Neonatal Care (Leave and Pay) Bill

Stuart C McDonald Excerpts

3rd reading
Friday 20th January 2023 Commons Chamber

[Stuart C. McDonald (Cumbernauld, Kilsyth and Kirkintilloch East) (SNP)]

I beg to move, That the Bill be now read a Third time.

I am incredibly happy to be able to bring the Bill back for further debate. At the heart of the debate and at the heart of the Bill is a simple idea: babies in neonatal care need their parents and their parents need to be with their babies, and we must do all we can to give families that vital time together. Today, we have the opportunity to help give them that time without the added worries of missing work and losing pay.

If I may, Mr Speaker, I would like to take this opportunity to thank colleagues across the House who have supported the Bill’s journey so far. I am very pleased to start with Madam Deputy Speaker, the Chairman of Ways and Means, given her kind words and insight on Second Reading. She noted the unanimity of the House that day, when we heard from Members right across the Chamber, including many with very personal and powerful stories and experiences. That consensus continued in Committee, whose membership included three of the four Ministers who have, at various points, been responsible for the Bill and very supportive of it, including the Minister on the Government Front Bench today. I am very pleased to see him in his place.

I would like to give particular thanks to my hon. Friend the Member for Glasgow East (David Linden) and the hon. Member for Thornbury and Yate (Luke Hall), who have both been especially helpful and have campaigned tirelessly on this issue for several years, but I am grateful to colleagues in all different parties for their support, both during proceedings in the House and in discussions outside.

I hope that spirit of consensus will continue today and I am optimistic that it will, this being one of the very rare proposals that could be found in both the SNP and Conservative manifestos at the 2019 general election. If that spirit of consensus does continue, I will have a whole host of organisations and individuals to thank for helping to champion this cause and build that consensus. Over the next few minutes I want to briefly recall the problem the Bill seeks to address and then detail how its provisions will address that problem. Finally, I will explain the positive changes that were made in Committee to improve the Bill. First of all is the issue that needs to be addressed.

The arrival of a new baby is of course overwhelmingly a time of joy and hope, but an estimated 100,000 babies every year are admitted to neonatal care in the United Kingdom following their birth. Many of those babies will spend prolonged periods of time on a neonatal care unit in a hospital as a result of being born prematurely or with other health conditions. For their parents, this becomes an incredibly worrying and stressful time. They will be desperate to focus on getting through that challenging time, supporting each other and being with their baby—or, indeed, babies—but very many find that difficult or feel unsupported. Fathers, if eligible, get only two weeks of statutory paternity leave. When that runs out, they may be called back to work while the baby is still in hospital. How can you productively work when your baby is on a ventilator in an intensive care unit?

When babies have an extended stay in hospital at the start of their lives, mothers report that 39 weeks of paid maternity leave sometimes feels barely like maternity leave at all. A large proportion of the time can be used up busing alone to and from a distant hospital where their baby is in neonatal care, and sometimes juggling other responsibilities, perhaps another child, all of which leads them to feel that they do not have sufficient quality time at home with their baby before having to return to work. Some will feel compelled to leave work as a result, and many do. None of that is good for parents, or for the developmental outcomes of premature babies denied important early and regular contact with their parents.

How will the Bill assist? The successful passage of the Bill will create a new statutory leave and pay entitlement for the parents of babies receiving neonatal care. Employed parents who find themselves in that stressful situation in future will know that, as a minimum, they are entitled to paid time off work to care for their babies and they will not suffer detriment from their employer as a result.

That protected time off work is crucial. There are some brilliant, supportive and flexible employers out there who deserve to be commended, and it would be great to see some more follow their lead. But sadly, they remain the exception rather than the rule. That is why we need neonatal care leave and pay entitlement to protect and support many more parents.

I turn to the main provisions of the Bill. If it is passed, neonatal care leave and pay will be available to parents of babies who are admitted into neonatal care up to the age of 28 days, and who have a continuous stay in hospital or in another agreed care setting of seven full days or more. Neonatal care leave will be a day-one right, meaning that it will be available to an employee from their first day in a new job. Statutory neonatal care pay, like other family-related pay rights, will be available to those employees who meet continuity of service and minimum earnings tests. The intention is that parents will be entitled to up to 12 weeks of neonatal care leave—one for every week that their child spends in neonatal case. That leave will be protected. A person should not suffer any form of detriment due to taking up their leave.

