Maternity Commissioner

Debate between Helen Maguire and Anna Dixon

Monday 20th April 2026 Westminster Hall

[Anna Dixon (Shipley) (Lab)]

It is a pleasure to serve under your chairship, Ms Jardine. I echo the thanks given by my hon. and learned Friend the Member for Folkestone and Hythe (Tony Vaughan) to all the petitioners who signed the petition, including 262 of my Shipley constituents.

My interest in maternity safety goes back to the time, over a decade ago, when I was director of policy at the King’s Fund. We set up an inquiry into the safety of maternity services, which was chaired by Baroness Professor Onora O’Neill. Despite the fact that that work was done more than a decade ago, the failures that we hear about today are sadly all too familiar. What struck us at that time was that there had been many reports in the preceding decade, including confidential inquiries into maternal and infant deaths, and that the recommendations had not been implemented. It makes me angry that there has been another decade of more inquiries and reviews, with the recommendations going unheeded.

That is why I am pleased to be an officer of the all-party parliamentary group on patient safety, and why I have worked with my hon. Friend the Member for Morecambe and Lunesdale (Lizzi Collinge) and the right hon. Member for Godalming and Ash (Sir Jeremy Hunt) to make maternity safety one of our priorities on the APPG. It has been fantastic to join colleagues, including my hon. Friends the Members for Sherwood Forest (Michelle Welsh) and for Rossendale and Darwen (Andy MacNae), across all-party parliamentary groups to share our insights and to contribute to the Amos investigation. There are still some of the same issues we heard about in the King’s Fund inquiry a decade ago: poor teamwork, weak accountability, defensive cultures and a failure to translate learning into sustained action.

Like many Members, I hear a range of stories as a constituency MP. Those are mainly centred on Bradford Royal infirmary, and I want to share the story of a constituent whose son was born with complications from the umbilical cord being wrapped around his neck. A late crash call was made after he had been delivered, but sadly he suffered catastrophic brain injury and was in a minimally conscious vegetative state. The women and her son were sent home with no diagnosis, and the child has grown up with epilepsy and other problems due to his brain injury. Sadly, it seems that midwives falsified the Apgar scores on the record and the time of the crash call. We have heard about defensive practice. We need a culture that changes it.

My constituent wrote to me:

“I have encountered significant barriers in navigating the NHS complaints system, particularly for marginalized communities. Language barriers further complicate the process, often leading to the dismissal of legitimate concerns.”

I am pleased to say that Bradford Royal infirmary has recently received good and outstanding ratings from the Care Quality Commission, for maternity and neonatal care respectively. I know that staff are not complacent about the care they give.

Others have mentioned the clinical negligence complaints system. I am a member of the Public Accounts Committee, and we have looked at how issues with that system have not only a human but a financial cost. One of our conclusions was that patients often pursue legal action because the complaints system itself is so confusing and unresponsive, which echoes the thoughts of my constituent. It is therefore vital that there are timely apologies from clinical staff and that we put in place effective, compassionate local resolutions. That will reduce claims, but is also ethically the right thing to do.

I would be grateful if the Minister could update us on the progress of the David Lock KC review, which we heard a lot about at the Public Accounts Committee. Alongside a better complaints system, we also talked about reform of litigation and potentially a no-fault compensation scheme, which would certainly go some way to creating a better environment. At the moment, families often experience long legal battles following harm, which leads to clinicians and organisations becoming defensive.

I want to finish with a brief example of what happens when people are failed but want to share any learnings with the NHS. My friend Martha’s second child died. It was a homebirth with complications. She started labour at 2.30 am. At 5.30 am she called the delivery suite, and staff told her to call back in a few hours. When she did, they sent out a midwife team who did not reach her until 9.40 am. A few moments later, her waters broke and she gave birth to her second daughter, but there was meconium in her discharge. As Members who are clinical will know, that is a sign of baby distress. The midwives called an ambulance immediately. It was another 19 minutes after the 999 call until the ambulance arrived and oxygen was given. Those minutes after birth were crucial, and that length of time without oxygen would have caused global brain damage and severe disability had their daughter survived. Sadly, she died in the care of Great Ormond Street hospital just a couple of days later.

The point of telling that story is that there are many missed opportunities to provide safer care. If the midwives had carried birthing equipment when they were attending, they could have provided immediate care. If the ambulance had prioritised the call from the midwife, it could have prevented the deterioration.

[Helen Maguire (Epsom and Ewell) (LD)]

Will the hon. Lady give way?

[Anna Dixon]

I am sorry but, respectfully, I am not going to give way.

If the ambulance had routinely carried a neonatal meconium aspirator, that could have prevented the death of my friend’s daughter. My friend said:

“I was not told who we could complain to following these experiences, or when we should do so.”

Whether it is through a maternity commissioner or another way, we need to learn systemically from women’s experiences so that safety recommendations can be implemented. When we hear from Baroness Amos’s investigation, I hope that Ministers will finally act swiftly to implement her recommendations and back them up with investment, so that families can have confidence that when tragedies like those of my friend and those of my constituent occur, the system will genuinely learn, improve and take action.

Relationship Education in Schools

Debate between Helen Maguire and Anna Dixon

Tuesday 1st April 2025 Westminster Hall

[Helen Maguire]

It is vital that we start to address what is going on with social media, as we have been calling for. The social media tech giants have to take on that responsibility.

