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Infants, Parents and Carers Bill Debate
Full Debate: Read Full DebateMaya Ellis
Main Page: Maya Ellis (Labour - Ribble Valley)Department Debates - View all Maya Ellis's debates with the Department of Health and Social Care
(3Â weeks, 4Â days ago)
Commons Chamber
Maya Ellis (Ribble Valley) (Lab)
I am delighted to wholeheartedly support the private Member’s Bill of the right hon. Member for New Forest West (Sir Desmond Swayne), which pushes for vital provision to support infants and families, and would finally put into legislation the requirement for the Government to report to Parliament annually on how this country supports children and families from pregnancy to age two.
I am very proud to be the chair of the all-party parliamentary group on babies (pregnancy to age two). Over the past two years, I have seen through that role that the evidence on this subject is there a hundred times over. We know that there are 3.5 million children under the age of four, all of whom will grow into UK citizens whom we need to thrive. We know that some of the most significant brain development happens before the age of two. We know that Sure Start centres were directly linked to a reduction in special educational needs. We know that the Department of Health’s own research says that early intervention could save £45 billion a year.
As I always say, though, to many of the people in this sector and to my own constituents, even though the evidence is there a million times over, sometimes getting the political will is even harder. That is why I think we are in a really lucky position right now: 41% of MPs are women, and I am really glad that feminism has developed to a point where this is finally coming before the House. We also have the maternity taskforce, for which I am proud to be a member of the parliamentary expert advisory panel. I think we have a moment now where these things are coming together, and finally there is the political will and momentum.
Women particularly are finding their voice, alongside all the incredible dads, and parents and carers across households, who are really standing up, but we have to keep shouting about this. I am delighted that the Bill finally puts the first steps into legislation, but it is important that we build on it. One of the powerful arguments for the Bill is that no Government would now question the funding for free entitlement to schooling at age five. No Government would change that. I think this is about putting the same assumptions on to care from pregnancy and birth, and making sure that no future Government could change those basic principles, with which I think we all now agree, without a lot of difficulty.
I want to pay a few tributes to those who have got us to this point, because there are people who have been banging the drum on this issue for decades. Dame Tessa Jowell, who has already been mentioned, along with Lord David Blunkett and Naomi Eisenstadt, who was the civil servant who led on Sure Start, all put so much of the framework in place. Lord Frank Field, who went on to develop partnerships during the Cameron Government, was an incredible force in this space. Dame Andrea Leadsom has worked really hard to bring the Bill forward and made sure family hubs continued under previous Governments. And most recently, this Government, driven in particular by our hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson), are bringing in Best Start family hubs to really start to rebuild the Sure Start legacy.
I also want to pay tribute to the wonderful Nicholas Peacey MBE, who passed away this summer after a lifetime of work with young people, which included leading the Foundation Years Information and Research charity, which I am honoured to chair. Nick was relentless in his positive support for early years and for stakeholders like myself, with a conviction that nothing was more important than babies. I believe he knew that the Bill was coming through Parliament, but there was so much more that he was excited to do and we will miss him.
The Bill is deliberately simple. Organisations have lobbied me, and I am sure others, about the fact that they wish it did more. I have been very grateful to Dame Andrea Leadsom and the wonderful Will Quince for educating me on how important it is to keep a Bill simple. It is important that the public know that this Bill is about creating a basis and making sure something gets through and on to the statute book, but it is absolutely only a start and we will all in this House, I am sure, be committed to building on it. The Bill will serve as a foundation. If it becomes law, there are a few things the Government could do to ensure a glowing first report.
Too often, mothers, babies and parents are treated as an afterthought in policymaking. The Bill recognises a simple truth: if we want healthier families, greater equality and better outcomes for children, we have to pay more attention to the early stages of life. Maternity care is one of those areas that currently gets shamefully low focus. Around 84% of women will become mothers, and maternity care is often the first time a healthy adult really interacts with a publicly funded institution. Her experience and the experience of her family around her of what her taxes have been paying for is currently woeful. The state of maternity care should concern every one of us. The Care Quality Commission found that 65% of inspected maternity units required improvement or were inadequate for safety. The fact that two thirds of maternity services have been rated unsafe should be treated as a national emergency.