[Ms Anum Qaisar (Airdrie and Shotts) (SNP)]

I am delighted to be here to support my hon. Friend and to see that this Bill has cross-party support. Does he agree that the provisions in the Bill go a long way to ensure gender equality for fathers and non-birthing parents, who are often excluded from statutory maternity provisions?

[Stuart C. McDonald]

I am grateful to my hon. Friend for her support and her intervention, which I fully agree with.

[Richard Fuller (North East Bedfordshire) (Con)]

It is commonplace to congratulate Members for the passage of their Bill, but the hon. Gentleman will have sincere support from all sides, and I support his Bill. I hope he will allow me to probe a little, as I was not on the Bill Committee. He is talking about the benefits to employees and to families. Obviously, there is a burden on companies that will have to pay for those benefits. Could he advise the House of whether there was a discussion in Committee about those burdens? What is his understanding of what the additional burdens on companies may be?

[Stuart C. McDonald]

I am grateful for the hon. Gentleman’s support. He asks a perfectly fair question that I will come to in a little more detail later on. In essence, the provisions for businesses will be the same as for other existing rights. There will be reimbursement of 103% for small businesses, and up to 93% percent for larger businesses. For those businesses who already follow good practice, there will be a benefit because they will be reimbursed for what they are already doing. At the same time, feedback from employers shows that they benefit because they have a better relationship with employees, and the return to work is much smoother and more successful. I thank the hon. Gentleman for his question.

I will continue to describe the main provisions of the Bill. For parents who meet continuity of service and minimum earnings tests, the expectation is that neonatal pay will be paid during the leave at the statutory rate, which is just shy of £160, or 90% of the employee’s average wages—whichever is lower. Hopefully, that will be uprated in line with increases to statutory payments—something that we will monitor closely. That mirrors existing family leave and pay provisions such as paternity, shared parental and adoption and maternity after the first six weeks. The process for reimbursing employers will also mirror existing schemes.

There will be flexibility about when the leave is taken. The likelihood is that many fathers who have only two weeks of paternity leave will want to take their neonatal leave immediately thereafter, while their child is still in neonatal care. The situation for mothers is a little different, because once maternity leave commences, a mother cannot stop that maternity leave to take neonatal care leave, otherwise she will lose her remaining maternity leave. Neonatal care leave is therefore to be flexible in order that mothers can add it to the end of their maternity leave and any other forms of parental leave they might be entitled to. With that in mind, the Bill provides for the window of time within which neonatal care leave can be taken to be set out in regulations. However, the window will be six to eight weeks following the child’s birth, which ensures that mothers and fathers have sufficient time to take their neonatal care leave alongside other leave rights that they might be entitled to, rather than losing out on any other such entitlements.

Finally, I want to explain the amendments that were made in Committee. First, clause 2 was amended to remove the power to amend primary legislation via secondary legislation—a so-called Henry VIII power. That was originally included to ensure that the Bill, on becoming law, worked effectively alongside other legislation that is going through Parliament. Upon further assessment and examination, it seems that this power is not required, and the clause now only empowers amendments to secondary legislation. Given that I spend an awful lot of my time as an Opposition MP shouting about excessive and inappropriate use of Henry VIII powers, it is pleasing to have been able to take at least one of them out of this Bill.

Secondly, and perhaps more significantly, part 2 of the schedule to the Bill was amended by changing the definition of “relevant week” in proposed new section 171ZZ16 of the Social Security Contributions and Benefits Act 1992. The definition of “relevant week” is important because it fixes a point at which it is assessed whether a person is entitled to neonatal care pay. The Bill, on introduction, defined the relevant week as the one immediately prior to the week in which neonatal care started, which is similar to the drafting of equivalent provisions for parental bereavement pay. However, if a parent was already receiving statutory pay—for example, maternity pay—in the relevant week before their child enters neonatal care, their income could end up being lower than usual, negatively impacting their ability to qualify for neonatal care pay.

For those employees who are eligible for other parental pay entitlements such as maternity, paternity or adoption pay, the amendment made in Committee changes the definition of “relevant week” for neonatal care pay, to align it with the definition of “relevant week” in these existing entitlements. Amending the Bill in this way ensures that parents who are already low earners and perhaps only just above the earnings threshold do not miss out on the entitlement to statutory neonatal care pay simply because they are already receiving another type of family-related pay when their minimum earnings for neonatal care pay are assessed. Where an employee would not qualify for any of the other statutory parental pay, the relevant week will continue to be defined as the week immediately before the week in which neonatal care starts.

