Wednesday 21st January 2026

(1 day, 9 hours ago)

Westminster Hall
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Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

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Liz Jarvis Portrait Liz Jarvis (Eastleigh) (LD)
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I beg to move,

That this House has considered dementia support in Hampshire.

It is a pleasure to serve under your chairship, Ms Lewell. We all know someone who has been impacted by dementia. My much-loved mum died in 2024 after a seven-year struggle with Alzheimer’s, so I know first hand what it is like to have to fight for the care and support that dementia sufferers need.

One in three people born today will develop dementia in their lifetime. Across Hampshire, more than 22,000 people are currently living with dementia. If national trends continue, that number is expected to rise to more than 31,000 by 2040. Dementia already places high pressure on families, the NHS and social care, and without decisive action that will only intensify. It is vital that we get the system right.

According to Dementia UK, 1,323 are living with dementia in Eastleigh, which is approximately 1.41% of the local population—higher than the national average.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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This is a massive issue for each and every one of us. The hon. Lady has referred to figures in her constituency, but given Northern Ireland’s ageing population, the figures there are expected to almost double, rising from 22,000 to 43,000 by 2040. That poses major challenges for health and social care. Does she agree that to be forewarned is to be forearmed, and that the Government must make preparations to deal with the growing numbers by implementing changes to the system right now?

Liz Jarvis Portrait Liz Jarvis
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I absolutely agree with the hon. Member.

The average wait time for a dementia diagnosis in Eastleigh is 91.7 days, and post-diagnostic support is inconsistent and often inadequate. We must get to a position where dementia care is built around a clear, joined-up pathway that families can rely on from the very start and where a person can receive early diagnosis followed immediately by assessments, access to specialist advice, dementia-trained professionals and consistent points of contact, such as Admiral nurses. Drug treatments, where appropriate, home-based support, respite care and, where needed, smooth transitions into care homes, would all be part of one coherent system, not a maze of disconnected services. We need more support to stay at home and more support in the community, and family carers should be informed about available support and given greater access to regular respite. Diagnosis must be the gateway to timely, specialist and sustained support; too often it is not.

Chris Hinchliff Portrait Chris Hinchliff (North East Hertfordshire) (Lab)
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The hon. Member is making a powerful speech about an incredibly important subject. It affects my constituency, too, where we have 1,500 people living with dementia. On top of that, as she was referring to, around a third of the people currently living with dementia do not have a diagnosis and, staggeringly, the NHS does not have a target to tackle that. Will she join me in urging the Minister to meet with Alzheimer’s Research UK to discuss its call for a national 18-week target from when people are referred by their GP for assessment to when they receive diagnosis and a treatment plan?

Liz Jarvis Portrait Liz Jarvis
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I absolutely agree with the hon. Member.

I heard from a constituent whose wife has Lewy body dementia and has lived in the same care home for several years. She is settled there and knows the staff. They know her needs, her routines and her personality. It is, by any reasonable definition, her home. Yet my constituent has been told that when money for his wife’s self-funded care runs out, she will not be supported to remain there because the home is not on Hampshire county council’s approved list. She will be forced to move away from familiar faces into an unfamiliar environment at precisely the stage when stability and familiarity matter most.

Families impacted by dementia frequently find themselves navigating a fragmented system, unclear funding decisions, delayed assessments and a complete lack of continuity of care. One of my constituents told me that his mum, who is in her 90s, has been informed that her savings have now fallen below the financial threshold. He requested a review from the county council months ago. Despite repeated chasing, he has been told that it may be many months before their situation is reviewed. In the meantime he has been placed in the impossible position of having to somehow find the funds to continue to pay care home fees that he cannot afford or risking financial instability for the care provider. That is not how a compassionate system should function. Continuing healthcare funding must be urgently reviewed. Too many families face flawed assessments that fail to recognise the complex needs of people with dementia, leaving them to shoulder enormous financial burdens at the most vulnerable moments of their lives.

Alex Brewer Portrait Alex Brewer (North East Hampshire) (LD)
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I am sorry to hear about the experience of my hon. Friend’s mother, and the experiences of my hon. Friend’s constituents. Many people in my constituency of North East Hampshire face similar challenges. I have personal experience with a relative who could not get a diagnosis in Hampshire despite many of us, as her family members, trying very hard to help her to do so. She ended up having to fund all her care herself, and did not get treatments that she might have needed. Does my hon. Friend agree that the Government must prioritise this care so that people with dementia can have continuity and the support that they need?

Liz Jarvis Portrait Liz Jarvis
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Of course, I absolutely agree with my hon. Friend. There is too much confusion and delay around accessing assessments for dementia patients and their carers, and too much focus placed on ticking boxes rather than determining the most cost-effective options available to families.

Hospital discharge is another major pressure point, as up to one in four beds are currently filled by someone with dementia. I have been contacted by families whose loved ones have spent weeks in hospital only to face discharge into home environments with minimal support. My constituent Nicola told me that the consultant and occupational therapist caring for her father said that he should not be discharged because of his high risk of falls, but that their hands were tied by the county council. She said that the family were told to supervise, rather than to provide care, and to wait for carers to arrive. That meant her father would be left at risk of falls and accidents, or left sitting in soiled clothing, because no one was allowed to intervene. Family carers should not have to go through such endless battles, facing constant uncertainty about support and being stretched to the limit just to get their loved ones the care they deserve.

The ambition in the Government’s 10-year health plan is to move care from hospitals into the community, with greater access to neighbourhood health centres. That ambition is welcome but it will succeed only if dementia specialist support is embedded at its core. Neighbourhood health services must include dementia-inclusive multidisciplinary teams with access to specialist dementia nurses. Changes to the Hampshire carer support and dementia advice service have compounded those challenges. For 12 years, that service was delivered by Andover Mind, which provided advice, guidance and vital emotional support. It was changed with very little notice, as part of Hampshire county council’s ongoing savings programme, which is addressing a projected shortfall of £143 million for the coming year. Chronic underfunding of local government has meant that such non-statutory services are often cut back, despite being lifelines for so many people across the county.

