Baby Loss Awareness Week

Debate between Maria Caulfield and Andrea Leadsom

Thursday 23rd September 2021 Commons Chamber

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

I thank all Members of the House who have taken part in the debate this afternoon. The shadow Minister, the hon. Member for Tooting (Dr Allin-Khan), is right to say that this is an issue that unites us all and puts politics aside. The loss of a baby is never easy to discuss, whether it is the loss of your own baby or a baby known to you, or the experience of a constituent, it is a hugely emotional and sensitive area, and time is often not the great healer it is made out to be. This debate has raised some difficult but important issues.

I also thank the co-chairs of the all-party parliamentary group on baby loss: my hon. Friend the Member for Truro and Falmouth (Cherilyn Mackrory), who spoke extremely bravely about her experience of losing baby Lily; and my right hon. Friend the Member for South West Surrey (Jeremy Hunt), who also helped to secure this debate. The response and strength of feeling shows how many lives have been affected and touched by this issue. There have been so many moving contributions, and I cannot name them all, but they included those from the hon. Member for Pontypridd (Alex Davies-Jones), my hon. Friend the Member for Bracknell (James Sunderland) and the hon. Member for North Ayrshire and Arran (Patricia Gibson), who talked about baby Kenneth.

This is the sixth year that a debate has been held to mark Baby Loss Awareness Week, and I am honoured to take part as the new Minister for primary care and patient safety and to work with all hon. and right hon. Members across the House to make a difference in an area as vital and important as maternal and neonatal safety. It is perhaps fitting that the debate is happening so soon after I have taken on this role, as it has sharply focused my mind on the huge amount of work there is to do in improving the outcomes for families and babies.

The Government’s maternity ambition is to halve the 2010 rates of stillbirth, neonatal and maternal deaths and brain injuries in babies occurring during or soon after birth by 2025. The ambition also includes reducing the rate of pre-term births from 8% to 6%, and we are making progress on that. Since 2010, there has been a reduction of 25% in stillbirth rates and a 29% reduction in neonatal mortality rates for babies born after 24 weeks gestation. There is, however, progress to be made on reducing maternal mortality rates, brain injury rates and pre-term birth rates, because progress has been slower than any of us would have hoped. There are pilot schemes in place, however, including those introduced under the brain injury reduction programme, which saw £9.4 million-worth of investment during the spending review last year going towards reducing the incidence of birth-related brain injuries. The pilots will produce cutting-edge training and expert guidance, and I hope to report back to the House on their impact.

My hon. Friend the Member for Truro and Falmouth raised some incredibly important points, and I want to touch on a few of them. Financial investment can of course make a difference in improving maternity services. NHS England announced earlier this year an additional £95 million of recurrent funding for maternity services to support the recruitment of 1,200 midwives and 100 consultant obstetricians and the implementation of the actions arising from the Ockenden report. NHS England and NHS Improvement are also providing an additional £52 million to fast-track a long-term plan commitment for all women to be able to access their maternity notes and information via a smartphone or other device by 2024.

Money is not the only solution, however. One key way to improve outcomes is to look at what has gone wrong in the past, and the perinatal mortality review tool is important in that regard. The Health Departments in England, Wales and Scotland collectively fund the perinatal mortality review tool so that the deaths of all babies between 22 weeks gestation and four weeks old are reviewed to provide answers to bereaved parents about how their baby died and so that the NHS can learn lessons and improve care. All bereaved parents now have the option to be involved in a high-quality review of the death of their baby and, according to the last perinatal mortality review tool annual report last year, 84% of review cases in England, 86% of cases in Wales and 87% of cases in Scotland included parents in their final reports. It is by learning from parents and listening to their concerns that we will ultimately improve services for families and save lives.

The shadow Minister and my hon. Friend the Member for Truro and Falmouth raised the issue of tackling inequalities in perinatal outcomes for women from black, Asian and other minority ethnic groups. There are huge disparities in outcome across different communities. Earlier this month, NHS England and NHS Improvement published an equity and equality strategy, supported by a £6.8 million investment, to address the causes of inequalities in health outcomes, experience and access. It provides guidance for local maternity systems and focuses on black, Asian and minority ethnic groups, who currently experience poor maternal health outcomes. This is a priority area for me, and I take the point raised by my hon. Friend the Member for Truro and Falmouth about the importance of continuity of care.

In helping to support bereaved families following the tragic loss of a baby, I am delighted to hear that we have now reached the milestone of every NHS trust in England having expressed an interest with Sands in joining the national bereavement care pathway programme, and 65% of trusts are now members. We will continue to take a cross-Government approach to assessing what more needs to be done to support bereaved families.

I will discuss with my ministerial colleagues the point raised by the hon. Member for Lanark and Hamilton East (Angela Crawley), in particular, on leave for those who have experienced a miscarriage before 24 weeks.

Important points have been made about mandating a pathway and funding to ensure that every hospital has an appropriate bereavement suite and specialist staff and training. I will feed back to the House on our progress on that, as I recognise that we need to move swiftly.

My hon. Friend the Member for Truro and Falmouth, like many other hon. Members, commented on mental health support for bereaved fathers, parents, families and siblings. We heard from my right hon. Friend the Member for South West Surrey about the impact that the loss of baby Sarah had on his whole family. Losing a baby can have a massive impact on the whole family, and this Government are committed to expanding and transforming mental health services in England so that people, including those affected by the loss of a baby, get the help and support they need. My hon. Friend the Member for Guildford (Angela Richardson) could not have been more eloquent about the experience of not getting it right.

