Health and Social Care

Fiona Bruce Excerpts

Tuesday 2nd June 2015 Commons Chamber

[Fiona Bruce (Congleton) (Con)]

Her Majesty’s Gracious Speech included the welcome commitment to give every child the best start in life. I am optimistic that our Government’s legislative programme will prioritise strengthening families and boosting family stability, particularly given the Prime Minister’s own passion for these issues, which are vital for the nation’s economic and social welfare, and the fact that families were mentioned nearly 100 times in the 2015 Conservative party manifesto. Without the constraints of coalition, we have the opportunity to develop a robust and comprehensive range of family policies.

States have a vested interest in making families stronger. They make a contribution to society by producing a competitive labour force, caring for family members of all ages, playing an instrumental role in healthy child and youth development and putting a heart into local communities. However, there are profound social consequences when, for whatever reason, families fail. The high level of family breakdown in our country costs £48 billion per annum, and disproportionately affects people in our poorest communities, where two thirds of 15-year-olds no longer live with both their parents. With our Conservative commitment to compassion and social justice, we simply cannot ignore this issue. If it is sensitively handled, this could mark us out as the true party of the family.

I urge the Prime Minister to appoint a family champion—a Cabinet-level Minister to strengthen families. Our ground-breaking family test for all policies is welcome, but it is reactive to the proposals of other Departments, rather than proactive in forming a family-strengthening approach across all areas of policy, as a champion for families at Secretary of State level would do. We need to match the promises we have made on economic support for families with more policies not only to prevent family breakdown but to promote healthy relationships, just as we promote physical health and wellbeing. Children’s health and wellbeing are fundamental to their educational attainment, and their ability to thrive in the workplace and in wider society rests on their benefiting from safe, stable and nurturing relationships with those closest to them—and for most, that means their family.

We ignore this at our peril. The state cannot be a surrogate family. Supporting family relationships is one of the driving principles of the troubled families programme, which has rightly been extended, but we must do more. We need places in every community where people can go when relationship problems are beginning to emerge, in order to enable everyone—including couples, and parents of toddlers and teenagers—to build strong relationships from the outset and to maintain healthy relationships into later life. This, in turn, could help to address many other challenges, such as mental ill-health, obesity, self-harm, addictions, loneliness and child poverty. However, many families have no role models to look to as the basis for a successful family life. Family life throws out challenges for us all. Real complexities can ensue, as we have seen from the troubled families programme, if families are not equipped to make a go of it. For almost a decade, organisations such as the Centre for Social Justice, and individuals such as its associate director Dr Samantha Callan, have been calling for change.

One important change would be for Sure Start children’s centres to broaden their offer and become family hubs—local nerve centres co-ordinating all family-related support. Relationship support and education, at all life stages, would be part of a family hub’s core offer, whether supporting couples in their own relationship, or as parents, or grandparents, or in marriage preparation, or strengthening father involvement, or supporting families as carers for elderly relatives, or when specific challenges occur. For example, many couples will not, or cannot in a timely way, go to Relate, which is one of many organisations that family hubs could host or help families access. To ensure that as many parents as possible know what is on offer at a family hub, local health commissioners should ensure that all antenatal and postnatal services are co-locate there. The Field review on poverty and life chances recommended that all birth registrations should take place there, too.

The social justice directorate in the Department for Work and Pensions is piloting a family offer in some children’s centres that takes in some of the aspects I have mentioned, but more is needed. More national leadership will be essential if this scheme is to be implemented at a pace that this country needs to strengthen family life. This brings us back to why we need a family champion.

Education, early intervention and prevention will ensure that families are less dependent on social services and welfare. I stress that I am not just talking about deprived areas here. Broadening Sure Start centres into family hubs would provide an effective means of tackling family breakdown, strengthen family life and help deliver the Conservative vision of giving every child the best start in life.

Finally, I urge the Government to work towards a fully transferrable tax allowance for all married couples. Thirty hours of free childcare amounts to £5,000 a year, and the value of the Government’s tax-free childcare offer is £2,000 a year. What message do those figures send out when the marriage allowance for single earners is just £200 per family? It must be recognised that doubling free early years education and making childcare tax free when both parents work without reviewing the marriage person’s tax allowance skews support overwhelmingly towards a particular type of family.

Families in which one parent chooses to take time at home—working and caring within it and investing in their children’s future—while the children are young are doing the right thing just as much as those families in which both partners choose to work outside the home. Stay-at-home parents deserve our appreciation, respect and support.

Over this Parliament, reversing Britain’s tragically eye-wateringly high family breakdown rates must be our ambition—it must be a priority—and strengthening families by supporting healthy family relationships at all ages and stages of life and rolling out family hubs to achieve that should be our vision.