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I have motor neurone disease — and the fund to find a breakthrough

I have motor neurone disease — and the fund to find a breakthrough

Times6 hours ago

Tris Dyson knew something was wrong in June 2022 when he could not move his left thumb.
Six months later, aged just 44 and with a baby daughter, he was diagnosed with motor neurone disease (MND). The muscles in his body were dying and he would, sooner or later, lose the ability to walk, speak and breathe.
'I was newly engaged. I'd bought a house. Things were going quite well. So to be told the party's over was not brilliant,' recalls Dyson.
Today he considers himself 'one of the lucky unlucky ones' as his physical decline is 'relatively slow'. Having being told he had four years to live, Dyson said he is in 'pretty good shape', and thinks the doctor's prediction was wrong.
Since his diagnosis, Dyson, now 46, has focused his energies on his day job, which just happens to be organising multimillion-pound prizes for scientific breakthroughs. He is managing director of the Longitude Prize, which was established in 2014 as modern-day version of the original Longitude Prize of 1714. The original prize sought reliable ways of measuring longitude at sea, and it took nearly 50 years to be solved. The modern-day version has run two awards so far: the first, in 2014, to tackle antimicrobial resistance, and the second, launched in 2022, seeks treatments for Alzheimer's.
Now, the next prize will target MND; specifically amyotrophic lateral sclerosis (ALS), the most common type, which is the one that Dyson suffers from.
On Wednesday, Dyson's organisation, Challenge Works, a subsidiary of Nesta, the UK scientific foundation, will launch a £7.5 million Longitude Prize to find a treatment for ALS. For the next five months, Dyson will seek applications from medical researchers and AI experts all over the world before drawing up a shortlist of 20 teams. These will be whittled down in stages, with tranches of money doled out at each step.
'Prizes are very good when you've got a problem and you don't know where the solutions are going to come from,' Dyson says. 'You award on the basis of success.'
The winning team will receive £1 million at the end of the challenge. Dyson hopes other investors or private companies will support the prize over time, offering computational power, for example, to run AI calculations.
After that, the aim would be for a big pharmaceutical company to take the research and develop a drug: 'We need to feed them with high-potential, credible targets.'
Pharma companies would have 'a huge market, potentially', he says. MND is not as rare as you may think. 'About one in 300 people will get it,' Dyson says. 'It's absolutely extraordinary. But often it appears when somebody is very old and it's part of the end-of-life process.' The Motor Neurone Disease Association estimates that it affects up to 5,000 adults in the UK at any one time.
• MND sufferer records voice bank so she can swear at her husband
MND is characterised by a breakdown in communication between nerve cells called motor neurones and the body's muscles, with the muscles weakening and wasting away, leading to paralysis. The progress of the disease varies from person to person, with only very limited treatments available and no cure. It is more likely to affect people aged over 50.
There is no clear cause for MND, although genetic and environmental factors are thought to play a part. About one in ten people may have a family history which makes them more prone to the disease.
Dyson believes there now is an opportune moment to tackle MND because of leaps in our understanding of genomics, and the rise of AI, which can sift through big data to find targets for drugs.
Until now, he says, research has been limited and diagnosis is still pretty much the same as it was 100 years ago. 'What's happened in the last 15 years is the basic level of science has gone from being very little to a strong basic level of understanding,' Dyson says. 'The other thing that's happened is a huge amount of patient data has been collected, which we're making available through this prize.'
Most of the money that has gone into studying MND has come from donations of patients' families, he adds, and cases such as that of the rugby league player Rob Burrow have raised its profile. Burrow and his former team-mate helped raise £6.8 million for a MND centre, which will open later this year in Leeds.
'It takes your independence away,' explains Dyson. 'It takes your dignity away. Some people manage to rise above it. Rob Burrow is a good example. It's still an unbelievably horrendous thing. And then you ask what treatments are available. There aren't any, which is an unbelievable thing to be told in this day and age.'
Solving MND is not where Dyson expected his career to take him. He is not a scientist or medic by training; he studied Geography at UCL, where I first encountered him as an undergraduate, hanging around the ground floor of Ramsay Hall, a hall of residence in Fitzrovia whose main claim to fame is that the band Coldplay met there.
After we graduated, I would see Dyson at various parties over the years. One early initiative was running a local currency scheme in Wales; another involved setting up a 'time credits' scheme across the UK that offered rewards to people who volunteered within a community. 'There was no plan,' Dyson says, looking back on his career, which brought him to Nesta in 2012.
He has not, thankfully, lost his sense of humour, and talks calmly about the challenges ahead. 'I've got weakness in my arms. I might struggle to pick that up,' he says, reaching out to lift a jug of water —which he does, successfully. 'I'm OK walking. I have some problems typing.'
He has not yet moved out of his home in Greenwich, southeast London, which has four flights of stairs, because he does not want to 'inconvenience' his partner, Jenny, and their daughter, now three. 'I'm putting money aside for my family. More than I would otherwise.'
The unspoken question, of course, is whether Dyson will live to see the fruits of the prize he has founded. How does he look to the future? 'I'm not thinking too much about that,' he says. 'I think Stephen Hawking was like this. He just ignored it.' Hawking was diagnosed at 21 and died at the age of 76.
What does he want people to know about MND, and his prize fund? Dyson pauses. 'We have to bring the timeframe of a treatment forward with this prize. I want people to believe it's solvable, and I think that's true.'

