Dementia Care and Services

Debate between Steve Rotheram and Alec Shelbrooke

Tuesday 7th January 2014 Commons Chamber

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

Dementia services need to be addressed now. According to the Office for National Statistics, by 2030 the number of people entitled to draw a pension will be 15.6 million, of whom more than 3 million will be over 85. Society has done much to prolong lives through a focus on helping ageing bodies and faulty organs, but for too long help for the brain has not kept pace with that for the rest of the body.

With an ageing population, it is no surprise to hear the worrying prediction that 1 million people will be living with dementia by 2021, up from 800,000 today. There is obviously a massive financial worry resulting from the figures, especially when dementia is already predicted to cost the UK economy £23 billion a year, which is more than cancer, heart disease or stroke. It is therefore crucial to have plans in place that are proven to deal effectively and compassionately with dementia and that can be improved and expanded as necessary over the next 10 years.

Aside from the economic argument, the more pressing issue for me is that of compassion, care and support. When my grandmother was diagnosed with dementia 25 years ago, little support or information was available for carers. Being painfully aware that the last two years of her life were spent with little memory or recognition of family members, I now wish that she could have received an earlier diagnosis, so that we could have found professional help much earlier.

To put the problem that we face in context, I will give some statistics from the Alzheimer’s Society, which has been hugely supportive during my preparation for this debate and has worked to raise awareness of these issues in Parliament and throughout the country. One in three people over 65 will die with dementia. Two thirds of care home residents have some form of dementia. There are 600,000 family carers of people with dementia. It is estimated that a quarter of hospital beds are occupied by people with dementia. The most poignant statistic for me when I was preparing for this debate was that dementia is now the most feared health condition among people aged over 55.

[Steve Rotheram (Liverpool, Walton) (Lab)]

I congratulate the hon. Gentleman on securing this debate on such an important issue. As we know from previous debates, this issue is close to the hearts of many people in this Chamber who have first-hand experience of dementia. Given what he has said about people living longer, which is to be welcomed by everyone, does he agree that one of the most important things that we can do is to ensure that there is better co-ordination in the research into the prevention of dementia? The issue of treatment is secondary. Preventing people from getting dementia is surely the most important thing that we can do.

[Alec Shelbrooke]

I am grateful for the comments that the hon. Gentleman has made. He is right that we must not only treat the illness, but consider what preventive work can be done. I will speak later about the need for the national strategy to focus not only on the treatment of people with dementia, but on what other research can be done.

It is obvious that dementia is on the radar of an ageing society. However, given the emotional toll of dementia and its prevalence at the end of life, I was horrified to hear that only 48% of people who live with dementia receive a formal diagnosis, meaning that many people are denied the care and support that they and their loved ones need. Before the national dementia strategy for England was introduced in 2009, the rate was 33%. If further proof were needed that dementia care and services need to be improved as soon as possible, those awful diagnosis rates should be enough to show that something needs to change.

I am proud to be part of a coalition Government who have shone a long-overdue light on dementia, not least through the Prime Minister’s decision to host the G8 summit on dementia last month. However, there is still much to do before we can be confident that everyone who is living with dementia—individuals and families—is able to have a fulfilled life.

Football Clubs (Governance)

Debate between Steve Rotheram and Alec Shelbrooke

Wednesday 8th September 2010 Westminster Hall

[Steve Rotheram]

I totally agree with my right hon. Friend; there is not a one-size-fits-all response to this problem. First, we must identify that there is a problem, to see what we as Members of Parliament can do to alleviate it. Football supporters are shouting from the rooftops about it.

In my own neck of the woods, the pressure group Keeping Everton in our City achieved its objectives by stopping its club from being used as a pawn by big business. The aforementioned SOS-ShareLiverpoolFC has more than 30,000 members and a board packed full of expert professionals with a detailed proposal for funding and securing a buy-out of its club and for governance restructuring along more democratic lines. Supporters are thinking and talking big.

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

On the specific point about governance from the fans, does the hon. Gentleman know—perhaps the right hon. Member for Leigh (Andy Burnham) can help as well—what the fans who may be running a club would think, say, of the commercial viability of a ground share between Liverpool and Everton? Would that be an example of fans’ passions overriding the business case?

[Steve Rotheram]

Give us an easy one! The tribal nature of football, which I will come to later if I have the opportunity, can sometimes override the common-sense approach. The example that the hon. Gentleman gives is a good one. Although the economics stack up in favour of Liverpool and Everton sharing a football ground, there are not many examples in the whole of the United Kingdom of such ground-sharing schemes. It is like suggesting to a Man United supporter that they share Manchester City’s stadium. If that is what the hon. Gentleman is suggesting, it would be a difficult proposal to sell on the doorstep.

There are those who would say, “Leave them to it. Keep politics out of football and football out of politics.” The UK Government have traditionally veered away from being heavy-handed in football business, leaving the sport to its own internal devices and regulatory systems. However, the game itself is now a huge, complex and lucrative industry, which, by definition, impacts on the economy. Premier league clubs alone are saddled with an estimated cumulative debt of about £3 billion. We ignore that and the culture it has permitted it at our peril.

Another major money-yielding industry that, until recently, was deemed untouchable and was pretty much left to get on with things on its own went belly up. On that basis alone, there is a strong case for the Government to intervene. I will go even further and say that the Government not only have a right but a responsibility to get involved. Football has received much financial and political support from Government over the past decade or so, and, at a national level, with Government support, it is bidding to host the World cup. Therefore, in return, the Government have a right to expect the highest standards of governance and a duty to step in when the game falls short of those standards, which it currently does.

However, the case is more nuanced than that; for many, it is personal. The football industry is unique because football is a product like no other. Supporters in general are not simply consumers who can exercise purchase power and walk away from the product if they are unhappy with its quality or performance. Football fans invest emotionally as well as financially in their clubs. Club allegiances, as we have just identified, are deep-rooted and passionate and are often passed down from generation to generation. They are inextricably bound with community ties and identities. In that respect, football, like politics, is tribal. It commands loyalty and constancy and requires member engagement if it is to thrive. The industry itself should recognise and respect that.

The issue is political in other ways. It is said that the new politics is about transparency and accountability, and about more rigorous and meaningful forms of democracy. It is precisely those democratic principles—transparency and accountability—that football followers wish to see enshrined in the conduct of their clubs. It is entirely in keeping with the spirit of the age that football fans should seek greater influence in how their clubs are run, particularly when they see the clubs being run into the ground by profit-fixated asset strippers with little or no understanding of or empathy with a club’s heritage or culture.