Read Bill Ministerial Extracts
Infants, Parents and Carers Bill Debate
Full Debate: Read Full DebateJohn Hayes
Main Page: John Hayes (Conservative - South Holland and The Deepings)Department Debates - View all John Hayes's debates with the Department of Health and Social Care
(3Â weeks, 4Â days ago)
Commons ChamberI beg to move, That the Bill be now read a Second time.
This is the first private Member’s Bill that I have moved in 30 years, and I have been somewhat discombobulated by the extraordinary amount of effort that has gone into getting just six clauses before the House today, so I am deeply indebted to the Government Whips Office, which has been extraordinarily helpful. I do not know what is happening to this Parliament—it is vastly more helpful than I was ever expected to be when I was a Government Whip! Anyway, I am equally indebted to the Ministers and their private offices and, indeed, to the parliamentary draftsmen. Of course, included in those Ministers was the hon. Member for Washington and Gateshead South (Mrs Hodgson), who has pursued this particular agenda in opposition and in government, frankly, since God was a boy.
Equally, I give my thanks to the Public Bill Office, which has been exceptionally helpful, and to our former Leader of the House, Andrea Leadsom, and her 1001 Critical Days Foundation. Finally, I give thanks for the heavy lifting done by my parliamentary assistant and by our former colleague, Will Quince, and his team. Of course, as you know, Madam Deputy Speaker, the Standing Orders are clear: we do not refer to people in the Gallery—I take it you have got the hint.
This Bill responds to the widely held view that services for infants, prospective parents and parents of young children are somewhat vulnerable when they rely largely on non-statutory guidance and programme funding. The purpose of the Bill is to shine the legislative spotlight on those services and to ensure that they are systematically understood and are known about and scrutinised by Parliament.
It is a truism that if we want a better future, we need to start with the provision of services to babies today. It is vital that those services are available in that critical period of 1,001 days from pregnancy through to two years old. If children are confident that they are safe and if they are responded to properly by adults, they will build relationships, they will be healthy, they will have language development and their future learning will be assured. That is vital. It is vital that we make that impact in those early weeks, months and years when 1 million neural networks are being formed every second and the baby’s brain grows to 80% of the weight of an adult’s brain by two years old.
If those services are not available, and if problems arise and are not addressed, there will be problems with speech, problems with relationships and problems with development later, so it is vital that they are there.
As a former schoolmaster, my right hon. Friend will be familiar with the work of Piaget, who makes exactly that point: early development—prior attainment, as it is often called—is a determinant of subsequent progress both at school and beyond it. In rural communities such as mine, it is vital that the delivery of the services my right hon. Friend describes is done in a peripatetic way, ideally through what were once called district nurses—familiar figures in the community who could engage with local people and build trust. I wonder if we ought to add to his Bill, in the form of an amendment, a call to bring back district nurses.
I will address exactly that point shortly.
If a child is not developing properly and is not sleeping, feeding or communicating, parents need to know that they have somewhere to turn. If that difficulty is spotted by, let us say, a district nurse, a midwife, a health professional or one of the excellent workers in our family hubs, help is on the way. If that help does not arrive or does not arrive in a timely manner, problems will present later, when they will be much more difficult and more expensive to address.
I have received an enormous amount of advice from clinicians at the top of their game and from frontline workers with enormous experience, laying out all the vital services that ought to be provided for by a Bill such as this and, indeed, offering me substantial help in putting the Bill together. It would be perfectly proper for hon. Members to share that sort of advice with the Minister today, and that is the proper place for it. This Bill is quite deliberately written at a higher level. It does not specify what the services should be; it empowers Ministers to regulate and make provision for those services. That is the overwhelming purpose of the Bill.
Of course, there is a vast amount of evidence out there that suggests that all these services are vital, be it perinatal mental health services for parents, relationship training for parents and their child or the peripatetic services that my right hon. Friend the Member for South Holland and The Deepings (Sir John Hayes) referred to, as is the systematic provision of those services.
All that is vital, and if it sounds familiar it ought to be, because that is what is being delivered to a large extent by our excellent Best Start family hubs and healthy babies programme. The Bill does not provide something new in the way of services; it will make those services accountable, more easily scrutinised by Parliament, and therefore less prone to being deprioritised. We might recall what happened to much of the Sure Start programme, and let that be a salutary lesson, particularly for Opposition Members.
Later in my speech, I will make exactly that point about the importance of these services being available on a universal basis, for the reasons my hon. Friend alludes to.
It was a tragedy that Sure Start centres were one of the earliest and most extensive casualties of the austerity of the Conservative and Liberal Democrat coalition Government of 2010. The funding was not ringfenced; in many cases, the services were not statutory; and the integrated service design model was not mandated. In many ways, the strongest argument for the Bill we are debating today is the experience of just how easy it was for Sure Start to be dismantled, ultimately resulting in the closure of 1,300 centres and the loss of that precious and vital integrated network of support for babies and their families, which had been delivering so much. Those closures were compounded by the covid-19 pandemic, when access to face-to-face services in early childhood was very limited. We have seen the impact of that, particularly the increase in the number of children with speech, language and communication difficulties coming through the system in recent years.
