Healthy Start Scheme (Take-Up) (No. 2)

Emma Lewell-Buck Excerpts

1st reading
Wednesday 14th June 2023 Commons Chamber

[Mrs Emma Lewell-Buck (South Shields) (Lab)]

I beg to move,

That leave be given to bring in a Bill to require the Secretary of State to ensure that families eligible for the Healthy Start Scheme are registered to receive it; to confer certain powers on government departments and agencies and public bodies for that purpose; to provide for an opt-out where the family wishes; and for connected purposes.

I am sure that we can all agree, across the House, that every single child deserves the best start in life, and that in those very early years, a nutritious diet is essential for growth and development. That is why the last Labour Government introduced the Healthy Start scheme, which provides financial assistance in the form of a prepaid card to under-18s who are pregnant, and families with young children claiming certain benefits, to help with the ever-increasing costs of fruit, vegetables, formula milk and vitamins. The scheme is available in pregnancy and until the child’s fourth birthday. Yet the scheme is beset with problems—problems caused by this Government that can easily be fixed by this Government. That is what my Bill would do by offering the Government a simple cost-neutral solution so that no baby or infant goes without.

As I present the Bill, there will be mothers and fathers who, instead of excitedly preparing for their newborn or enjoying those early years with their little ones, are worried and distressed about how they will provide for them. The all-party parliamentary group on the child of the north, which I co-chair with my friend, the hon. Member for Cheadle (Mary Robinson), heard in evidence that children in the north are more likely to die before reaching their first birthday. Desperate mothers are seeking abortions because they simply do not know how they will feed their babies. It has been widely reported that some parents have, in desperation, resorted to theft of baby milk and formula, or are watering it down. The fact that that is happening in a country as rich as ours should not only shame those on the Government Benches, but spur them into action to help those in need.

Healthy Start take-up is low. The Government’s 75% target has been achieved only in two of England’s 553 constituencies. The comparative scheme in Scotland has reached 88%. In some areas, the take-up is as low as 50%. Sustain estimates that that amounts to approximately 200,000 babies, infants and pregnant women missing out, leaving £53 million unclaimed. The past 13 years have seen the cruelty of austerity, inaction on low-paid and insecure work, the dismantling of the welfare state and the decimation of vital public support services, and have led to disgraceful and avoidable levels of child poverty. Food inflation is now above 19%, so food banks, baby banks, faith groups and charities have become embedded parts of our welfare state, including the Key to Life food bank in my constituency, which reports a 300% increase in demand coupled with a decrease in donations. It is highly unlikely therefore that that £53 million is unclaimed because people do not need it.

There is a very clear need for the scheme, but, as I have been told time and again, awareness is low among the public and professionals. That is why, in 2021, the national food strategy recommended that the Government implement a communications plan related to Healthy Start. But they did not. Instead, each time they are asked, they repeat:

“The NHS Business Services Authority is committed to increasing uptake of the scheme”.

I politely remind the Government that a commitment is not a plan, and that they are the ones who are responsible for this.

In 2021, I and others raised concerns about plans to fully digitalise the scheme by 2022, so that paper applications and vouchers would no longer be accepted. Some years back, the UN rapporteur on extreme poverty investigated the growing deprivation in the UK, and warned the Government:

“The British welfare state is gradually disappearing behind a webpage and an algorithm, with significant implications for those living in poverty”,

and that, by assuming that all claimants had the digital skills needed to complete the form, the Government had “built a digital barrier”. Sadly, they ignored his entire report and ploughed ahead. The result for Healthy Start was that more than 34,000 people who were previously in receipt of the vouchers are no longer receiving them.

The NHSBSA then admitted to technical issues meaning that applications were being declined, resulting in parents and pregnant women struggling to get through to the helpline and having their payment cards rejected. As it stands, the applications routes are overly complex and varied. When an application is made online, an automated message claims that a response will be given within two days. That rarely happens. Some mothers report that they have never heard back, and, after multiple attempts, have given up.

The Healthy Start phone number provided is not freephone and is fully automated. There is no option for callers to speak to anyone unless they need an interpreter or have inquiries relating to their card. The absurdity of an automated system asking if callers have problems with cards they do not yet have is not lost on anyone in this Chamber. Worse still, if the application is refused, it does not state why, and the parent is directed to the phone line, where, again, they cannot speak to anyone. Research by Manchester Central food bank highlights that those on legacy benefits or with no recourse to public funds have to apply via paper or telephone, but that is completely at odds with the Healthy Start phone line and website, which state that applications must always be done online. That confusion is totally unnecessary.

Repeated questions to the Secretary of State for Health and Social Care about funding for the scheme and future take-up have been equally frustrating. The Government refuse to say how much money they allocate to the scheme each year. They claim that it is allocated on a forecast of take-up, but will not say what the forecast is. A cynic would conclude that if the Government forecast low uptake, it is against their interests to do anything they can to boost it, as they will not have budgeted for it. Or, if they are forecasting higher uptake but are not reaching it, millions of pounds that could be spent on feeding children is being spent elsewhere. Either way, once again, hungry babies and children are losing out.

All I am asking is for the Government to change to from an opt-in system to an opt-out one. Automatic enrolment is possible. The Government know who is eligible and claim that they have the funds. Automatic enrolment would increase take-up, ensuring that the millions of pounds sat in the Treasury, allocated to those mothers and babies, is exactly where it should be.

I thank in particular my friend the former Member for Stretford and Urmston, who first proposed this Bill and has always championed children’s welfare, as well as Feeding Britain, which has supported the Bill from the outset. They, along with many other well-respected organisations and MPs across this House, are urging the Government to back this Bill, because we believe in a healthy start for all.

I know that the Bill is not a panacea. I know that the scheme’s value does not cover even the cost of the cheapest tub of infant formula, and that, unless we have a change of Government, life will continue to be a struggle for so many. But in the interim, I will, as I have always done in my time in this House, try anything that the Government might accept to make the daily grind and struggle for parents and children who are going hungry a little less agonising.

Finally, I thank all the parents who have shared with me their stories and their pain. They should always be at the forefront of our minds, because nobody should feel such desperation and hopelessness that they can see no way other than stealing to feed their little baby or seeking to terminate their pregnancy. The fact that they do should be to the absolute and utter shame of this Government.

Question put and agreed to.

Ordered,

That Mrs Emma Lewell-Buck, Paul Maynard, Sir Stephen Timms, Tim Loughton, Ian Byrne, Derek Twigg, Kim Johnson, Dr Dan Poulter, Ben Lake, Barbara Keeley, Debbie Abrahams and Rachael Maskell present the Bill.

Mrs Emma Lewell-Buck accordingly presented the Bill.

Bill read the First time; to be read a Second time on Friday 24 November, and to be printed (Bill 324).

Business of the House (Today)

Ordered,

That, at today’s sitting, notwithstanding paragraph (2)(c)(i) of Standing Order No. 14 (Arrangement of public business), business in the name of Dr Philippa Whitford may be entered upon at any hour and may be proceeded with, though opposed, for three hours; proceedings shall then lapse if not previously disposed of; and Standing Order No. 41A (Deferred divisions) shall not apply.—(Mike Wood.)