Infants, Parents and Carers Bill

Debate between Michelle Welsh and Amanda Martin

2nd reading
Friday 4th September 2026 Commons Chamber

[Michelle Welsh (Sherwood Forest) (Lab)]

For complete transparency, let me say that I am the national maternity adviser to the Government; I wanted to make that clear before I begin my remarks. I wish to place on the record my sincere gratitude and thanks to the right hon. Member for New Forest West (Sir Desmond Swayne) for bringing this Bill to the House. I am genuinely delighted to speak in support of it, because its subject matter goes right to the heart of why I entered public service in the first place.

There is one principle that has guided me throughout my working life: where someone is born should not determine their future. The postcode where someone is born, their parents’ income, and whether they are born in an affluent community or a former mining community, should never determine how healthy they are, how well they do at school or the opportunities they will have throughout their life. If we genuinely believe that, then we have to begin at the beginning—not at secondary school or primary school, but during pregnancy, at birth and in those first precious moments and years when so much of a child’s future is being shaped. That is why the Bill matters so much. It asks us to look seriously at the support available to babies and families, and at whether the provision we have actually meets their needs.

This debate takes me back to the beginning of my career, in the heyday. Before coming to the House, I spent years working with children, young people and families, first for the YMCA in America, then back in Nottinghamshire, and then developing Sure Start services across Nottinghamshire and Derby. I worked on the frontline, directly with parents and children, and then I moved into management, helping to develop, plan and co-ordinate services for families—all based on the principles of early intervention, support and prevention.

I was fortunate to work at a time when there was a real belief that children and families should sit at the centre of public policy. We not only talked about early intervention and prevention; we developed services to deliver it, bringing services together, including things like the common assessment framework. Crucially, we talked to parents, families and communities. I believed in Sure Start then and I believe in the principles behind it every bit as strongly today.

Sure Start was never simply a building with a sign on it; it was an idea—a philosophy—not only about how we should treat families, but about how we give every child, no matter their background, the best possible start in life. It said that families should not have to be in crisis before somebody helps them, and that becoming a parent should not mean being handed a list of telephone numbers and then being expected to navigate half a dozen public services on your own. It recognised that a child’s life does not fit neatly into departmental boxes. There was early education and childcare, health visitors, breastfeeding support, parenting programmes, speech and language support, stay and play sessions, and family support and outreach. There was advice about benefits, employment and training. There was support for parents as well as for their children.

And sometimes the most important intervention was not a formal programme at all—sometimes it was a cup of tea. In Nottinghamshire, we understand the power of a brew, because what it really means is to stop: for someone to listen, for someone to care and for someone to help. While I am not advocating for tea to necessarily be a national policy or an amendment to the Bill—nor will I ever advocate for how the Prime Minister makes a cuppa—I will always advocate for those working on the frontline having time to care, time to stop and time to listen, whether they are a support worker in a family hub, a health visitor or a midwife.

Sometimes Sure Start was about a mum walking into a children’s centre, sitting down beside someone she had begun to trust and quietly saying, “Can I talk to you?” That conversation could be the beginning of getting help—that mattered. Relationships mattered and we worked with parents; I feel incredibly strongly about that. Good family policy cannot simply be designed in Whitehall and done to people. Parents know their children and their communities. They know what works and what is missing. When I worked with parents, we listened to them, we involved them, we asked them what they needed and we learned from them. We understood that the mother who did not attend a group was not necessarily hard to reach—perhaps we were hard to reach. Perhaps there was no bus, or the sessions were at the wrong time. Perhaps she was frightened of being judged. Perhaps she was exhausted.

[Amanda Martin]

My hon. Friend is exactly right. Those places were a place for a cuppa, as we would say—somewhere to go along to without judgment. As someone who had been a teacher but had not had my own children, when I had my second child and did not know that I had post-natal depression, it was in the Sure Start centre that it was picked up, because somebody knew I was not being me; they were able to pick up on that. It was a really good working relationship with our midwives and local GPs, but also with the network of friends that you came to trust, whether you were talking about baby’s poo or about the fact that you did not feel yourself.

