Older Persons: Provision of Public Services — House of Lords, 2019-06-13
Topic: Health
Alan Thomas Howarth (Labour, Centre-left): My Lords, we live in a fractured society. Our twin cults of individualism and the market have tended to diminish our sensitivity to each other’s needs, untie our social bonds and induce extensive anomie and depression. In our wealthy and crowded country, social isolation and loneliness are endemic, particularly among people on low incomes. Age UK reports that 1.2 million people are chronically lonely, and loneliness impairs their mental and physical health. Figures from the NHS yesterday told us that there are 454,000 people diagnosed with dementia and perhaps another 220,000 living with undiagnosed dementia. We should try to imagine the loneliness of those people and of far too many of their carers The Marmot review argued that social participation leads to a healthier life expectancy. We are told that perhaps one-quarter of GP appointments are sought by people who do not have a diagnosable clinical condition but who are living in isolation. I very much admire the response to this challenge by the present Secretary of State for Health and Social Care, Matt Hancock. His speech to the King’s Fund in November and his long-term plan for the NHS place prevention at the centre of healthcare strategy, social prescribing at the centre of prevention, and the arts and culture at the centre of social prescribing. He has also endorsed the three key messages of Creative Health, the report of the All-Party Parliamentary Group on Arts, Health and Wellbeing, which I co-chair with Ed Vaizey. These messages are that the arts and culture can help keep us well, aid our recovery and support us to enjoy longer lives better lived; help the NHS and social care meet major challenges such as ageing, long-term conditions, loneliness and mental health; and help save money for health and social care There is much evidence that engagement with the arts, whether through choirs, painting clubs, dancing, drama or reading groups, improves social connectedness and the ability to make relationships and confers benefits for health. There are a number of case studies in Creative Health which illuminate that. A randomised control trial assessing the benefits of Sing For Your Life, a project running singing groups for old people in Kent, found measurable improvements in their quality of life. The Staying Well project in Calderdale, which enables older people to have opportunities to paint, draw or sing, showed demonstrable reductions in loneliness and improvements in health. That project has been extended three times. The Campaign to End Loneliness, developed by Age UK Oxfordshire, Independent Age, Sense, Manchester City Council and the WRVS and funded by the Calouste Gulbenkian Foundation, is using arts strategies to improve social connectedness, including intergenerational connectedness, and to empower older people. Age UK’s 2018 document Creative and Cultural Activities and Wellbeing in Later Life points to problems with access to transport as a significant barrier to cultural participation. In Northern Ireland, the Arts and Older People Strategy has identified isolation and loneliness as the first of six key themes. The Arts Council of Northern Ireland, the Baring Foundation and the Public Health Agency are using the arts to improve social inclusion, and they too point to the significance of barriers to transport. Similarly, the strategy for older people in Wales acknowledges a disparity of opportunity between younger and older people in regard to public transport and access to cultural or recreational facilities. The cultural strategy for Scotland, which is out for consultation, sees an important role for culture in reducing social isolation and loneliness In England, we should learn not only from the other nations of the United Kingdom but from New Zealand, where the recent budget of Jacinda Ardern’s Government has reframed progress in that country in terms of well-being, not GDP. In England, however, the Government have no strategy for ageing. The Local Government Association recognises the role of the arts in connecting isolated and lonely older people with the wider community, including different generations, and I pay tribute to Councillor Izzi Seccombe for her role as chair of the Community Wellbeing Board of the LGA. But what is the strategy in Whitehall? The DCMS leads on the Government’s loneliness strategy. That is very good, but it does not go far enough. In England, we need not just piecemeal initiatives but a coherent strategy to support an ageing population. I thank my noble friend from Scotland for putting us in England on the spot in that regard.