Caroline Voaden MP: speeches

Speeches

• 3 Jun 2025 · Dementia Care · Hansard source

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  Having regular, small chunks of respite is absolutely vital for carers.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I absolutely agree. In 2023, Devon saw the closure of its dementia advice service after 10 years because of a cut in funding under the previous Government—a decision that left a significant gap in community support across the county. The service offered vital information, practical advice, and tips and strategies on coping with dementia, as well as signposting to legal and financial support, and the closure was a blow to many families already struggling to cope. It is a scandal that Devon’s integrated care board has neglected older adults by cutting a service that was designed to prevent early care home and hospital admission, and to ease pressure on primary care. However, there is hope on the horizon. Devon has recently developed a new countywide Devon dementia strategy, which aims to bring about real and meaningful change for those living with dementia and their loved ones. Written in collaboration with over 40 organisations, it sets out what is needed in dementia care today and for the foreseeable future, and I commend them for their work. This strategy is vital, and so is the funding to support the measures it highlights. Dementia prevalence in the area covered by Devon’s ICB is expected to rise by 54% between 2023 and 2040, and by then, over 33,700 people in Devon will be living with dementia. Now is the moment to act, to ensure that this strategy is not just a document that sits on a shelf but becomes a driving force for better services, earlier diagnosis and more consistent support. I would like to briefly share the story of one of my constituents, Michael, to illustrate why this is so urgent. Michael’s wife began showing signs of dementia six years ago and was diagnosed with moderate to severe Alzheimer’s nearly five years ago. As her symptoms worsened, her condition became more difficult to manage, and she was eventually sectioned as being a danger to herself. At that point, the NHS took over her care, and she is now in a home where she is receiving very good care. Michael has nothing but praise for his GP, the older people’s mental health team and his local hospital for their support. However, his experience has highlighted critical gaps in the system. He recalls the complete lack of day care facilities to provide respite before his wife went to hospital and the overstretched system that was unable to assess people quickly or provide necessary help, either at home or in day care.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I absolutely commend all those groups—the hon. Member is lucky to have so many in his constituency. Like many other diagnoses that can be equally shocking to receive, dementia has no cure. Approved medications offer limited benefit only in the early stages and not for everyone. For those in the moderate to late stages, the most effective treatments are access to information to navigate the social care system and good-quality care. That means personalised, respectful and consistent support not only for the individual but for their family too, and that family support is critical. Across Devon and beyond, unpaid carers bear the overwhelming weight of responsibility. There is a physical, financial and emotional toll from the moment of diagnosis, yet respite support is sparse and, in many places, non-existent.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I absolutely agree that early diagnosis is one of the key things that makes a difference to anyone living with dementia. We talk a lot about social care in this place, and the Liberal Democrats have championed the cause of carers—those thousands of people who quietly and lovingly dedicate themselves to caring for someone they love, often someone suffering from dementia. These carers are, because of the nature of this disease, often elderly themselves and, because of a postcode lottery, are sometimes left to just get on with it themselves without the vital support and advice that they so desperately need.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I could not agree more—I am sure I will agree with most of the interventions in this debate. This does not have to be the outcome. We know that with the right support at the right time, people can live well with dementia at home, and that reduces pressure on services and improves quality of life.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I beg to move, That this House has considered dementia care. I thank the Backbench Business Committee for granting time for this important debate and Members for supporting it, as well as the charities and organisations that have provided material. Dementia is undoubtedly one of the most urgent health and care challenges facing our society, and I know that most of us in this Chamber will know someone affected by it. My family is currently battling it on two fronts. My confident, witty, generous father-in-law is now almost unrecognisable as the man he used to be. He is lucky to be living in a lovely care home where he receives the best care possible, but the decision to move him there was heartbreaking. My brilliant, funny cousin, always the life and soul of family parties, was diagnosed far too early with frontotemporal dementia, which is likely to affect her ability to communicate over time—a particularly cruel diagnosis for someone so young. Watching people we love become confused by the world around them, unable to communicate and fading away from us while so physically present is heart-wrenching. Dementia has to be one of the cruellest conditions for those afflicted and for those supporting them. As we are neatly placed between Dementia Week and Carers Week, it is fitting that we should discuss this condition with which 900,000 people in the UK are living, most over the age of 65. Dementia is now the leading cause of death in the UK, and while its scale is national, its impact is deeply local and personal. It is already widespread as our population ages, and that number is expected to rise sharply. According to NHS England, one in 11 people over the age of 65 has dementia, and that rises to one in six for those over 80. In Devon, which has one of the oldest populations in England, this issue is not just coming; it is already here. Unless we act now to improve diagnosis, care and support, we will fail tens of thousands of families in our communities. A timely diagnosis is not just about putting a name to a condition; it is also the essential first step towards accessing care, planning for the future and, increasingly, receiving treatment. New disease-modifying drugs for Alzheimer’s offer real hope, but only if the disease is caught early and diagnosed accurately. In October 2023, the all-party parliamentary group on dementia published a report highlighting the significant regional disparities in dementia diagnosis across England. The findings were stark. While Stoke-on-Trent had the highest diagnosis rate, at 90%, the South Hams—much of which lies in my constituency of South Devon—had the lowest rate nationally, at just 44%.