confidence that by holding on for just a few weeks or indeed a few months, we would reach a certain cure, the calculus might look very different. Given that we cannot do that, to return to a national lockdown would be not only untenable but wrong.

The toll such a lockdown would exact would be stark and serious. It would manifest itself in grim statistics and it would fall to us in this House to reflect on them in the years ahead: the cancers undiagnosed, the jobs and businesses lost, the soaring demand on our mental health services. It would also creep in like sea mist in less tangible ways: the opportunities forgone by a generation of young people, the loneliness of millions parted from their loved ones again. It is therefore my firm belief that now is a time for resolution, when we must do our utmost to live without fear, even in the most dangerous times, as generations of Britons have done before us.

That is not a counsel of despair. As my right hon. Friend the Health Secretary said, thanks to the hard work of so many people, we are incomparably better placed than we were in March to live alongside the virus. From the Nightingale hospitals to new treatments such as dexamethasone, to new capabilities such as the outstanding NHS covid app, we grow stronger almost every week in our ability to defeat the virus. That is reflected in the improved mortality figures this time round.

As I am sure colleagues across the House have done, I visited my local major hospital this summer to hear first-hand from them about how they have responded to the situation. I pay great tribute to all those at The James Cook University Hospital for everything they have done.

Although I respect everything that the Government are doing, I want to raise several points about the issues thrown up by local lockdowns. Today, my Conservative colleagues from the Tees valley and I have written to our local authorities asking them not to seek to go further than central Government require when it comes to the restrictions that are currently in place. The new measures that the Prime Minister announced need time to bed in.

That leads to a very important question for the Government. As the number of local lockdowns across the north of our country continues to multiply, are we in effect seeing a national, or at least semi-national lockdown imposed by default? Some 16 million people are now living under the shadow of those restrictions. What is our exit strategy from this situation? As we look at the likes of Leicester, Greater Manchester or West Yorkshire, we see that none of them are leaving the restrictions. What hope can I offer my constituents, as we stand on the brink of further intervention in the Tees valley, that there is a way out? It will be a long, hard and lonely winter if there is no such exit strategy. That is why my hon. Friends the Members for Redcar (Jacob Young), for Stockton South (Matt Vickers), for Darlington (Peter Gibson) and for Sedgefield (Paul Howell) and I have taken a stand today.

How long can we realistically expect people to comply with those measures? As lockdown fatigue worsens, we must address the growing risk that tighter restrictions will punish the law-abiding while others are unable or unwilling to comply.

[Tom Tugendhat]

Given that my hon. Friend is addressing the legal aspects, has he thought about the implications for other aspects of criminal law?

[Mr Clarke]

Indeed, the restrictions place a significant burden on our law enforcement agencies.

I will close by dealing with the slightly different local lockdowns that are in place across the country. The lack of consistency makes compliance harder and I urge my right hon. Friend the Health Secretary and Government Front Benchers to reflect on possible options to try to establish the clearest possible protocol so that we can get uniformity of decision making across those areas. I clearly recognise that we are trying to make the most effective intervention in each area, reflecting the local circumstances. However, I worry that a slightly different situation in the north-east, compared with West Yorkshire and compared with Greater Manchester, risks making it harder for those who want to do their best to get behind the Government’s measures to do the right thing. Better observance must be our collective goal.

I offer my right hon. Friend and our health service every good wish as we try to overcome the challenges. At a moment when there are no easy choices, let us ensure that we enable our country to live rather than simply exist in the period that lies ahead so that the country we return to on the other side of this dreadful situation is happy, healthy, successful and free.

Covid-19 Update

Simon Clarke Excerpts

Monday 21st September 2020 Commons Chamber

[Matt Hancock]

The hon. Lady asks an important question. We are putting more testing into Liverpool, notwithstanding the challenges in testing capacity, because it is exactly the sort of place where we need to put that testing. We are also bringing in £500 of support for everybody on a low income who has to self-isolate, whether they have tested positive themselves or are a contact of somebody who has tested positive and have been contacted through NHS Test and Trace. I support the hon. Lady in her work as the local representative to explain to her constituents in Liverpool, Riverside how important it is to follow the rules.

