Dr Caroline Johnson

Today, hon. and right hon. Members will make a choice: whether to take vital winter fuel payments from millions of vulnerable pensioners, including 20,000 pensioners in my constituency. It is important, when Members vote today, that they understand the consequences of their choice. It is important that they understand that when they take winter fuel payments away from vulnerable people, some elderly people will die. Vulnerable elderly people on relatively low incomes will be unable to heat their homes adequately, and as a direct result, because they are cold, they will die. Why? They will die because cold is bad for people. A number of reports that Members may read demonstrate that. When cold, people’s platelets get higher, they vasoconstrict and their blood pressure goes up, putting them at risk of stroke or heart attack. Their lungs become inflamed, which puts them at risk of pneumonia or chest infection. It makes people with chronic pulmonary obstructive disease more likely to suffer exacerbations and ill health. Studies have shown that physical performance and muscle strength—taking caps off things or walking about—are worse in people who are cold, particularly elderly people. That reduces their ability to complete the activities of daily living independently, and it makes them more likely to fall. Studies have also shown that elderly people who are cold in their home are more likely to need to get up at night to go to the toilet or to wake through the night. That again puts them at more risk of falls and therefore hospitalisation. Sleep disruption puts them at risk from a whole range of different illnesses. We also know that as the home temperature falls further, the risks increase. It is a proportional dose-response relationship. The House does not need to take my word for it; there is a lot of medical evidence to this end. The chief medical officer said in his annual report last year: “Cold homes and fuel poverty are directly linked to excess winter deaths.”