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I do not think there is much to add, but I want to thank all the Members who have come here today and shared their personal experiences of dementia affecting family members and loved ones. I know it is not an easy thing to do, and we all have really difficult experiences. It has been very moving to hear those personal stories. We have a Minister who deeply feels these issues and understands what dementia means and the impact on the wider family. I would like to see properly trained dementia nurses in every GP surgery and acute hospital trust in this country, so that we can keep these people at home, look after them, look after their carers, and support the people who love them and do an incredible job. I pay tribute to the hundreds of organisations all over the country that are doing amazing work, many of them on a voluntary basis. Question put and agreed to. Resolved, That this House has considered dementia care.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I thank the hon. Member for his intervention—I have not quite got there yet, but it is in my speech. We are also calling for a cross-party commission to form a long-term agreement on sustainable funding for social care in England. Last week I met journalist John Suchet, whose wife Bonnie died of dementia. He is now married to Nula, who lost her husband James to a rare form of dementia known as Pick’s disease, diagnosed when he was just 57. John and Nula met in the care home where they were supporting their partners. They supported each other along a terrible journey and have both since written books about their experience. In Nula’s book she says: “Dementia, dementia, what is it? I still know very little. All I know is, it’s a bloody cruel, sadistic disease, that has demolished my hopes, plans and dreams. It has taken away my life, twisted it and mangled it, and so it can claim another victim—two for the price of one…With absolutely no professional support—no-one at all monitoring his or my journey as they would, for instance, a cancer or Parkinson’s patient. I am entirely alone.” It should not and must not be like that for the carers who give up everything to look after someone they love. This is where the Government must step in. We need a clear strategy to support people with dementia and their families at every stage. That starts with an urgent review of NHS continuing healthcare, so that dementia-specific needs, especially cognitive and behavioural needs, are properly recognised, with specialists involved in assessments. No one should face dementia alone. Families must have access to a specialist dementia nurse, regular health and wellbeing reviews, and co-ordinated, joined-up care. We also need a national framework for young onset dementia, ensuring timely diagnosis, tailored support, and fair access to care. To relieve pressure on hospitals, every NHS acute trust should have a specialist dementia nurse service, backed by ringfenced funding. Investing in dementia support will clearly save the NHS money in the long term. I am sure the Minister knows these statistics, but I will read them out: people with dementia visit the GP three times more often than someone without dementia; 25% of people with dementia living in their own homes are admitted to hospital with a potentially treatable condition; 25% of hospital beds are occupied by people with dementia, and they stay in hospital twice as long as other people aged over 65; and 43% of people with dementia in hospital are there due to urinary tract and chest infections, both of which are treatable at home. A voluntary, community and social enterprise response to the closure of the Devon adviser service showed that dementia support workers are cost-effective, and that every £1 invested in dementia support worker roles results in almost £4-worth of benefits. Compare that with the cost of a hospital stay. Over 85% of dementia patients with a hip fracture stay for up to 14 days, and 34% for over a month, despite the national average length of stay being just seven days. The extra cost is estimated at around £6,000 per patient. The Alzheimer’s Society said between 2015 and 2020, “almost 336,000 admissions costing almost £1 billion to the NHS were for chest infections, delirium, falls and UTIs, all of which can be prevented or managed well in the community.” Clearly, this is a strong case for invest to save. Clinical care must go hand in hand with long overdue social care reform. The Liberal Democrats are calling for a comprehensive social care workforce plan, the creation of a royal college of care workers, and a higher carer’s minimum wage to reflect the value of this essential work. Unpaid carers also need support, with paid leave, respite breaks, and proper recognition. Finally, we must expand dementia training across the sector, backed by a national care agency to uphold standards and register care workers. The Care Quality Commission has just published a report that underlines the importance of reform. Its findings were alarming, confirming that health and social care staff frequently lack understanding about the specific needs of dementia patients. The Alzheimer’s Society estimates that only 29% of paid carers have training in dementia. Dementia is a growing issue and the system is already under strain. Right now, approximately 30% of general hospital beds in Devon are occupied by people with dementia, many of whom are there because of preventable conditions. A sustainable strategy for dementia care must focus on community-based support, early diagnosis, carer support and workforce training. That is not only the right thing to do; it will save money in the long run. It is time that we treated dementia care not as a burden, but as a vital part of building a compassionate and sustainable future for everyone affected.