[Richard Fuller]

I was not in Committee, so I want to ask a particular question, and I am going to sound very smart. In subsection (2)(a) of proposed new section 171ZZ16, “Entitlement”, of part 12ZE of the 1992 Act, there is reference to

“a child who is receiving, or has received, neonatal care”.

The hon. Gentleman has been very clear on the Henry VIII powers and how the entitlement to this pay is aligned with other funding that is provided, but what is the definition of “neonatal care” in practice? It will be defined in regulations, but in practice, is it limited to parents of children who have been in neonatal intensive care units and other hospital facilities, or is there a broader definition?

[Stuart C. McDonald]

The definition in the Bill encompasses neonatal care up to the 28th day of the new baby’s life. Further thought has to be given to whether we limit that to care on a neonatal ward or whether we go further than that, and I hope that we do, because there will, for example, be families who have babies at home but are regularly required to be at hospital appointments or have regular interventions and people visiting to provide care and treatment. We have to think about how we define it in a way that makes it clear but does not exclude people simply because they are not physically in a hospital 24 hours a day. That is a fair point, and further work needs to be done before we come to a final conclusion on exactly how this should look.

In concluding, I want to reiterate that what we are debating here is the traumatic and stressful experiences faced by families with wee ones in neonatal care, and at the heart of this proposed legislation are vulnerable babies who need us to do more to help their parents at a crucial time. We need to ensure as far as we can that those parents have the time and resources to focus on their babies, without the additional burden of worries about money and time off work. There are tens of thousands of families each year counting on us to get this done and get it right, and I ask Members across the House to give this Bill their support.

--- Later in debate ---

[Stuart C. McDonald]

With the leave of the House, may I first thank the Minister and the shadow Minister for confirming their ongoing support for the Bill? It really is appreciated. I too say a massive thank you to BEIS officials for their fantastic help throughout the process; while the broad principles of the Bill are quite clear and powerful, there is a lot of technical stuff involved as well and I am very grateful to them for their help.

More than anything, I am grateful to so many hon. Members from right across the House who have contributed in such a positive and powerful fashion. The personal is often the most powerful, and there were good examples of that today from the hon. Members for Pontypridd (Alex Davies-Jones), for Ynys Môn (Virginia Crosbie), and for Wantage (David Johnston). My hon. Friend the Member for East Dunbartonshire (Amy Callaghan) talked about Kirsty’s experiences. The hon. Member for Sedgefield (Paul Howell) said he was waffling, but I thought he spoke powerfully about Leo’s charity, so I thank him for that. I am struck by the number of hon. Members who have repeatedly been here to speak about this Bill, including the hon. Members for Cheadle (Mary Robinson) and for Watford (Dean Russell), so I thank them for doing so.

Some hon. Members raised additional points that I had neglected: the hon. Member for Clwyd South (Simon Baynes) spoke about neonatal staff, whom I also want to thank, having had the pleasure of visiting the neonatal unit in Wishaw, where the staff and the parents there at the time all spoke supportively about what this Bill would mean for them. He also made the point about the relatively limited expenditure this would entail for the Exchequer, something that the hon. Member—my hon. Friend—for North East Bedfordshire (Richard Fuller), also spoke about. He was very kind to me and scrutinised exactly what the Bill means, including the role of HMRC. If and when the Bill finally reaches the statute book, it will be all about pressing HMRC to get it up and running as fast as possible. The hon. Member for North Devon (Selaine Saxby) rightly drew our attention to some of the specific challenges for those living in rural areas, as well as to the problems encountered by fathers in particular, who often have to resort to using sick pay, which is in nobody’s interest—theirs or the employer’s.

Importantly, the hon. Member for Wantage (David Johnston) takes me on to thanking all the charities that have made the case over many years that has got us to this place, including Bliss, which has been mentioned several times and was a key driver in introducing me to the issue, and the Smallest Things, whose representatives are here today, which has also done fantastic work. I also thank Pregnant Then Screwed, Tommy’s, Working Families, GRACE, the British Association of Perinatal Medicine, Sands, the Rainbow Trust Children’s Charity, the all-party parliamentary group, which has been mentioned, the Chartered Institute of Personnel and Development, the TUC, Unison, NHS Lanarkshire, University Hospital Wishaw, Dr Michelle Weldon-Johns at Abertay University, and constituents and others from across the country who have been in touch with their own stories. They have made the powerful case that, hopefully, will get the Bill through the House of Commons today. I am also grateful to Baroness Wyld for agreeing to take it forward in the other place as it continues its journey, which I hope will get it on to the statute book in early course.

Question put and agreed to.

Bill accordingly read the Third time and passed.