The consequences are not felt equally either. Black women are nearly three times more likely to die during pregnancy or in the year after birth than white women. Babies born in the most deprived parts of our country are more than twice as likely to die around the time of birth than those born in the least-deprived areas. We have had more than 700 recommendations on maternity care over the past decade. We do not need another list of recommendations; we need investment in staff, workforce stability, continuity of care and time for professionals to build trusting relationships with women and families. How women experience pregnancy and birth is not a nice to have; it has profound consequences for mental health, family wellbeing and long-term outcomes. Women deserve to feel safe, listened to and empowered through pregnancy and childbirth, and as they take their first steps in feeding and caring for their baby.
The Bill is also about what happens after birth. We know that the first 1,001 days of a child’s life are among the most important in determining future outcomes, yet they receive remarkably little attention. Currently, only around 55% of infants develop secure attachments, despite overwhelming evidence that early relationships shape future health, wellbeing and life chances. Recent research has shown that expanding parent-infant relationship support in the most deprived communities could save the Government £1.2 billion annually.
The Bill also speaks to a challenge that sits at the heart of gender inequality. Becoming a parent remains one of the biggest drivers of inequality between men and women. Mothers still carry a disproportionate share of caring responsibilities and the result is the motherhood penalty: lower earnings, reduced career progression and less financial security for many women. Evidence shows that when fathers take meaningful leave in a child’s life, mothers are more likely to return to work, more likely to progress in their careers and more likely to share caring responsibilities on a lasting basis.
Many of us here are campaigning for the Government’s parental leave review, which concludes in December, to fund six weeks of paternity leave paid at 90% of pay. As a mother to two young children, I have seen at first hand among my peers, alongside all the overwhelming evidence, the life-changing difference it makes to a child’s early years, and to equality, when parents are enabled to take equal responsibility from the very start. For me, the Bill is a foundation not just for how we support babies, but for how we support families to support their babies, because it is families who are at the coal face, families who get up in the night, who do not get to clock-off, and families who get the criticism when things go less well with their children.
I would like to make a point in support of targeted universalism, as some of my colleagues have made, with early years support. It feels like it strays outside my political home in some ways, but not in others. The Labour movement was founded in working-class families and ensuring opportunity for all, but the movement has been upheld and sustained by other groups, particularly feminists—and feminists of all backgrounds. While we must ensure that financial disadvantage does not become a barrier—and I will always defend that as the first goal of a Labour Government—we cannot ignore the strain that women from all backgrounds are under with caring responsibilities, especially at the earliest stages of a child’s life.
I wanted to be a politician because I have felt for the last 20 years how relentlessly hard it is for women, even from a more supported background, to do everything expected of them. We need earlier services for all women—for all families—because currently even wealthier women hold a hugely disproportionate amount of the responsibility for physical caring and the mental load of working out what is the right thing to do for their child. We need to support those women, because it is against our Labour values to still be enabling such inequality of care. We also need to support them because it is often those women—if they have the right support and balance, equality with their partner, and confidence in the balance they establish between work and family—who get to stand up in this place and fight for everyone else. Most women I know do not think they could be in this place because of the things they would have to juggle. The Bill does not just enable healthy babies; it enables the systems for women to thrive. I have been incredibly lucky to have a largely positive journey with my two gorgeous children, but it should not be luck that made that happen, and it should not be luck that enabled me to stand in this place because of that equality.
The Bill recognises something that every parent knows: raising children is not a private issue to be solved behind closed doors; it is a public good. When we support parents, we support children’s development, strengthen families, improve health outcomes and reduce inequalities. Unlike what most economic theory would have us believe, human capital does not just appear like magic at age 18; endless unseen effort goes into creating those productive, mentally healthy members of society. The Infants, Parents and Carers Bill asks us to take those realities seriously. It asks us to invest earlier, think longer term and put parents, babies and carers at the centre of policy rather than taking them for granted. For those reasons, I am frankly emotional that this Bill might actually become legislation, and I am beyond delighted to support it.
