Dementia Care

Richard Baker Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Mr Jonathan Brash (Hartlepool) (Lab)]

My dad was a GP in Hartlepool for 33 years. When I was young, I was never more impressed than when he would talk to me about his medical knowledge. The depth of his knowledge was extraordinary, and one of the tricks he used to be able to do at any given moment was take any two numbers I gave him and divide them or multiply them and get the answer right when I checked on the calculator. It was a rare skill, and his impact over those 33 years meant that when I went into politics the most common thing I heard on the doorstep was, “Are you the doctor’s son?” He did tell me recently that someone had asked him whether he was the MP’s dad, and I take that as a small victory.

In Hartlepool, there are 1,299 people living with dementia, and my dad is one of them. He was diagnosed with Alzheimer’s five years after he retired. Speaking to my mum, who obviously is his carer, too, we both agree that it feels like we have already gone through a form of bereavement, because the person who brought me up is not quite there any more. He is happy, and he enjoys his grandchildren, but it is different. I want to see that changed for other people, because early diagnosis is critical. My dad did not get the early diagnosis that he should have received, and we have paid the consequences as we have gone forward.

In Hartlepool, we are pioneering a new dementia strategy. I am so proud of Hartlepool borough council, because as part of that strategy, the council has committed to ensuring that 100% of its social care staff have dementia training, so that this evil disease—I do mean evil—can be caught and better treated at an earlier stage. As we have already heard from the hon. Member for South Devon (Caroline Voaden), only 29% of social care staff in this country have any form of dementia training. I impress on the Minister that that must change.

Dementia is the defining health and social care challenge of our time. It impacts one in two of us—50% of the population—either through being diagnosed ourselves, or having someone in our life diagnosed with it. Despite this reality, too many people living with dementia and their families struggle to access necessary support. The lack of an integrated care pathway often leads to families being led into fragmented and complex systems, where they can easily fall through the cracks and reach crisis point. Shockingly, one in four hospital beds is occupied by a person living with dementia, and those people face hospital readmissions at rates 50% higher than the general population. We must improve specialist dementia support, both in hospitals and in our communities. That is not just a moral imperative; it is vital for building the health service that we want, one that is fit for the future. The forthcoming 10-year health plan presents a crucial opportunity to rectify those shortcomings.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

My hon. Friend is making a powerful speech. I have worked in this area of policy and services, and I am aware that some of the most powerful advocates for change in dementia care are people with dementia themselves and their families. Does he agree that, when formulating new strategies for dementia care, people with dementia must be fully included in making those plans, based on their own experience?

Mental Health Bill [Lords]

Richard Baker Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Wes Streeting]

I am grateful to the hon. Member for that intervention and for raising the very serious issue—an issue of increasing prevalence—of the impact of parental mental ill health on children and young people. We are very happy to look at the Carers Trust proposal, and to take representations on that and other issues as the Bill progresses through its Commons stages. We want to ensure that we get not just the legal basis of mental health provision in the right place, but practical care. As we think about children and young people’s mental health and wellbeing, we also need to take into account their parents’ mental health and wellbeing through that lens, too.

Patients’ choices and needs will always be taken into account, thanks to the introduction of a new clinical checklist. It requires clinicians to involve patients and those close to them in decisions affecting their care, while retaining the power to treat individuals compulsorily where absolutely necessary.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

Does the Secretary of State agree that that should be a case of “only when absolutely necessary”? In my previous role, I provided advocacy for the family of a young man who has been in a state hospital in Scotland for 17 years under a compulsory treatment order. His family live several hours away in north-east Scotland. That is, in my view, a horrendous infringement of his and their human rights. Will he share any learnings from the action the Government are taking, which is so welcome, on how community treatment can be placed effectively for people who are going through such horrific restrictions on their rights to family life?

[Wes Streeting]

My hon. Friend’s question raises two key issues with the provision of mental health services. First, we must ensure that the bar is set in the right place for compulsory treatment. Secondly, we must ensure that both compulsory and voluntary treatment in a hospital setting is within a reasonable distance of family, friends and loved ones. My hon. Friend powerfully describes the impact of such cases, where there is not just a deprivation of liberty, but an impact on an entire family. We need to do much better on both sides of the border when it comes to the appropriate placement of people in mental health settings.

There will always be times when patients hit crisis points and lack the ability to express what they want. To ensure that their voice is not lost and that professionals are working with patients, the Bill introduces duties to encourage people to make an advance choice document while they are well. This document provides a record of their wishes for use by mental health professionals, should the patient later experience a crisis that renders them incapable of making their own decisions.

Oral Answers to Questions

Richard Baker Excerpts

Tuesday 19th November 2024 Commons Chamber

[Andrew Pakes (Peterborough) (Lab)]

7. What assessment his Department has made of the adequacy of access to NHS dentists.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

18. What assessment his Department has made of the adequacy of access to NHS dentists.

[Dan Aldridge (Weston-super-Mare) (Lab)]

23. What assessment his Department has made of the adequacy of access to NHS dentists.

--- Later in debate ---

[Stephen Kinnock]

I am very pleased to hear about what my hon. Friend’s ICB is doing. Working with the dental sector, we will deliver measures to improve access, targeting areas that need it most. Those measures include 700,000 additional urgent appointments and reform of the dental contract. The golden hello scheme, which incentivises dentists to work in underserved areas, is under way across the country, and dentists are also being offered a new patient premium to treat new patients.

[Richard Baker]

Does the Minister agree that it is unacceptable that more than 40,000 people in Fife are not registered with an NHS dentist? Will he share any learning from this Government’s action to increase access to dentistry with his colleagues in the Scottish Government, and urge them to fulfil their responsibilities so that people in my constituency can get the dental treatment that they need?