Maternity Commissioner

Debate between Karin Smyth and Anna Dixon

Monday 20th April 2026 Westminster Hall

[The Minister for Secondary Care (Karin Smyth)]

It is a pleasure to serve under your chairship, Ms Jardine. I thank my hon. and learned Friend the Member for Folkestone and Hythe (Tony Vaughan) for responding so ably on behalf of the petitioners. That thousands of people wanted us to talk about this subject, many of whom will be watching—many are in the Public Gallery—demonstrates how important the issue is and how it touches so many of our constituents. I am grateful to my own constituents for signing the petition.

I place on record my thanks to Theo Clarke, who is also in the Gallery, who did a lot of work in this area when she was an MP, based on her own experiences. I agree with the hon. Member for Sleaford and North Hykeham (Dr Johnson) that, by detailing injuries and raising some of the taboos, she did a great service to other women. I also thank Louise Thompson, also in the Gallery, for the time and effort that she has put into campaigning for improvements in maternity care following her own experiences. All the organisations that work on behalf of women, bringing forward their stories to national attention, do a great service—it is not an easy thing to do, and we thank them for it.

The hon. Member for Esher and Walton (Monica Harding), and my hon. Friends the Members for Morecambe and Lunesdale (Lizzi Collinge), for Altrincham and Sale West (Mr Rand) and for Shipley (Anna Dixon) all highlighted their constituents’ experiences. To be clear, the Secretary of State leads on this work directly, and a meeting has been set with Louise and Theo to discuss the issue of a maternity commissioner more thoroughly. I encourage both Theo and Louise to continue to engage with the national investigation chaired by Baroness Amos. Their campaigning, along with that of so many others, has led the Secretary of State to directly provide the leadership himself, ensuring that the issue gets attention. We look forward to Baroness Amos’s recommendations.

As many Members have said, the vast majority of births are safe, and there are some outstanding examples of care in the NHS. But where things do go wrong, it can have a devastating impact on women and their families, who are at their most vulnerable when giving birth. We are fighting systemic issues, entrenched inequalities in maternity care, a failure to learn from mistakes, and culture and leadership issues.

It is appalling, as we have heard again in this debate, how in the 21st century in Britain there could be such a difference in outcomes for mothers from different ethnicities and for those from deprived backgrounds, not least in constituencies such as mine. That was a point ably made, as ever, by my hon. Friend the Member for Clapham and Brixton Hill (Bell Ribeiro-Addy), who, in leading the APPG, does an amazing amount of work to highlight the issue. I confirm to her that we remain committed to setting a target to close that mortality gap, and will be informed by Baroness Amos’s recommendation. The issue of deprivation and ethnicity differences was also raised by my hon. Friends the Members for Rochdale (Paul Waugh) and for Worthing West (Dr Cooper). That issue is why the Secretary of State has launched the national investigation into NHS maternity and neonatal care, chaired by Baroness Amos. She is bringing together the findings from past reviews and local rapid reviews, and new evidence from families and staff, into one clear national set of recommendations.

As my hon. and learned Friend the Member for Folkestone and Hythe said, previous issues and scandals have produced many recommendations, including, as we have heard, well over 700 recommendations on maternity care since 2015. As my hon. Friend the Member for Shipley reminded us, some of the information from those investigations has been available for well over a decade.

We know what needs fixing, but changes to processes and procedures here and there are not enough. There is a risk that some recommendations might fix the symptoms, but not the underlying causes. Many colleagues have talked about culture. I agree with my hon. Friend the Member for Rossendale and Darwen (Andy MacNae): we cannot keep going round in the same cycle. There is an underlying cultural issue, and systemic change needs to happen. I commend my hon. Friend for the work that he does on the APPG and for sharing the loss that he and his family suffered. That loss is informing that work.

My hon. Friend the Member for Mansfield (Steve Yemm) also talked about that culture and the need for deeper questions. Other Members talked about the need to speak up. I agree with my hon. Friend the Member for Morecambe and Lunesdale, who highlighted the importance of that culture of encouraging people to speak up.

[Anna Dixon]

Does the Minister agree that training obstetricians and midwives together as a team is an important part of creating that unified culture that we know is so important to underpin safety for mothers and babies?

NHS and Care Volunteer Responders Service

Debate between Karin Smyth and Anna Dixon

Monday 19th May 2025 Commons Chamber

[Karin Smyth]

I agree with the hon. Lady about the roles that people play, particularly by having conversations and connecting with people who feel disconnected. To be very clear, this decision is about particular arrangements: it does not mean that things are stopping across our country or with local health systems ensuring that volunteers are still available. We want to ensure that we use that knowledge in building systems for the future. I was very pleased to host a roundtable with organisations as part of our 10-year plan process. There are some fantastic ideas and opportunities out there to use the knowledge we have learned, particularly during covid, to use technology to link with people and to recognise where people are not linked by technology and ensure that they remain connected. All of that will form part of our future plans.

[Anna Dixon (Shipley) (Lab)]

Before I ask my question, I draw attention to my entry in the Register of Members’ Financial Interests: I am an unpaid trustee of Helpforce, a charity that supports volunteering in health and care and works with more than 100 NHS partners to embed volunteering in trusts.

As we have heard, volunteers make a huge contribution every day across the country, giving their time and skills to free up doctors and nurses to focus on their clinical tasks. Helpforce runs a scheme called Volunteer to Career, which enables people to try out through volunteering before making the transition into a frontline healthcare career. Does the Minister agree that schemes such as Helpforce’s Volunteer to Career programme could play a huge role in filling some of the vacancies in NHS roles and that volunteers will play a central role in delivering the 10-year NHS plan?

[Karin Smyth]

I thank my hon. Friend for her work, expertise and knowledge. She is absolutely right—she almost pre-empted my answer—that embedding knowledge where it is needed in the frontline in our communities is exactly what we need to look to do, and we need to recognise where we can use volunteers well. We have micro-volunteering these days, which can help people to link in where it suits them, so that we can take advantage of people—I do not mean “take advantage”; that sounds bad. We can utilise people’s opportunities—perhaps they are working different or irregular shifts—so that they can give more, because we know that there is a great appetite out there to support the system more.

National Insurance Contributions: Healthcare

Debate between Karin Smyth and Anna Dixon

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

I agree with the right hon. Gentleman that his hospice, and the hospices in many of our constituencies, do great work. We are aware of the precarious situation that they have been in for a number of years, and we want to ensure that they are fully part of end of life care. He will know from his time in the Treasury that there are complicated processes, both in the Treasury and in the Department of Health and Social Care. When I talk about the normal processes for allocating money, I think he understands that well. We are mindful of hospices’ concerns, and we will continue to talk with them.

[Anna Dixon (Shipley) (Lab)]

Between 2013 and 2023, during the Conservatives’ time in government, the number of general practices fell from 8,044 to 6,419. Does my hon. Friend agree that it is a bit rich for the Conservatives to pretend now that they care so much about general practice, given that 1,600 practices closed on their watch?

[Karin Smyth]

My hon. Friend brings a great deal of expertise to the House from her work in social care, so she knows and understands the precarious nature of the sector, which we cannot stress enough. I do not know whether the Conservatives have actually read the report by Lord Darzi, but that report and its appendices give a really clear idea and diagnosis of the state in which the NHS and social care system was left. It will take a long time to rebuild it, and the sustainability of general practice and primary care is particularly problematic. That is why we took those actions in the summer, and why we will continue to support them and build up a neighbourhood health service.