Caroline Voaden
MP for South Devon · Liberal Democrat · United Kingdom
“I agree that social prescribers do a fantastic job. I recently met members of Veterans Outdoors near Totnes, and visited the Vounder Therapy Garden at the Eden Project through the parliamentary knowledge schemes.”
“The NFU is concerned that the £240 million allocated for new sustainable farming incentive agreements in 2026 does not match the scale of farmers’ environmental ambitions and will not allow all farmers with expiring agreements a reasonable opportunity to access ongoing environmental land management schemes funding.”
“I have four coastguard stations in South Devon—Kingsbridge, Dartmouth, Brixham and Bigbury—and hundreds of volunteers, many of whom have written to me with their concerns about these changes. The Kingsbridge team have been out 34 times this year.”
“The recent Milburn review is clear that mental health has become a primary driver of youth disengagement, not a secondary consideration. Rising anxiety, neurodiversity and long-term health conditions are reshaping who participates in post-16 education.”
“The answer is outdoor learning. It is staggering to read that the amount of time children spend outside has fallen by 50% in a single generation, that children roam just 300 metres from home and that a fifth of children in the most deprived parts of the country never spend meaningful time outdoors.”
“I was thrilled to be able to connect Harbertonford Church of England primary school with volunteers from Force 4 Nature, who turned up and built raised veg beds in the playground so the pupils can learn how to grow healthy food, which they can eat in school.”
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“The project provides high-quality, community-based day care for people with early to moderate dementia, and what makes it so powerful is its simple approach: small, weekly group support in the home of a host, where people with dementia spend the day receiving the attention, care and companionship they need. That not only helps them, but provides their families with regular and crucial respite and support. I commend founders Libby Price and Dr Liz Dennis, who I believe is in the Gallery today. It is a model that works, and it has made a tangible difference to many families. There is a critical need for more community-based initiatives such as the Filo Project, and one of my direct asks of the Minister today is that VAT be removed from such services.”
“I could not agree more. If we had little chunks of regular respite care, people would not end up having to pay for several weeks, just to recover from the care that they are providing. There are some brilliant projects working to support families afflicted by dementia, and several of them have been mentioned already. One of the most inspiring examples that I have seen is the Filo Project, a community interest company that offers dementia support in Devon, Cornwall, Somerset and east Lancashire, and which has recently expanded to Bournemouth. The Filo Project takes its name from the pastry, referring to the many layers that make up a personality—the layers that are cruelly and silently stripped away by dementia.”
“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.”
“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.”
“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 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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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?”
“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?”
“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.”
“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.”
“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.”
“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.”
“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]”
“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.”
“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.”
“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.”
“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.”
“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.”
“If remote parts of the UK can access full-fibre broadband and mobile signal, there is no reason that South Devon should be left behind.”
“I thank my hon. Friend for her intervention; I could not agree more. I declare an interest here. A family member who has been trying to set up a business park has been told that it is not doable because they are too far from the exchange. As has been said, we can go to space, but we cannot connect to the internet. It just seems ridiculous. For older residents, reliable broadband is crucial, as has been mentioned, for online GP appointments, personal alarms and emergency calls. Without it, they are left isolated and vulnerable, while young people in my area are being denied equal educational opportunities. Local businesses are missing out on the digital economy. Families are struggling with unreliable services. The divide between rural and urban areas is widening, and it is simply unfair.”
“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.”
“I thank the hon. Member for his excellent contribution. Digital connectivity is no longer a luxury; it is a necessity, and it is time to treat rural communities with the same priority as urban areas.”
“On the issue of not being able to get to every premises, particularly in very rural areas—the highlands and islands would be an example—have the Government given thought to satellite internet provision, and perhaps to subsidising the cost of that for homeowners?”