We have a long-term commitment that a further 24,000 women will be able to access specialist perinatal mental healthcare by 2023, building on the additional 30,000 women who can access such services this year.

[Dame Andrea Leadsom]

Does my hon. Friend agree that, along with all the things she is talking about, we need a joined-up set of start of life services, such as the Government are already working so hard to implement in their “Best start for life” work? If we could provide continuity of care and wraparound support for families, so many of the health disparities and terrible outcomes would be avoided.

International Climate Action

Debate between Maria Caulfield and Andrea Leadsom

Thursday 26th September 2019 Commons Chamber

[Andrea Leadsom]

We have already taken a number of actions on charging infrastructure for electric vehicles, investments in hydrogen and low-carbon technology to reduce emissions from industry. We will be doing a lot more, and we will set out our plans in the next few weeks.

[Maria Caulfield (Lewes) (Con)]

HMRC is having to change VAT rates from 5% to 20% for the installation of renewables, such as solar panels, to meet the EU VAT directive. Will the Minister commit to reversing that decision when we leave the EU?

[Andrea Leadsom]

My hon. Friend is right. We will be able to choose our own VAT rates.

Business of the House

Debate between Maria Caulfield and Andrea Leadsom

Thursday 20th December 2018 Commons Chamber

[Andrea Leadsom]

My right hon. Friend the Prime Minister made a statement on Monday, her sixth in 19 sitting days, in which she confirmed that we intend to return to the meaningful vote debate in the week commencing on 7 January and to hold the vote the following week, which is the week commencing on 14 January. Further details will be set out in the business of the House motion, which, as I have confirmed in today’s business statement, will be considered on Wednesday 9 January, before we continue the debate on the deal that day and for the remainder of that week.

On the right hon. Gentleman’s other point, I understand that the Under-Secretary of State for the Home Department, my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), has offered to meet him to discuss his particular concerns. If he has any problem with that meeting and he would like me to take the issue up directly with her, I would be delighted to do so.

[Maria Caulfield (Lewes) (Con)]

May we have time for a debate on compelling heavy goods vehicles to use commercial sat-navs to stop them using rural roads as cut-throughs, which is affecting the villages of Alfriston, Ditchling and Newick in my constituency? Commercial sat-navs would enable enforcement action to be taken against those who flout the height and weight restrictions, and it would make our rural roads safer for all road users.

[Andrea Leadsom]

I think my hon. Friend will find a lot of support for that from around the Chamber. In my constituency we have enormous problems with HGVs getting stuck together when they are trying to pass on a narrow country road. She will be aware that we have Transport questions in our first week back, on 10 January, and I encourage her to raise the issue directly with Ministers then.

Government Policy on the Proceedings of the House

Debate between Maria Caulfield and Andrea Leadsom

Tuesday 10th October 2017 Commons Chamber

[Andrea Leadsom]

I can only say again that how Members vote is a matter for individual Members, and their parties and policies. This House expressed an opinion and the Government listened carefully, as is the case with the many Back-Bench motions that are debated on the Floor of the House and passed without a Division. In every single case, the Government take part fully and listen carefully.

I also want to make the House aware of work away from the Chamber to address Members’ real concerns about the increased volume of secondary legislation during this Session. The Government are aligning their approach to secondary legislation with their approach to primary legislation. The Cabinet Committee that I chair that oversees all primary legislation will now also oversee all secondary legislation. This will manage the flow and quality of statutory instruments more proactively, giving Parliament a much better service and enabling better scrutiny.

Let me address the specific points made by the right hon. Member for Orkney and Shetland about the subjects of the two Opposition day debates in September. The Government took full part in those debates. The Government matched the Opposition speaker for speaker. Notably, as was mentioned by my right hon. Friend the Member for Forest of Dean (Mr Harper), the Liberal Democrats failed to put up a single speaker in the tuition fees debate and put up only one in the NHS pay debate. Senior Ministers, on the other hand, were present on the Front Bench and made substantial contributions. My right hon. Friends the Secretaries of State for Health and for Education both opened their debates, and the Chief Secretary to the Treasury and the Minister for Universities, Science, Research and Innovation closed them.

On Second Reading of the Finance Bill the day before, however, there were only five Opposition contributions —three from Labour; none from the Liberal Democrats. In contrast, we heard 17 Back-Bench speeches from Conservative Members, including 12 in a row. In fact, such was the extent of our engagement on that important Bill that the hon. Member for North Durham (Mr Jones) even made a point of order suggesting that we might be filibustering our own Finance Bill.

The vital issues of NHS pay and tuition fees have been thoroughly debated in this House in recent weeks.

[Maria Caulfield (Lewes) (Con)]

I spoke in the NHS debate in favour of the motion, so I was very pleased that the Government supported it. I can only assume that Opposition Members are so unhappy because they lost an opportunity to beat the Government with a political stick.

[Andrea Leadsom]

Of course my hon. Friend is exactly right. Opposition Members wanted us to oppose, not support, which was what happened on the day.

Oral Answers to Questions

Debate between Maria Caulfield and Andrea Leadsom

Thursday 12th May 2016 Commons Chamber

[Andrea Leadsom]

I absolutely agree that it certainly plays a part, but I can tell the right hon. Gentleman that, as part of the reform of the RHI, we are trying to ensure that the budget offers the best value for money. Solar thermal requires the highest subsidy from the Government of all RHI technologies, and the evidence suggests that nearly 50% of RHI respondents said they would have installed it anyway, even without Government subsidy. We always need to look at the balance between keeping the costs down for the bill payer and supporting these technologies.

[Maria Caulfield (Lewes) (Con)]

15. What steps her Department is taking to encourage growth in the green research and development sector.