Breastfeeding: Government Support

Fleur Anderson Excerpts

Tuesday 8th March 2022 Westminster Hall

[Fleur Anderson (Putney) (Lab)]

It is a pleasure to serve under your chairship, Mr Efford. I congratulate the hon. Member for Glasgow Central (Alison Thewliss) on securing this hugely important debate. I hope you can do all you can in the Chair to ensure that we have all the time allocated to this debate that we should have, because we have precious little time on support for breastfeeding, but it is vital to so many people.

I am glad that this issue is getting time in the House, and I completely understand how difficult breastfeeding is, why it is not possible for many women, which is totally understandable, and how often it needs support. The current lack of provision for breastfeeding support and the impact of not restoring services after covid will be the main subject of my speech, and that is what constituents have been contacting me about. I breastfed my four children for a total of five years, so I understand the need for support and also the need to weigh babies frequently and straightaway, alongside breastfeeding, especially at the beginning, which is something else that has been cut. It is heart-wrenching to know that many mothers in my constituency are not getting the support that was easily available for me. Breastfeeding is also intertwined with mental health and can strengthen maternal and infant resilience if it is properly supported.

The Minister knows Wandsworth well, so I am glad to be able to raise the situation there. We saw the near total disintegration of breastfeeding support in the community during covid, and it has not yet returned. Every single health visitor infant feeding team was deployed during the pandemic and every single children’s centre closed, so there were no drop-ins for breastfeeding support. Just one person was left across the whole of Wandsworth and the borough of Richmond during the pandemic to support all the mothers and babies there. That is ridiculous, because the need was the same, but the support was massively reduced. Although the voluntary sector stepped up, there is no substitute for good-quality and accessible statutory services. The Government need to provide urgent funding and support for these dwindling services and to find out which are not being reopened. They should do a survey of all the services to find out what was there before covid and what is there now.

One constituent wrote to me about her awful experience so far. She said that, since covid, a lot of breastfeeding clinics providing support to mothers have closed. The only local clinic that she has managed to find is a two-hour clinic on Fridays in Kingston, which is quite far away. Otherwise, there is no provision in Putney and no way of getting a baby weighed other than by going to A&E or asking for a health visitor—something that is very difficult to get. The Eileen Lecky clinic in Putney was fantastic and used to provide this service, but it has been closed and the building is entirely empty. Before this debate I checked when the clinic would reopen, because I hoped to bring some good news. I found out that it is closed permanently now. No one was told about this; it is absolutely shocking to everyone in the area.

So what do we need? We need proper Government support. I urge the Minister to do everything in her power to restore these NHS services—in-person, easily accessible services at pre-pandemic levels. We need networks of trained peer supporters. That requires a training programme, a co-ordinator, regular supervision and updating under a health professional. We also need a specialist IBCLC—international board certified lactation consultant—clinic for complex cases. It is unacceptable that in 2022 parents are being left on their own and in the dark during one of the most important periods of their lives and their children’s lives. The Government can and must do more.

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[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

It is a pleasure to serve under your chairmanship, Mr Efford.

I associate myself with comments on the importance of thinking about the mums and babies in Ukraine at this time, given how difficult it must be for all of them.

I congratulate the hon. Member for Glasgow Central (Alison Thewliss) on calling for and securing this debate, particularly today, which is International Women’s Day. We often talk about many issues affecting mums, but very rarely do we talk about breastfeeding, so it is really important to have this debate. Ensuring that every baby gets the best start in life is really important. As we have heard, positive experiences during this period will have a significant impact on a child’s health and wellbeing, and will inform the course of the rest of their life. Although the hon. Member for Aberdeen North (Kirsty Blackman) did not get the chance to speak for long, I sense her passion on this subject and she made her points very well.

Breastfeeding provides significant health benefits for both mother and baby. It has been shown to reduce the prevalence of common diseases in babies, such as respiratory infections and gastroenteritis and the risk of maternal breast cancer, as well as offering protection against childhood and maternal obesity. Breastfeeding also promotes emotional attachment and parental wellbeing. However, as the hon. Member for Glasgow Central said, we need to be mindful of the women for whom it does not work. We must ensure that they get the support and reassurance they need. As the hon. Member for Bristol South (Karin Smyth) said, it can be a very difficult experience for some.

