Preventable Baby Loss

Helen Morgan Excerpts

Wednesday 4th September 2024 Westminster Hall

[Helen Morgan (North Shropshire) (LD)]

The hon. Gentleman is making a powerful speech. It is good to hear the story of Agnes, and I hope that he will agree with me that sympathising with our constituents who have suffered such awful circumstances and telling their stories in Parliament is a good way to ensure that they are heard in the future.

[Jim Shannon]

I thank the hon. Lady for that. The story of Agnes’s son is this: her stillborn son was born sleeping in the early ’70s and was buried. Agnes came to see me over 50 years later.

--- Later in debate ---

[Helen Morgan (North Shropshire) (LD)]

It is a pleasure to serve with you in the Chair, Mr Dowd. I start by thanking the hon. Member for Ashfield (Lee Anderson) for securing this important debate. Sadly, we have revisited this issue a number of times, even in the short period since I was elected in 2021.

Members’ speeches today have been excellent, and I will touch on them briefly. I thank the hon. Member for Ashfield for telling the stories of his constituents who have come along today, and I thank them for sharing their stories, which were very moving. It is tragic that they have been through such experiences.

The hon. Member for Clacton (Nigel Farage) addressed the fact that the subject is taboo and that we need to get over that if we are to support families properly. The hon. Member for Morecambe and Lunesdale (Lizzi Collinge), who I welcome to this place, stressed the importance of providing support for bereaved families and of the groups in her constituency that do that. The hon. Member for Strangford (Jim Shannon) told us the moving story of his constituent Agnes, who felt her loss for the rest of her life.

The hon. Member for Washington and Gateshead South (Mrs Hodgson) has been a pioneering campaigner on this issue. In particular, she has campaigned successfully on the issue of the birth and death certificate for a lost baby, and I am sure everybody is grateful to her for that. The importance of making memories for bereaved families is so important. The hon. Member for Rossendale and Darwen (Andy MacNae) pointed out the important statistics we need to consider and the importance of effective bereavement support. The hon. Member for Sheffield Hallam (Olivia Blake), who has also been an effective and tireless campaigner on the issue of miscarriage, made an excellent speech.

I became co-chair of the APPG on baby loss shortly after I was elected, because of the scandal at Shrewsbury and Telford hospital NHS trust and the Ockenden report, which was issued shortly afterwards. There have been similar incidents at Morecambe Bay and East Kent, and we suspect there is a similar issue emerging at Nottingham, with the review by Donna Ockenden currently under way. The fact that scandals have emerged across the country means that there are endemic failings that we need to address, rather than blaming individual trusts.

The reports on Morecambe Bay and East Kent were by Dr Bill Kirkup, while the Ockenden report was for Shrewsbury and Telford. They raised very similar issues, albeit in quite a different style. The first issue was the importance of safe staffing in ensuring that babies do not die unnecessarily on maternity wards. Sands and Tommy’s have also led a campaign on that, which the APPG supported. The former Government responded quite well in trying to improve midwife numbers and ensure that maternity units are safe places to be. Shrewsbury and Telford hospital NHS trust has achieved its targets on safe staffing. We need to keep the focus on that area, because safe staffing obviously needs to be maintained; it is not a one-off thing that we can do and then hope for the best for the future.

Other issues that came up include learning from mistakes, listening to mothers and their families, and doing a proper review when something goes wrong, as it inevitably occasionally will, to make sure that lessons are learned. It feels like that has not happened across the NHS as a whole. In every review, we have heard about a lack of openness and transparency with the families and about blame being passed on to mothers who have lost their babies. We have heard about a toxic environment in some hospital trusts and about a willingness to cover up what has gone wrong rather than be candid and learn from mistakes. Those issues have been highlighted time and again, and it is important that the three reports—we are expecting a fourth—do not just gather dust on a shelf somewhere. Action must be taken to ensure that those mistakes do not keep happening.

The hon. Member for Morecambe and Lunesdale raised the fact that there is an obsession with natural birth, and I feel that very strongly. After having an emergency C-section, I was asked by a midwife whether I felt like a failure for having been through that emergency medical procedure. The answer was, “No, not until you suggested that maybe I ought to,” but hon. Members can probably imagine the shame, guilt and depression that followed. We must get away from this obsession with natural childbirth. It is the best option for mothers with low-risk pregnancies, but it is not great for anybody who has a medical issue. We must not let ideology lead the evidence and science.

I am conscious of time, so I will not take too long. Shrewsbury and Telford hospital NHS trust has made great inroads in implementing the immediate and central actions that Donna Ockenden recommended, but I would welcome an update from the Minister on progress on the national actions. If the disparity for ethnic minority women—whether they are black, Asian or from another ethnic minority—was happening in an individual trust, we would be up in arms and would get in a professional to investigate what was going wrong. We must not lose sight of that disparity and inequality. We must deal with the terrible outcomes for some of these women, as well as with the wider situation in the NHS.

Independent whistleblowing is particularly important. In Shrewsbury and Telford hospital NHS trust, the freedom to speak up guardians report into hospital management, and people frequently report that they do not feel safe whistleblowing. I urge the Government to look at safe whistleblowing and to create an independent office of the whistleblower to ensure that when people raise medical concerns about safety, they are listened to, are not closed down and do not fear losing their jobs.

These scandals do not apply to a single hospital trust; there is huge variety in the quality of care across the country. I urge the Government to look at maternity care across the country and to ensure that getting safe care is not a postcode lottery but is consistent and fair for all women.