Danny Chambers Portrait Dr Danny Chambers (Winchester) (LD)
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I can empathise with my hon. Friend’s experiences of caring for her mother. My father also died of dementia; we cared for him at home for many years. On a more positive note, I recently visited the St John’s dementia group in Winchester. It is a fantastic group with loads of activities—I joined them in singing “Sweet Caroline”, badly—and it provides vital support for those with dementia and for their carers by giving them some respite. Does my hon. Friend agree that we need to do all we can, at the local and national levels, to support such community groups, which provide light relief for people in very stressful, chronic situations?

Liz Jarvis Portrait Liz Jarvis
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I absolutely agree with my hon. Friend. When my mum was first diagnosed with dementia, one of the most important things for her was going to Singing for the Brain sessions, where people are encouraged to remember old songs. That was brilliant for her, but obviously it is not enough. When the condition starts to progress, it becomes harder and harder, yet the care that is needed is often not available, as I am setting out.

Damian Hinds Portrait Damian Hinds (East Hampshire) (Con)
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In a similar vein to the hon. Member for Winchester (Dr Chambers), it is important that families know where to access these voluntary sector services. The East Hampshire dementia services directory is a great initiative, as are voluntary groups such as Dementia Friendly Petersfield and Dementia-friendly Alton. The Alton group now has its own dedicated building and a full programme of activities; I have invited the Secretary of State to visit, as it is an interesting initiative to see. Will the hon. Lady join me in commending all the wonderful voluntary sector groups?

Liz Jarvis Portrait Liz Jarvis
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Absolutely. Community-based activities that keep people active, stimulated and social must be protected and expanded. Those services delay deterioration, reduce hospital admissions and improve quality of life for people living with dementia, and for their fantastic family carers.

At present, there is no Admiral nurse service in Eastleigh, leaving my constituents reliant on acute services, such as Wessex neurological centre or Winchester hospital. Admiral nurses provide specialised, dementia-specific care, offering expert guidance and continuity to families navigating a terrible disease in an increasingly complex system. Without that local, in-person support embedded in community care, families are more likely to face prolonged uncertainty at the very moment when specialist help would make the greatest difference. I urge the Government to adopt a new national dementia care pathway, backed by clear minimum service standards, that includes guaranteed support across the entire journey—from pre-diagnosis through to end-of-life care—standardised wait times and a meaningful post-diagnostic support plan for every person with dementia.

Improving dementia outcomes must also include wider access to new treatments. The National Institute for Health and Care Excellence has ruled that the drugs lecanemab and donanemab will not be provided on the NHS due to their cost. As a result, people with early stage Alzheimer’s disease in England and Wales will not have NHS access to medicines that have been shown to slow the progression of the disease. Will the Minister support an update to the NICE guidelines to reflect the growing pipeline of disease-modifying treatments, so that people who cannot afford to pay privately do not have to face long waits for innovative treatments?

I also highlight the need for greater consideration of the specific needs of people living with early onset dementia. According to Dementia UK, an estimated 70,800 people in the UK have early onset dementia, where symptoms develop before the age of 65, but diagnosis can take significantly longer for younger people and many are left with very limited post-diagnostic support. At their most vulnerable, they are forced to navigate health and social care systems that are designed for older people and take no account of mid-life responsibilities, such as dependent children, while facing the financial and psychological consequences of leaving employment early, as well as facing a terminal illness. That is why every integrated care system must be required to develop a clear, co-ordinated early onset dementia pathway.

We must also address the needs of people living with rarer forms of dementia, those for whom English is a second language, and those, such as veterans, whose dementia is shaped by trauma. I have previously raised the fantastic work carried out by Veterans Dementia Support UK in my constituency, which provides vital help to former service personnel and their families, and recognises the complex relationship between dementia, post-traumatic stress disorder and past trauma. That specialist understanding must be reflected across the system.

Care home quality and workforce training are also critical. An estimated 70% of care home residents aged over 65 are living with dementia, yet only around a third of staff receive any dementia training. A statutory duty for dementia training across all Care Quality Commission-registered care providers is long overdue.

Dementia care is not just about systems, funding and targets, but about people, and what we would want for our own parents, partners and friends. I have seen the difference that inclusive, enriching care makes, whether through meaningful activities, music, poetry, or simply someone taking the time to understand the person behind the diagnosis. On constituency visits to Sunnybank House care home in Fair Oak, Brendoncare Knightwood care home and the HC-One Chandlers Ford care home, I have witnessed the professionalism and commitment of staff first hand. It is always a privilege to join Dementia Support Hampshire and Isle of Wight for its Christmas carols at St Andrews church in Eastleigh. It is a reminder that joy, connection and matter right to the end.

With our rapidly ageing population, it is crucial that more support is given to families coping with dementia, so that they do not have to jump through endless hoops to get support, and that those living with dementia are treated with the specialist care, compassion and dignity that they deserve.

I have previously spoken in this House about the impact of dementia and Alzheimer’s on my family and how, when a loved one is diagnosed with that terrible disease, you lose them twice. My constituent Nicola, whose father has dementia, has asked me to urge Members to

“think about how they would feel if it were happening to their loved one and how they would feel if their loved one had no-one to advocate for them to get the right help and support.”

I urge the Minister to listen to the experiences of families in Hampshire, to act on these recommendations, to work closely with Alzheimer’s Society, Dementia UK and Alzheimer’s Research UK, and to ensure that dementia care in this country is finally given the priority it demands.