Bobby Dean (Carshalton and Wallington) (LD)
I thank the right hon. Member for New Forest West (Sir Desmond Swayne) for bringing the Bill to the House—at first perhaps reluctantly, but I think now enthusiastically.
Madam Deputy Speaker, you may be forgiven for thinking that we are from slightly different backgrounds, but I am here to make the case that we are from exactly the same background: we both started out life in nappies, weeing and crying out for our mothers. We both started out with approximately the same level of potential, with a hundred billion neurons in our brain waiting to be fused together as they tried to understand the world. This is what I think the Bill is about: maximising the potential of every single baby.
I am arguably—I am not sure; people might want to intervene—Parliament’s newest parent. I am 141 days into the life of my first child, so I have had a front row seat for this amazing show. Getting to see the development of my baby over the summer has been phenomenal: her first smile, her first belly laugh, working out how to roll over from her back on to her front, and initially completely ignoring the dog and now wanting to tug its ears every time it goes past. It has been amazing watching every single one of those interactions and how her brain is developing and building an understanding of the world.
I would be lying if I did not say that it was also a bit of worry. It is a worry because we are now hyper-aware of how critical these moments are; how each one of these interactions are setting out a pathway for the rest of her life. The first 1,001 days movement has been explaining to us how critical these early moments are for children’s long-run physical and emotional development—how, in each one of those early moments, we are shaping the development of their brains and directing the potential of the rest of their lives.
Knowing that, of course, makes it unforgivable that so much provision for children and babies has been cut back over the past decade or so—as if it was some sort of luxury that is unaffordable now that we have other priorities, such as cutting the grass verges in our local areas. The Bill seeks to draw a line in the sand and say, “Never again.” It speaks up for babies, and will make it a statutory requirement for the state to demonstrate how it is meeting babies’ needs. It is a critical step forward in society’s recognition of how our brains develop and how we create opportunity for the next generation.
As others have said, the Bill sets the floor, not the ceiling. We therefore look to the Government to build on the foundations that the Bill sets, and ensure that the principles, on which we all agree today, are built into a practical reality. The healthy babies programme is currently available in only 75 local authority areas, and it excludes places such as mine. The Government made a commitment in their 10-year plan to ensure that it is universal, and I urge them to accelerate that and deliver it as quickly as possible. There is not much specificity about what services are required, and it would be great if the Government came forward as soon as possible to bring clarity.
I have my own request for a service that it will be essential to deliver to babies and parents in the coming years. Health visitors already talk to mothers about nutrition, safe sleep, and bonding between babies and parents, but we need to add another dimension: screentime. It is already Government advice that under-twos should not have solo screentime, but that is extremely poorly understood. Routine screen use is now normal for babies under two, and one in 10 are exposed to more than four hours of screentime per day. Instead of learning through social interaction, they are being induced into dopamine dazes, which affect their sleep, meal times and emotional regulation. The damage being done is so great that it should be an essential requirement to educate parents about this from day one.
Maya Ellis
As much as we know the damage that screentime can do, a good majority of parents use screens not because they think that that is the best thing for their child; they are often used as childcare or as a way to get the tea made. Does the hon. Member agree that it will be critical for this Government to research why parents rely so much on screentime, and how we can support parents not to have to do so?
Bobby Dean
I wholeheartedly agree. As I just said, I am experiencing parenthood myself, and I know how difficult it is to keep a baby calm. I completely understand why parents use devices as a means of regulating their child, but I do not think that the damage being done is well understood. I want that to be formalised. It is not about zero screentime; the Government advice is about not having solo screentime for extended periods. It is fine to share a FaceTime call with grandparents, and educational interactions are okay. It is about building the education, so that every parent understands the impact of extended screentime for under-twos.