• 3 Jun 2025 · Dementia Care · Hansard source

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  So many thousands of people are doing this care for free, at home, living under this burden and worrying about what will happen if they are no longer there. They deserve recognition and help to put those plans in place, in case something happens to them—that is crucial. For many families, accessing respite care is a huge challenge. Caring for someone with dementia is often a 24/7 job and is utterly exhausting, yet unpaid carers like Michael are saving the country billions of pounds and are often doing so without the support they need. Michael echoes the calls I have heard in my own family for the Government to do more to support carers by ensuring they have access to regular respite care. We must also urgently examine the funding and availability of care homes that can support high-needs dementia patients.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I thank the hon. Member for her contribution, and I agree that community groups such as the one around the Yealm are vital in caring for people with dementia. Devon as a whole is falling worryingly behind. As of March 2025, our county’s dementia diagnosis rate stands well below the national average, placing Devon 39th out of 42 NHS systems in England. At the same time, demand for services is increasing sharply. Referrals to the Devon memory service have surged by 94% of the past five years, yet no additional investment has been made to meet this rising need. In Torbay the pressure is especially acute, with some individuals now waiting up to 20 weeks for an assessment. A diagnosis can change lives. It provides clarity, access to support and the opportunity to plan for the future. It has proven to help people live well with dementia, but without investment people are being locked out of vital services, including support groups. One local dementia charity told me: “Until there is a formal diagnosis, patients and their families cannot access our Memory Cafes, as our funding requires a confirmed diagnosis to provide support.” I know from family members that this kind of support can make a world of difference, giving carers contact with others who truly understand the pressures and strain of caring for a much-loved relative who is slowly but surely losing themselves to this awful condition.

• 3 Jun 2025 · Dementia Care · Hansard source

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  The hon. Member has beaten me to it—I absolutely agree. The lack of respite support is pushing carers into crisis, and when that happens the result is clear: faster entry into long-term care, increased hospital admissions, more GP appointments and distress for everyone involved.

• 3 Jun 2025 · Dementia Care · Hansard source

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  There is a lack of equity, is there not? I looked at Hansard , and dementia has been mentioned 192 times since the general election last year, but cancer has been mentioned nearly 1,000 times—we have spoken about cancer five times more than we have about dementia. That shines a light on what a hidden problem it is, and yet it is not hidden, because we all have experience of it. We must urgently examine the funding and availability of care homes and find a way to reduce the staggering costs, which can cripple family finances and local authority budgets. House of Commons Library research commissioned by the Liberal Democrats has shown that the cost of care in nursing homes increased by 61% from 2015 to 2022. That is why the Liberal Democrats are calling for the introduction of free personal care in England, based on the model introduced by the party in government in Scotland in 2002, so that provision is based on need, not ability to pay.

