Foetal Alcohol Spectrum Disorder

Debate between Bill Esterson and Tim Loughton

Thursday 17th January 2019 Commons Chamber

[Bill Esterson]

I thank my hon. Friend for her intervention which prompts me to cite a recent study from the Washington State University. Its foetal alcohol syndrome diagnostic and prevention network has identified that foetuses can experience vastly different FASD outcomes despite being exposed to identical amounts of alcohol—which is what happens with twins. There is no way of predicting what will happen, and its conclusion, which I am glad to see the chief medical officer now accepts, is that the only safe amount to drink is “none at all”.

I am asking that the chief medical officer’s advice and guidance, which has now been accepted by the National Institute for Health and Care Excellence as well, be given much greater prominence and that we build awareness so that everyone understands it, especially, but not exclusively, health professionals. I am asking that we have a proper study of incidence so that we need not rely on the limited evidence of the Bristol University study. It was only able to make rough estimates, given the nature of its research, but if it is between 6% and 17%, it really does need that intervention and prevalence study.

We have to build greater understanding among health professionals and professionals right across the public sector. I have mentioned support as well. There needs to be greater support for those living with FASD—both those suffering from it and those caring for them— and those in education and elsewhere who are looking after them.

[Tim Loughton (East Worthing and Shoreham) (Con)]

I commend the hon. Gentleman for all the work he has done raising the profile of this condition. He knows I support him through the all-party group, and he knows of the experiences I have had with children’s homes in Denmark, which very much pioneered the work here, because of the alcohol problems among residents of Greenland and others. He is absolutely right that many of our children in the care system are directly affected by this. Does he agree that we have to get much better at giving clear advice, as we now do on smoking and its impact on lungs? We need a similar campaign to make absolutely clear to women exactly what the risks are to their unborn children if they continue to drink, as many of them will do.

[Bill Esterson]

The hon. Gentleman is absolutely right to draw the comparison with smoking. There is no way anybody does not understand that you do not smoke when you are pregnant. We need the same cultural understanding of the effect of alcohol.

I am very pleased that the chief medical officer listened to the all-party group’s advice in the inquiry that we held when we published our report at the end of 2015 and that the guidance is now right and advises women not to drink at all if they are pregnant or planning to conceive. NICE caught up last year, but many people, including some health professionals, still regard the previous guidance as relevant. There is a question mark for many. They think, “If the advice previously was one or two drinks, maybe it’s still okay”. It is not, and we need to make that clear.

The country has a history in this respect going back many years. A glass of Guinness used to be thought a good idea for pregnant women because of the iron.

Foster Care

Debate between Bill Esterson and Tim Loughton

Wednesday 14th March 2018 Westminster Hall

[Tim Loughton (East Worthing and Shoreham) (Con)]

I should declare my entry in the Register of Members’ Financial Interests. I congratulate the hon. Gentleman on holding this unfashionable but important debate. He will be aware that funding of children’s services has increased, albeit in very challenging circumstances—particularly now—but there are huge differentials between experiences with different authorities. As a study by the all-party parliamentary group for children found, in one authority 166 children per 10,000 will be taken into care and, at the other end, at another authority the figure is 22 for every 10,000 children. There are similar big differentials for referrals to children’s services, child protection plans and so on. To what does he attribute the huge difference in experiences of vulnerable children in different authorities? It is not just based on funding pressures.

[Bill Esterson]

That is probably more of a question for the Minister. The hon. Gentleman said that funding had gone up. It is true that spending has gone up, but funding from central Government for local authorities is significantly down, including in children’s services. Some local authorities have seen significant cuts and some have seen very few. That may have something to do with what he says.