Alison was 68 when she fell down a long flight of stairs and hit her head. She was bright as a button until that moment but the damage has left her feeling befuddled and trapped.
Heather was seven when she was hit by a car as she turned a corner on her scooter. Thank goodness she survived, but she suffered a terrible blow to the head. She is now 13 and she still struggles to concentrate.
Gareth played rugby from the age of 10 until he retired as a professional rugby player in his 30s. He took blow after blow to his head in the game and was repeatedly concussed, and kept on going back on the pitch. He now suffers from panic attacks, depression and anxiety. He thinks of taking his life every day. He fears dementia.
Rhys is in his 80s. He gets terribly confused and forgetful. He half-remembers that he has been diagnosed with dementia, but sometimes, paranoia sets in and he gets very angry with those who are looking after him.
Kate is 19. She was in a car with three friends when another car suddenly appeared on the wrong side of the road and crashed into them. The ensuing crash left her paralysed from the neck down and with significant cognitive impairment. She feels completely trapped.
Mark is now 19 and lives on his own. He finds it difficult to control his emotions and perform normal executive functions such as turning up on time. His doctor thinks that that is because the boiler in his childhood home was pumping out carbon monoxide for years without being spotted.
Richard and Jane adopted Kia when she was three months old. She suffers from foetal alcohol spectrum disorder.
Nick is a former fusilier in the British Army. He was caught by an improvised explosive device in Iraq, but because there was no physical sign of an injury, he was never checked for brain damage. He, too, suffers from depression, anxiety and suicidal thoughts.
Faisal had covid last year. He has never shaken it off. He suffers from terrible fatigue and brain fog all the time.
Maria is 42. She was in a horrible abusive relationship for a decade, but never dared go to the doctor when her partner smashed her head repeatedly against the kitchen worktop. She suffers from terrible paranoia and has just been sent to prison for possession of illegal drugs.
These people—I have changed their names—and the 1.4 million people like them really need legislation now. A brain injury Act would do five things. First, it would guarantee neuro-rehabilitation for all, bridging the gap between acute services and community services, which so many people miss out on. Secondly, it would put proper protocols in place on concussion in all sports, both professional and grassroots, and make them identical so that children who play more than one sport do not end up terribly confused. Thirdly, it would help to prevent brain injury by legislating on carbon monoxide poisoning and employers’ duties towards their staff, including in the British armed forces.
Fourthly, the Act would ensure research into the causes, effects and treatment of brain injury. It seems remarkable to me, as the child of an alcoholic mother and as somebody who has seen various forms of brain injury in my own family, that we still do not really understand how the mind sits inside the brain. We really need to invest much more dramatically in research in that area.
Finally, the Act would require that all public bodies, including schools, the police, Department for Work and Pensions assessors and the courts, be trained in brain
injury. One thing that repeatedly comes back to me is that people know that their injury is not visible to everybody else. The strength of the internal agony that they might be suffering changes from day to day and from week to week. To banish some of the taboos in this field, it is essential that, when they deal with somebody in our public services, they know that that person fully understands. Amendment (e) has not been selected today—I never thought it would be—but I hope that one day we will have proper legislation in the field.
I end by paying enormous tribute to the people in the Rhondda who have been doing the mass vaccination programme. I have seen the work that they do every Friday afternoon when lots of people have not turned up: they are so desperate not to waste a single dose that they ring anybody they know to get them in. That is an enormous tribute to them.
3.52 pm