Contribution
I could not agree more; a national dementia strategy is of the utmost importance. As I will go on to say, we currently have a situation where people are being moved away from home or where the care they need just is not available.
Nationally, 87% of care services are now commissioned by councils or the NHS at rates below the true cost of care, and locally contracts are being let at around £24 an hour—only 84% of the Homecare Association’s minimum recommended rate. Within that model, smaller island providers are often subcontracted by larger mainland-based organisations at even lower rates. Despite demand continuing to rise, the island is one of the only authorities inadvertently forcing local care providers to make staff redundant or even consider closure, simply because the funding does not stack up and because price increases are not being passed on to those smaller providers by first-tier commissioning organisations. I strongly urge the Minister to press Isle of Wight council to ensure that any funding uplift reaches the frontline providers that are actually delivering care.
Once again, with no dedicated long-term NHS dementia ward on the island, as soon as those block contracts are full, as they increasingly are, there is simply nowhere else for people to go. At that point, decisions are no longer driven by what is best for the individual, but by whatever capacity happens to be available.
The closure of three care homes this year has not occurred in a vacuum. In 2022, the island lost six care homes. With one third of our population aged 65 and over, alongside staff turnover rates that are significantly higher than the national average, this is a system already under immense strain. While dementia care on the Isle of Wight is delivered across a mix of NHS, council and private provision, the reality is that the capacity and specialist care has not been enough for some time.
This is not just an island problem; it is a warning of what lies ahead for the country as our population ages. In making that point, I wish to strongly advocate for any measures the Government consider adopting to confront this national challenge being piloted on the Isle of Wight, where the need is greatest and where meaningful change can be delivered most urgently and, most importantly, measured in almost real time. What makes the Isle of Wight a particularly stark case is the added cruelty of our geography: the reality that families must cross the Solent, which some estimates have placed as the most expensive stretch of water in Europe, in order to visit a loved one who is sick and in need of care that simply cannot be provided closer to home.
Eighty-two-year-old Graham Martin, who is living with dementia, is yet another example of the impact of this reality. In mid-April, he was moved to Southampton against the wishes of his family because of his complex needs, separating him from his wife of 63 years, Carol, who is unable to travel to visit him due to her own health and the cost of ferry travel. Being moved away from home, across a stretch of water, is distressing enough; being effectively cut off from loved ones because they cannot afford or physically manage the journey, at the very moment that people need their family most, borders on forced isolation.
As the niece of another patient facing a mainland placement said to me, “Imagine a vulnerable elderly resident in Westminster being sent to a care home on the Isle of Wight. It simply would not happen.” It would not happen because in other parts of the country, the system would not tolerate separating vulnerable people from their families in this way, yet for the Isle of Wight, that basic standard is not applied.
MPs and Ministers all the way up to the Prime Minister have heard me talk relentlessly about how the island is a brilliant place to live, work and learn, and despite my intervention today I still believe that to be the case. But that comes despite the inequality and deprivation we face, which is hidden by neighbouring prosperity. Whether it is schools unable to take a trip across the Solent due to budgetary constraints, young workers having to look for jobs elsewhere due to lack of opportunity, or—as I have spoken about today—an elderly person ripped away from their home because of lack of capacity, the Isle of Wight has been functioning with one arm tied behind its back. The time has come to do something about it.
When capacity on the island runs out—and without the necessary action, it inevitably will—people are not just delayed but displaced. What should be an absolute last resort for the most vulnerable people is fast becoming a routine response, with elderly people being sent miles from their home simply because the system cannot cope. That is neither sustainable nor dignified, and it cannot be allowed to continue. I ask the Minister to take action for the benefit of my Isle of Wight residents.