I want to reassure colleagues that the Government are taking this matter extremely seriously. We want to promote breastfeeding as much as possible. The latest available data from the infant feeding survey, which we discussed, shows that only 1% of mothers in England are still exclusively breastfeeding at six months. More than 80% of mothers who stopped breastfeeding in the first two weeks reported that they would have liked to have carried on for longer and that perhaps, with support, they could have done. Common reasons for stopping include a lack of access to support services, as we have heard today, both in the community and at work, while misinformation, inconsistent advice, negative experiences and sometimes even cultural barriers can also deter women.

There are significant disparities in breastfeeding rates across England and the UK. We heard today about some excellent experiences in Scotland and Northern Ireland. The prevalence of breastfeeding is particularly low among young mothers, those who left education before the age of 18, and those from lower socioeconomic backgrounds. That contributes to a cycle of deprivation and further widens disparities. I agree with the hon. Member for Glasgow Central: it is so important that we teach young girls about breastfeeding in schools, so they learn early on about its importance and what to expect when their time comes.

In light of that, I want to reassure colleagues that the Government are taking action to support breastfeeding and to make that support accessible to everyone who needs it. First, we have the healthy child programme, a national evidence-based programme of interventions to support parenting and healthy choices. It outlines all services that children and families need to receive if they are to achieve optimum health and wellbeing, including breastfeeding and infant support.

Secondly, we have the maternity transformation programme, which seeks to achieve the visions set out by Better Births. National guidelines have been published for midwifery and health visiting services to support breastfeeding. I want to take this opportunity to thank all midwives, health visitors, support workers and those offering peer support. I met March with Midwives just before this debate and I recognise the pressures those workers are under. Sometimes things such as breastfeeding support are reduced or taken away when there is pressure on the service overall. I recognise that, and I am very happy to work with the service to try to improve that.

Thirdly, we have the 2019 NHS long-term plan, which recognises the importance of improving breastfeeding support and sets out a commitment to ensuring that all maternity services have an accredited, evidence-based infant feeding programme by 2024. However, we need the staff and the resources to make that happen. I have heard that loud and clear. We also encourage parents to access support through the Better Health Start for Life campaign, which provides advice and information on breastfeeding.

However, for me the most exciting development is the Government’s vision for the best start for life programme. It is only in England, but I am very happy to work with colleagues in the devolved nations to share best practice. The programme will roll out support to the areas of the country that absolutely need the most help. I thank my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom) for her inspirational work in this field.

The early years healthy development review has taken the Government’s commitment to improving breastfeeding rates and improving the support to be included as part of the universal offer for all parents and carers, which will include practical support with breastfeeding, early diagnosis of issues such as tongue-tie and help with formula feeding, which is more appropriate in some cases. The review heard repeatedly from parents about the positive impact breastfeeding can have on their confidence and self-esteem, as well as the value of breastfeeding support groups and peer networks.

In the spending review, the Chancellor announced a £300 million investment to transform family hubs and improve Start for Life services with £50 million for breastfeeding support services. Funding will be made available initially to 75 upper-tier local authorities where we feel the most disparities exist. We will be announcing very soon where those 75 authorities will be and where we can support breastfeeding in those communities. Those local authorities will be able to invest in increasing the range of breastfeeding advice, specialist and peer support, and out-of-hours support that is available in person, on the phone and digitally, creating breastfeeding-friendly environments that will help mothers meet their breastfeeding goals.

[Fleur Anderson]

I know that time is pressing; I thank the Minister for giving way. Has the Minister done any assessment of how many clinics there were pre-covid? That number of 75 local authorities is great, but what about everywhere else? Has there been an assessment of initial services, what has been cut and what has been reinstated?

[Maria Caulfield]

I do not have that information, but I was interested to hear about the experience in Putney. I will take that away because I spoke to midwives who were redirected during covid, but I am not aware of which services have and have not restarted. I am keen to look at that, so I will follow that up. I am happy to conclude, Mr Efford, if that would be helpful.