One in four women and one in six men will experience domestic abuse in their lifetime, and domestic abuse starts young: those aged 16 to 19 are the most likely to experience it. We need to focus on prevention to stop this at the root. Sadly, my Epsom and Ewell constituency has felt the devastating reality of violence against women and girls far too acutely in recent years, and the impact on families, friends, students and entire school communities has been profound.

Let us be clear, however, that violence against women and girls extends beyond my community; it is a national epidemic. In January, the National Audit Office reported that one in 12 women are victims of gender-based violence each year. Despite the increasing political attention, sexual assault rates among women aged 16 to 59 rose from 3.4% in 2009-10 to 4.3% in 2023-24. A key issue is that prevention has been an afterthought rather than a priority. That must change.

[Anna Dixon (Shipley) (Lab)]

I thank the hon. Lady for securing this important debate. I serve on the Public Accounts Committee, which looked at the NAO report on violence against women and girls. In West Yorkshire, the police have developed a brilliant prevention programme —the hon. Lady touched on the need for prevention—called Pol-Ed, which goes into schools and teaches young people, both boys and girls, about some of the danger signs around spiking and inappropriate imagery, as well as about consent. Does she agree that it is important to educate children, both on prevention—what the danger signs are and what an unhealthy relationship is—and on what a healthy relationship looks like?

[Helen Maguire]

I thank the hon. Member for that intervention; it is absolutely key to understand both, and to understand what the signs of an unhealthy relationship could be. We need to stop treating violence against women and girls as something that can be addressed only after the fact—after a woman has been assaulted, coerced, or has lost her life. We need to act before it happens, and that starts with education and empowering our young people with the knowledge of what a healthy relationship is.

The recent Netflix series, “Adolescence”, has brought national attention to the dangers facing young people today. It follows a 13-year-old boy accused of murdering a female classmate, sparking difficult but necessary conversations about online misogyny and extremist online communities. Teachers and parents are struggling to keep up with the ever-evolving nature of those threats. Teachers need greater support to tackle these issues in schools. Too often, they are simply ill-equipped and unprepared to teach relationships, sex and health education. Fifty per cent of pupils reported that power imbalances and pornography were not covered in their lessons, and 56% said that what a healthy relationship looks like was not covered either. Surely that should be absolutely key.

Incels, the red pill and the manosphere are relatively new terms, but the attitudes that they promote are not new. It is sexism and male chauvinism repackaged for the digital age, amplified and spread faster than ever before. That is why we must ensure that our education system evolves to counteract this harmful narrative before it takes root in young minds.

The Centre for Social Justice’s latest report, “Lost Boys”, highlights that boys in the UK are struggling in education, more likely to take their own lives, less likely to find stable employment and more susceptible to being drawn into crime. It also notes the increasing appeal of right-wing and regressive ideologies among young men. We must address the core challenges that our young men face and understand how misogyny is evolving, educating parents, teachers and, most importantly, young people themselves—we need to support them.

A whole-school approach is essential in addressing these issues effectively. This approach encourages schools to review their existing procedures and culture, to ensure that they model respectful relationships and gender equality practices across the entire school community. By embedding those values into the fabric of the school environment, we create a culture that actively challenges harmful stereotypes and promotes positive, healthy relationships. Yet last year, we saw the RSHE review become unnecessarily politicised and hijacked by sensationalist headlines and anti-LGBTQ+ rhetoric, serving only to fuel division. We cannot afford to play politics with the health, safety and wellbeing of our children. The focus of any review of RSHE should be on how we can equip young people with the knowledge and tools that they need to navigate the modern world safely. It should address the urgent need to tackle the rise of online misogyny, the increasing prevalence of violence against women and girls, and the damaging impact of pornography and exploitative media on young people’s perceptions of relationships.

I recently heard from a young constituent, Maddie, who is here today. She was deeply affected by the loss of a teacher in our community and wrote to me expressing her frustration that while the conversation on violence against women and girls often focuses on policing and reporting, prevention is often overlooked. She told me how her cousin, a newly qualified teacher, was asked to deliver RSHE lessons despite feeling completely unprepared to do so. She is right to be frustrated. Young people overwhelmingly support strong education on relationships, with 87% saying that there should be more teaching about relationships, abuse and sexual health. We owe it to them to listen.

RSHE is often an afterthought, added in as an extra and delivered by teachers who are not specifically trained for it. Many are simply given a sheet of paper to read from and do not know how to answer the follow-up questions. That is why I am calling for urgent reforms to RSHE, including: updating the outdated 2019 guidance to reflect the realities of young people’s lives today; extending RSHE up to key stage 5 so that it reaches 16 to 18-year-olds; making RSHE a key component of initial teacher training, ensuring that new teachers are properly equipped to deliver it; and investing in training for school leaders, teachers and governors to understand the online spaces that young people navigate today.

We cannot afford to wait until another young woman becomes a statistic. We must act now to equip the next generation with the knowledge and resilience that they need to build safe, healthy relationships. Teaching children about harmful gender stereotypes, consent, respect and healthy peer relationships from the earliest stages is key to preventing violence against women and girls. I urge the Government to prioritise prevention, invest in education and listen to the voices of our young people who are asking us for change. The time for action is now.