The hon. Lady is making a powerful speech about Sure Start, and in particular about the capacity to deliver what she describes as face-to-face services. It is critical that those services are delivered in precisely that way—in person—because of the trust that that creates. As a new parent in 2000, having never had a child before, I remember that my wife and I were dependent on exactly those kinds of very trusting personal relationships. I fear that more and more of those kinds of services are being delivered now online, and people are being driven online to attain them. We must reverse that trend; it was exaggerated, of course, during covid, but it has never really recovered since.
I agree with the right hon. Member about the importance of face-to-face services. I mentioned the excellent community midwifery services that I was able to benefit from as a new mother. We have got ourselves into a terrible state with maternity care right across the country, with tragedies and a real challenge in turning those services around. One of the things I found so important and appreciated so much about that community midwifery service was that during the course of my pregnancies, I got to know the team of five midwives who worked in that service. One of those midwives took me through labour and the antenatal period. That was so important for building the trust that, in midwifery and maternity services in particular, has been badly damaged by service failures in lots of areas of the country.
My second daughter has two middle names, one of which is Agnes. Agnes is the midwife who delivered both my babies through that excellent community midwifery service, about which I cannot speak highly enough. Those services have now largely gone; midwifery services are not delivered in that way anymore.
On the delivery of online services, parents and carers—all of us—look for advice online all the time, so it is important that there are accredited, reliable, trustworthy sources of good information online. I do not dismiss the role of online services, but they cannot ever be a substitute for the delivery of in-person services.
As our Labour Government seek to restore some of the provision that was lost as Sure Start was dismantled, and to respond to the challenges that families face by expanding Best Start family hubs, there are some vital considerations. The first, which my hon. Friend the Member for Hackney South and Shoreditch (Dame Meg Hillier) alluded to, is the principle of universality. None of us comes to parenthood for the first time knowing everything about what is best for our baby. For many new parents, irrespective of material resources, the experience is overwhelming. It is an incredibly vulnerable time of life: 10% to 15% of new mothers experience post-partum depression. We should therefore ensure that all new parents can access support and advice in the earliest years, and that it is easily accessible for everyone in their local communities. If support was delivered in that way, there would be no stigma associated with accessing it, and there would be the added benefit of helping to build community cohesion by giving parents from different backgrounds living in the same area an opportunity to connect with each other.
I have come to know and become a friend of my hon. Friend over recent times. She will understand that although it is easy for us to imagine the vulnerability of unborn and born children, the vulnerability of new parents is often underestimated. They can feel, as she describes, nervous and uncertain, as they can be frightened of making mistakes. When people have their second child, it is a lot easier, as I am sure many Members would acknowledge, but in those first days, weeks and months, it is difficult. What this Bill creates is a cushion for those vulnerable parents that I have described.
Shivani Raja
I thank my right hon. Friend for that wisdom, and I could not agree more. As a first-time parent and a young mum, I can confirm that I have felt the pressures faced by many mums across the country. Again, that is why I am grateful to Leicester Mammas for providing guidance in my post-partum journey, including breastfeeding support. They give encouragement to my family and many other families across Leicester, and they have truly grown to be an integral part of our community.
The Royal College of Psychiatrists reported in 2024 that up to 85,000 mothers across England had experienced post-natal depression. That is staggering, and it is all happening well within the first 1,001 days of a baby’s life. The last national maternity review, in 2024, described the harsh and devastating reality that three in 10 women reported symptoms of depression, anxiety or post-traumatic stress just six months after giving birth.
We have to do more, and that begins with being better listeners. The Bill would enable the Government to continue to monitor the situation for parents and carers, prospective parents and carers, and newborns, but ultimately we have to make sure that our listening is followed up by action. The second component of the Bill would improve the level of accountability in that area.
The third element of the Bill focuses on information and support, specifically in ensuring that we introduce a stronger legal foundation beneath the resources and services that families rely on during pregnancy and the first 1,001 days. There sadly remain inequalities throughout our system. The reality in many of my constituency’s communities is that pregnancy and childbirth are far from straightforward. Evidence shows that women living in the most deprived areas die during childbirth at nearly twice the rate of those living in the least deprived areas. Having a firm legal basis for the care that is provided to new mothers across demographic groups will ensure that some of the anxiety is taken out of pregnancy. For many mothers and prospective mothers in Leicester East, that would be life-changing.
As a mother with a son who is growing up at an unbelievable pace, I know the reality of both the challenges and joys of the first 1,001 days. However, no country in the world has fully recognised in law the huge opportunity that strengthening the support to families in this early period carries. It would be transformative, and I support the Bill because I know from personal experience as a new mum that, as many mums in this House will also know, parents and carers need more support, and I believe the Government can offer that.
We have the evidence to back up the need for the Bill, and we are now presented with the perfect opportunity to lead the world in our approach to championing young families and their children. I urge Members across the House to join me in supporting the Bill.