Dementia Care

Debate between Martin Rhodes and Beccy Cooper

Tuesday 3rd June 2025 Commons Chamber

[Dr Beccy Cooper (Worthing West) (Lab)]

I thank the hon. Member for South Devon (Caroline Voaden) for bringing this important debate to the House this afternoon. I also thank other Members for sharing such personal testimonies; as well as bringing broader context, it really adds value to what this House brings to our national conversation.

As a public health consultant, it would be remiss of me not to spend a couple of minutes talking about how to reduce the risk of dementia before getting on to dementia care, as only about a third of UK adults think it is actually possible to reduce their risk of dementia. I am sure these recommendations will all be familiar to everybody listening. As healthcare professionals and as politicians, we should encourage people of all ages and stages of life, and in particular middle-aged adults, to be more physically active, eat healthily and maintain a healthy weight, drink less alcohol, stop smoking—very apt at the moment—and be socially active.

Many Members have spoken today about being socially active, and socially isolated older adults are nearly twice as likely to develop dementia within 15 years. Further recommendations include controlling diabetes and high blood pressure. If that sounds familiar, it is because we talk about that in the cardiovascular realm, too. We should be communicating loudly that what is good for the heart is good for reducing the risk of dementia.

Let me move on to dementia care. I want to talk a little bit about what we are doing in Worthing West, which relates to a lot of what has been said already, and then I shall conclude with the national picture. In Worthing West we have 2,361 people currently living with the condition. The charity Guild Care is a not-for-profit care service for older people, people with dementia, and children and adults with learning difficulties. It provides care for 120 people with dementia in their own homes and for a further 100 in its respite service. It is great that we have heard so much about respite services in this debate today. It is so important to help people with dementia access support, care and activities that provide a healthy way of living. People visiting dementia day services experience stronger social ties, have better mental health, require fewer GP visits, use less medication, sleep better—something that we all need to do—and have more active engaged minds.

We also know that respite is vital because behind each diagnosis, as we have heard today, often stands an unpaid carer whose career and life are put on hold while their own health quietly deteriorates, as stress, sleep loss and isolation take their toll. Inevitably, in that situation, we see dementia rates rising. Recognising and investing in the value of respite has huge benefits.

We have also heard about some innovative community care hubs across the country. Guild Care in Worthing West is developing its own community hub to combat social isolation. It provides integrated dementia care, diagnosis, support and a rich programme of activities that keep people healthy and living at home. That is an aspiration that we want for all of us—to live well and to stay at home for as long as possible. Our role in Government is to ensure a more co-ordinated system, building on best practice models, such as those that we have heard about today, including that of Guild Care in Worthing West.

We have also touched on training. Guild Care delivers in-house specialist dementia training to its staff in a bespoke programme that it developed with colleagues in the Bromley dementia hub—so I give a shout-out for Bromley there. Good research-based staff training is essential to help care professionals to deliver compassionate, person-centred support, as so many hon. Members have said today. It is the bedrock of quality care.

[Martin Rhodes (Glasgow North) (Lab)]

My hon. Friend mentioned person-centred care in dementia. Does she agree that initiatives such as Playlist for Life in my constituency, which uses meaningful music to reconnect people with dementia to their memories and their identity, should be more widely supported across the NHS?

[Dr Cooper]

What an outstanding service that sounds. I know there is a creative mental health all-party parliamentary group taking place today. We underestimate the benefits of exposure to the creative arts for all of us, specifically for those with dementia. My hon. Friend is absolutely right and I thank him for raising that. Clearly, training is essential, as are the creative arts.

To conclude, I wish to talk about what this all means nationally, and specifically about the implementation of a national social care service, which I know the Minister is very well aware of. I acknowledge that the Casey Commission is a vital step towards implementing that service. The Darzi report and our recent work in the Health and Social Care Committee, some members of whom are here this afternoon, underline what we all know, which is that we cannot fix the NHS without fixing the broken social care system. The two are fundamentally interconnected; we must not look at health and social care issues in isolation, and that includes dementia. We must ensure that strategic plans build better integration and recognise that investment in social care is essential. It is essential to improve people’s lives. Moving from treatment to prevention of illness is pivotal to the NHS 10-year strategy and to reducing the spiralling costs to the NHS of an ageing population.

Let me conclude now with this idea of changing the narrative. This has been touched on this afternoon. Sometimes we think about dementia as an illness that has no hope. One Member has already said that 50% of us may well develop dementia in our lifetimes. One way or another, the illness has touched pretty much everyone in this Chamber. Care Talk recently published a comprehensive report on dementia, which is well worth reading. I would like to urge everyone to take up this new narrative on dementia. The traditional narrative surrounding dementia focuses on decline and inevitability, but, as I have already mentioned, around 40% of dementia cases might be attributable to risk factors that can be modified. A 20% reduction in the risk factors per decade could reduce UK prevalence by 16%—even by this year.

I am advocating for policies that help people live well and protect them from illnesses including dementia, and for services that help people to live well with dementia, by emphasising their strengths, which many personal testimonies have already touched on. We must also be supporting people and their families to better navigate the condition and contribute to their communities and our society.