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

The whole country will recognise the unenviable choices that the Government face at this time. Whatever further measures are in contemplation for the days ahead, may I issue a plea for proportionality? Does the Secretary of State agree that human beings in a free society must have a right to some social contact as they go about their daily lives, even at this difficult time?

[Matt Hancock]

I agree with that 100%. We put in place support bubbles for single households—those who live alone—during the lockdown precisely for that reason. I remember having a Zoom with a whole load of people and somebody said, “I haven’t seen anybody in person for four months,” and I thought that could not be good or right. We have put in place support bubbles for single households for that purpose and of course bear such impacts in mind when we take the decisions we take.

Access to Medical Cannabis

Simon Clarke Excerpts

Monday 8th April 2019 Commons Chamber

[Matt Hancock]

Yes, I would be very happy to do both those things.

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

I commend the Secretary of State for his statement. I, like many others in this House, have had constituents visit me to make powerful, personal cases on the impact they think cannabis oil could have for their children. Will he join me in praising the work of the campaign group End Our Pain, which has done such a good job of highlighting this issue and making sure that we in this House are aware of the situation and of the benefits it can bring?

[Matt Hancock]

I have already paid tribute to the APPG, and today’s urgent question has demonstrated the breadth of concern in this House. Those who are independent of Government need to make sure that they listen to this level of concern. I am certainly determined to do everything I can to try to resolve this issue.

Oral Answers to Questions

Simon Clarke Excerpts

Tuesday 19th February 2019 Commons Chamber

[Jackie Doyle-Price]

The hon. Lady is right in the sense that we have waiting targets for eating disorders, whereby the most acute cases should be seen within a week. We have seen very good progress—indeed, in most areas those targets are met. I will look into the cases that she has highlighted because we need to give attention to where the targets start to be missed. However, I assure her that we recognise that tackling eating disorders among our youngest people through early intervention must be done because prevention is always better than cure.

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

On Friday, I joined the brilliant A&E team at the James Cook University Hospital in Middlesbrough for a night, and it was an insight into just how lucky we are to have our NHS staff—they are fantastic. On the subject of mental health, one of the key themes that recurred in the night was the problem of drug addiction and its impact on A&E pressures. What action will the Minister take in the long-term NHS plan to ensure that we can tackle addiction?

[Jackie Doyle-Price]

We are aware that substance misuse and addiction have a massive impact on mental health. Again, I point to the fact that we have objectives in the long-term plan, including joining up more effectively with local authorities’ work on mental health. Tackling addiction and substance abuse is very much a priority.

Oral Answers to Questions

Simon Clarke Excerpts

Tuesday 4th July 2017 Commons Chamber

[Mr Hunt]

I have great respect for the hon. Lady, because she campaigns consistently on this issue, but I do not think that what she says is a fair reflection of what has happened. In the last year of the previous Labour Government, 45,000 people had to sell their home to pay for their care costs, whereas this Government have made it the law that no one has to sell their home. There is more work to do, but we have made important progress and will continue to do so.

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

T5. Nothing is more important than that people can access a GP when they need one. With that in mind, will the Minister join me in welcoming the move made by South Tees clinical commissioning group to enable 90,000 more appointments a year to be generated for people in Middlesbrough, Redcar and Cleveland by ensuring that appointments are available on evenings, weekends and bank holidays?

[The Parliamentary Under-Secretary of State for Health (Steve Brine)]

I do indeed welcome that. Improvements to GP access in the NHS in South Tees have been put in place. Patients in Middlesbrough, Redcar and Cleveland can now benefit from accessing GP appointments at a time that is convenient for them, seven days a week—that is exactly as it should be.