• 2 Jun 2025 · Bus Services (No. 2) Bill [Lords] · Hansard source

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  Buses are often seen as a service for the elderly, and they are vital for older residents, especially in rural areas where isolation poses a serious threat to health. Buses can be a social lifeline, but in those rural communities they are also a vital connection to education, healthcare and work. The number of bus journeys in Devon has fallen by 40% since 2015, and in my large rural constituency many communities have been left behind by unreliable, infrequent or inadequate bus services. Many villages have no bus service at all, while others feel lucky to get one a day. The Stagecoach Gold bus runs between Paignton and Plymouth. Stagecoach withdrew the early morning service last year following consultation with local transport authorities, because low passenger numbers meant that the service was no longer commercially viable. It may not have been “standing room only”, but cutting that service is just not good enough for those who start their shifts before sunrise and keep our communities running. One bus driver was left with no choice but to buy a car to get to work, as he would have lost his job if he could not get to Totnes by 7 am. Another constituent said: “These changes disproportionately affect key workers, particularly those in sectors such as healthcare, retail and hospitality, who depend on early or late bus services to commute. Many of these workers have few if any alternative transport options. These individuals, likely among the lowest paid in our community, will face increased financial and logistical challenges as a result of these cuts.” When Stagecoach relocated the Dartmouth bus depot to Plymouth, the early-morning 92 route was cut. Students could not get to college, and local drivers lost their jobs. Stagecoach also cut the 17 route in Brixham, so no visitor, holidaymaker or hospitality worker can get home after 6.30 pm. That is hardly a late night out. I welcome the principles behind the Bill. It is right to give more powers to local authorities, and it is right to acknowledge that socially necessary routes must be protected. However, the Bill must go further if it is truly to deliver the “bus revolution” that the Government claim. Local authorities must have the power and the funding to keep services running, and a duty to implement socially necessary services. This is not just about commuting to work; young people in South Devon depend on buses to get to college, but also to access that crucial first Saturday job—to build independence, to gain skills, and to put something real on their CVs. How are those who live in a small village with no shop, no café and no reliable bus service meant to get any experience if they cannot travel? This is vital to the Government’s skills agenda. A well-funded and reliable rural bus network does not just support today’s economy; it builds tomorrow’s workforce. We have seen in Ireland what is possible: rural bus use has increased fivefold since 2018, because the Irish Government invested in rural transport and created new services where they were needed. That is the kind of ambition we need. Let us grow our economy by revolutionising rural transport with regular, clean, green buses. I wholeheartedly support giving real franchising powers to all local authorities, with simple, integrated funding and a focus on net zero buses, but let us not pretend that those powers alone are enough. Councils need the funding, the staff and the backing to use them. Raising the fare cap from £2 to £3 is a false economy. For a student or someone on minimum wage, it is a real barrier to access. The cap must be restored and made permanent if we are serious about affordability, ridership and ironing out inequalities. I would also like to see local authorities, such as Devon county council, have the power to introduce integrated transport passes like the ones we use in London, so that people in rural areas can get the bus to a station, and then take a train, in a joined-up, cost-effective and user-friendly way. This Bill has potential, but it must be backed with the ambition and investment that rural communities like mine desperately need. Buses are for everyone—young or old, and in cities, in villages or even on Dartmoor—and this House must deliver an ambitious, modern system that reflects that.

• 22 May 2025 · Access to NHS Dentistry · Hansard source

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  NHS dentistry is in crisis, and South Devon is no exception. According to the Nuffield Trust, it is now at “its most perilous point in its 75-year history.” Parents are pulling out their children’s teeth at home. Pensioners are travelling abroad for basic dental treatment. Hundreds of people in the dental desert of South Devon have simply given up hope of ever seeing an NHS dentist again. Last year, 13 million adults across the country could not get an NHS dental appointment—more than one in four. In my constituency, the situation is even worse. Over 60% of adults and 50% of children in Devon have not seen a dentist in the past two years. No local practices are accepting new NHS patients, and waiting times can stretch into years. The crisis is driven by an underfunded and outdated system that is pushing professionals out. In England, NHS dentistry receives just £38 a head. In Scotland, I am told that it is nearly double that. Each year, hundreds of millions of pounds in dental funding goes unspent, not because it is not needed, but because dental practices cannot recruit or retain staff under the current contract. The rigid contract system is also preventing dentists coming up with innovative ideas, such as a proposal for a no-frills, low-cost dental service in Dartmouth in my constituency that got nowhere because of NHS red tape. I ask the Minister when will we hear about a reformed dental contract? The Dental Defence Union has highlighted other issues that are contributing to the collapse. One major concern is falling morale among dental professionals. In a 2022 survey of nearly 500 dental staff, 86% reported experiencing increased workplace pressures over the past two to three years—a clear signal that the working conditions are driving people out of the profession. Dentists are also losing money to provide NHS care. For every denture they fit, they are out of pocket by more than £40. No wonder over 60% of NHS dentists say they plan to leave. We need urgent action. That is why the Liberal Democrats are calling for real reform. We are campaigning to end dental deserts and to guarantee access to an NHS dentist for everyone who needs urgent or emergency care. Our dental rescue package would bring dentists back to the NHS by fixing the broken contract and using flexible commissioning to meet local needs. We want an emergency scheme to ensure free NHS check-ups for those who are already eligible, such as children, new mothers, pregnant women and people on low incomes. We are also calling for guaranteed access to dental care for anyone needing treatment before chemotherapy. The longer this goes on, the worse it gets. South Devon needs proper dental care, not more delays. Yes, preventive dental care costs money, but prevention is always better and cheaper than cure.