“However, due to recent cuts and delays in the ASGSF funding, Leo has been waiting five months to continue his therapy, which is critical work focused on processing the complex grief of losing his entire birth family. The interruption in therapy is more than just a pause—it risks undoing much of the progress Leo has made. Rebuilding trust with his therapist will take time, and the delay may trigger deep feelings of abandonment, undermining his already fragile belief that adults can be safe and consistent. Even when therapy resumes, the reduced number of sessions now available is unlikely to be enough to fully support Leo through his grief. A child such as Leo does not need a quick fix; he needs time, skilled support and consistency to help him to heal.”
“Let us take the example of Leo, an eight-year-old boy who lost his parents and two siblings and now lives with his special guardian under a special guardianship order due to his assessed psychological need for permanence. Leo also has a diagnosis of autism spectrum condition, and experienced complex trauma within his birth home during the first few years of his life. Thanks to support from the fund, Leo and his special guardian mum have been accessing specialist psychotherapy. The progress that he has made has been remarkable. He is now able to share his sadness and ask for comfort when he feels overwhelmed—a huge step for a child who used to shut down completely and express distress through challenging behaviour. Leo’s case highlights why early therapeutic intervention is so crucial.”
“It is a pleasure to serve under your chairmanship, Mrs Harris. I congratulate my constituency neighbour, the hon. Member for South West Devon (Rebecca Smith) on securing this debate and on her excellent speech. We know that adopted children are often the most traumatised in our society. The abuse, neglect and instability that they have endured in their earliest years leave lasting scars, affecting their development, their ability to trust and their mental health. With the right support, those children can heal. Therapy gives them a second chance to feel safe, to build meaningful relationships and to lead stable, loving lives.”
“Families are growing wary, hesitant to invest in assessments and worrying that they will not have enough left for therapy or that funding will run out entirely. I have met one therapist who says she will be able to see fewer children, not more, because of the reduction in funding. Quality of care is also at risk. Limited budgets may push families toward cheaper providers, who lack the specialist expertise needed to work safely with traumatised children. Many effective therapeutic models just cannot be delivered within the reduced budgets and fewer sessions. The long-term costs of underfunding are enormous. Without proper support, placements may break down, forcing vulnerable children back into the care system. We cannot let that happen. Restoring sustainable ASGSF funding is essential.”
“I absolutely agree with my hon. Friend. When children like Leo receive the right early help, they are more likely to thrive in school, avoid crisis services and grow into adults who contribute positively to society. Supporting those children gives them a second chance at life, and ultimately it also saves money. That is why the fund was created in 2015. Early therapeutic intervention can be transformative and much more cost-effective than dealing with complex problems later in life. Demand is growing—in 2023, 38% of families reported reaching a crisis point, up from 30% in 2022—yet therapists fear that recent funding changes will reduce the number of children they can support. Some are already leaving the field.”
“I welcome the SPS part of yesterday’s agreement, as I am sure will all the farmers of South Devon and those exporting fish and shellfish from Brixham. The Prime Minister may not know the answer to my question, but perhaps one of his Ministers will. Will bivalve molluscs that are fished in grade B waters, which are very important for one of my major exporters, be included in the SPS agreement?”
“The hon. Member is talking about the length of time it can take for victims of sexual violence to get over their trauma and seek help. Does he agree that organisations such as Rape Crisis do absolutely vital work in helping survivors of sexual abuse and rape to move past what has happened? Does he also agree that it would be a fantastic improvement to the Bill if there was some national Government oversight of how much money is put into funding such victim services?”
“On that point, it is possibly worth noting that the hon. Member for Clacton (Nigel Farage) attended only one of 42 European Parliament Fisheries Committee meetings that he could have attended, thereby never speaking up for British interests, and that is potentially why the common fisheries policy was not to our benefit.”
“The hon. Member talks about people losing their trust in politics. Does he agree that the promise of £350 million a week to go to the NHS, which was broadcast on the side of a big red bus during the referendum, might have somewhat reduced trust in his party?”
“I do not want to see cafés closing down because there are not enough young people to staff the hospitality business. It is estimated that 120,000 young people have left the hospitality industry since Brexit. We need progress. We need to improve the terrible deal that was done by the Conservatives, so I hope the Government will be bold, forget this rhetoric and bluster and sign a deal that we can all celebrate across this House.”