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Struggling to breathe and mouthing 'help me' at a video camera in front of his bed, the deeply distressing footage of Steve Carr's agonising final moments haunt his family. Upstairs, a nurse, who was meant to be monitoring the video feed in case his breathing tube became blocked during the night, failed to respond – even though it is understood that an emergency alarm sounded loudly for more than 40 minutes. By the time she finally came to his aid, it was too late. Steve, 67, who had motor neurone disease (MND), had passed away in the most appalling of circumstances. The Mail on Sunday can reveal that Steve's horrifying ordeal has been investigated by the police for more than two years but there have been no charges. Shockingly, it is claimed the nurse is seen on the video apparently attempting to unblock his airway around 20 minutes after telling his wife that she believed he had passed away, which his family fear may have been an attempt to cover up how he died. Now his wife Maggie, 69, and sister Tracy, 63, want to highlight what they see as a shocking failure in Steve's care and prevent such a tragedy from happening again. 'I watched my husband die in the most terrible way, distressed and alone, and this is something which will stay with me forever,' Maggie said. 'This should not have happened with everything that was put in place to keep him safe. Our experience shows the unimaginable vulnerability of people in the 'care system'.' MND is a progressive neurological condition that affects the nerve cells in the brain and spinal cord. Public awareness of the disease has increased in recent years after Scottish rugby union player Doddie Weir and rugby league legend Rob Burrow, both MND sufferers, raised millions to find a cure. Weir died in 2022, aged 52, and Burrow died last year, aged 41. Steve, a former delivery driver from Witham, Essex, was diagnosed with MND in 2021. After seven months at Royal Papworth Hospital in Cambridge, he was discharged in March 2022 and, a popular figure on his ward, was clapped out by medical staff. Despite his terminal condition, his family said he had a 'zest for life'. He refused to sign a Do Not Resuscitate (DNR) order because he wanted to spend as much time as possible with his grandchildren. Steve had undergone a tracheostomy to insert a tube into his windpipe, which was then connected to a portable ventilator. An agency was commissioned to provide 24-hour care, with carers and nurses working two 12-hour shifts. A key task for them was to keep his airway clear with a suction machine. The person working the night shift, from 8pm to 8am, was meant to stay awake in an upstairs room and monitor Steve's condition via a camera, which Maggie had installed in his downstairs bedroom, linked to a baby monitor. At around 3.20am on May 22, 2023, a nurse woke Maggie and told her that she believed Steve had passed away. Maggie, who was married to Steve for 18 years, was shocked as he had just enjoyed 'a good day' and had not appeared to be deteriorating. She later viewed the video footage recorded by the camera and was 'devastated' by what she saw. She said: 'It showed my husband in severe distress, struggling to breathe, obviously needing a suction to clear his airway and mouthing 'help me'. The alarm carried on for more than 40 minutes and the nurse did not come to him.' The MoS understands the nurse was employed by an agency subcontracted by the primary agency responsible for Steve's care. The woman, who this paper is not naming, also worked as an NHS midwife at a London hospital. It is claimed the video shows how, after Steve's death, the nurse made a phone call to a colleague. She is then allegedly seen undertaking a suction procedure, which involves inserting a tube into the patient's airway and then turning on a machine to remove mucus. Maggie last night raised questions about why the nurse would carry out this procedure despite apparently believing Steve had died. His sister Tracy added: 'It was strange that she did that after the phone call.' Steve's family believe the nurse failed to respond because she had fallen asleep while possibly wearing earphones. She is understood to have denied this. This paper understands that the nurse is suspended by the Nursing and Midwifery Council, and that an allegation of neglect was upheld after a safeguarding enquiry by Essex Council in 2024. Maggie said: 'If I hadn't had a camera in my husband's room, we would never have truly known what had happened. I would encourage people in our situation to have a camera put in place.' The primary agency responsible for Steve's care, which subcontracted another agency to look after him on the night he died, refused to respond.

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