• 22 May 2025 · School Teachers’ Review Body: Recommendations · Hansard source

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  I think we would all agree that education is the best investment that any Government can make; it raises people out of poverty, improves social mobility and improves health outcomes. Sadly, it was not a priority for the last Government, and I welcome the change in tone from the new Government, although I think it will take more than breakfast clubs to fix the problem. The Devon branch of the National Association of Head Teachers has said, “We’re on our knees.” Primary schools are consolidating classes because they are having to cut spending, and one secondary school in my patch will have to pay £95,000 extra for every 1 percentage point rise in pay that is not funded. If the pay award is not fully funded, can the Minister explain exactly where schools are supposed to find this extra money?

• 22 May 2025 · Independent Sentencing Review · Hansard source

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  The national average reoffending rate for people who have done a short-term sentence is 54%. Among those who graduate from a prisoner rehabilitation programme in my constituency, the average reoffending rate is just 6%—and the programme is still in touch with every single graduate, after operating for 10 years. In the spirit of trying to reduce the prison population, does the Lord Chancellor agree that such rehabilitation programmes are absolutely crucial and that investing in rehabilitation not only keeps people safe in the community because it reduces the reoffending rate, but helps the mission to free up prison places for the dangerous criminals who absolutely need to be there?

• 22 May 2025 · Location of the Torbay and South Devon NHS out-of-hours Primary Percutaneous Coronary Intervention Services · Hansard source

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  I rise to present a petition on behalf of the residents of South Devon concerning the proposed temporary co-location of the Torbay and South Devon NHS Foundation trust’s out-of-hours primary percutaneous coronary intervention services at the Royal Devon and Exeter hospital. This change would significantly increase travel times for patients suffering life-threatening cardiac emergencies, causing deep concern in the community. Many constituents have contacted me fearing delays to urgent care. Quick access to treatment is critical in these situations, and this proposal could endanger lives by reducing access. The petitioners therefore request that “the House of Commons urges the Government to ensure NHS Devon reconsider the proposed co-location and to ensure that all PPCI services, including out-of-hours, remain accessible within the local area.” Following is the full text of the petition: [ The petition of residents of the United Kingdom, Declares that the proposed temporary co-location of the Torbay and South Devon NHS Foundation Trust’s out-of-hours Primary Percutaneous Coronary Intervention (PPCI) services at the Royal Devon and Exeter Hospital will lead to increased travel times and potential delays in emergency cardiac treatment for residents in South Devon; and further declares that the protection of timely, local access to urgent cardiac care is essential. The petitioners therefore request that the House of Commons urges the Government to ensure NHS Devon reconsider the proposed co-location and to ensure that all PPCI services, including out-of-hours, remain accessible within the local area. And the petitioners remain, etc.] [P003075]

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  I absolutely agree. In the society we live in today, it is fundamental to planning that connectivity should be considered at the earliest stages of any new development. I am on my last line, if anybody wants to intervene.

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Stuart. I commend my hon. Friend the Member for Frome and East Somerset (Anna Sabine) for securing this debate. Too many people in South Devon are still being cut off by poor digital infrastructure. Airband promised to deliver, but was allowed to fail spectacularly across my constituency.

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  I thank my hon. Friend for his intervention. I totally agree. It is outrageous that a company like Airband is allowed to pick off the easy bits and then walk away when it comes to the more expensive bits of the contract. In Staverton, most residents have no mobile signal at all. Although mobile providers claim high coverage levels, the claims do not align with the reality on the ground. In Diptford, broadband coverage is at best patchy. I myself used to have to have a satellite connection on the roof of my house to connect to a station in Italy in order to get internet connection.

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  Will the Minister give way?

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  I am nearly finished—there is only one line left—but I will give way one last time.

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  I am not aware of the specifics of mobile towers, but I am sure the hon. Member is absolutely right. Back to Diptford: years ago, residents were promised full-fibre broadband, but it has yet to materialise. Despite repeated assurances from providers and Governments, very little progress has been made. Residents in Holne, Loddiswell, Aveton Gifford, Rattery, Capton, Higher Brixham, Buckfastleigh West, Maypool, Galmpton, East Cornworthy, Thurlestone, Woodleigh, Norton in Dartmouth and more remain disconnected, creating a digital divide that affects access to vital services and businesses’ ability to connect.

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  I thank the hon. Member for that intervention; I could not agree more.

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  Go for it.