[Michelle Welsh]

That is exactly what it was all about. When that approach began to change—and it did change—I did not want to sit on the sidelines and complain about it; I wanted to do something. That journey eventually brought me to this place.

I believe the principles behind Sure Start should never be consigned to history. We should learn from them and build on them, and whatever name we put above the door today, the fundamental principle must remain services built around the child and the family. That begins before a baby is born; it begins with maternity, and through my campaign on maternity safety, and—most importantly—through listening to families, those on the frontline, charities and organisations, I have become absolutely convinced that maternity policy cannot sit in a silo, separate from children’s policy. Safe maternity care, maternal physical health and mental health, supporting fathers and parents, and making sure that women are listened to are all early years policy. We cannot talk seriously about giving every baby the best start in life without talking about the care their mothers receive.

I believe we need fundamental reform. That is why one of the most central proposals I have argued for is an independent maternity commissioner—someone whose sole focus is women, babies and families, with the independence and authority to change and challenge the system. When something goes catastrophically wrong, families should not have to become investigators, they should not have to understand every layer of the NHS, and they should not have to fight organisation after organisation simply to get the truth about what happened to the woman or the baby they love. We also need better national data, proper national standards and a culture where staff can speak up. Good midwives, obstetricians, maternity support workers and other staff who raise concerns should be listened to and protected, because a safe culture is one where people can say something is wrong before another family is harmed.

There is another part of maternity reform that I believe is fundamental, which is continuity of care. I want us to be much more ambitious about what we mean by continuity. I do not believe that continuity should mean a good handover from one professional to another—I believe the same person should stay. A woman should be able to build a relationship with someone throughout their maternity journey. That relationship should not simply end because her baby has been born; every woman should leave hospital following birth with a full debrief, not simple discharge paperwork. That is part of prevention.

Continuity also gives us an opportunity to address the appalling inequalities we see in maternity care. The latest MBRRACE-UK data shows that black women still face nearly three times the maternal mortality risk of white women, and women living in the most deprived areas have around twice the maternal mortality rate of women in the least deprived communities. These inequalities are unacceptable, and we cannot simply publish those statistics year after year and call it action; we have to design services that actively confront inequality and discrimination. Continuity can be part of that. If somebody actually knows the woman—knows her history and her circumstances—and is responsible for staying with her, it becomes much harder for her concerns to disappear between appointments, or for her to be forced to tell her story over and over again.

All of this connects directly to the wider health and development of the baby. After maternity comes health visiting, then perhaps a family hub, early years provision, nursery and eventually school. Governments see these as separate services, separate budgets, and sometimes separate Departments; a parent sees none of that. They see their child—one child, one family, one continuous journey. That is how Governments should see them, too. A health visitor may identify a developmental concern, a mother may need breastfeeding or feeding support, or parents may notice speech and language difficulties. There may be early indications of SEND, housing conditions affecting a child’s health, financial pressure or difficulty in the parents’ relationship. A mother may be experiencing depression. None of those things exists neatly on its own.

The worst possible system is one that waits until a family has deteriorated sufficiently to meet a threshold for help. We should not wait for a crisis; early intervention works. If we can support the mother earlier, we should. If we can help a family earlier, we should. If we can identify a child’s need earlier, we should. If we can prevent someone from reaching crisis, we should. That is not wasteful public spending; it is intelligent public spending, and it brings us directly to education.

Education can transform a person’s life. I know that personally, as I was the first person in my family to go to university. I defeated the odds, but it does not and should not have to be that way. If we are serious about closing the achievement gap, we have to be honest about when it begins. It does not suddenly appear when a child starts secondary school. For some children, inequality begins to take hold before they ever walk through the school gates. Children arrive in reception having had very different starts in life.

Every child deserves the opportunity to fulfil their potential. That should be not an aspiration reserved for the lucky few; it should be a promise that we make to every child born in this country. I know the Opposition do not think that we should talk about the 1980s, but I do, because I know what happens when hope is taken away. Growing up on a council estate in Notts in the 1980s, I lived and breathed it, and now I serve those very communities, which are still up against it.

I came into public service and eventually into politics because I believe that government can put hope back. That is what Sure Start represented to me. That is what safe maternity care should represent. That is what good health services, early years support and education should represent—not charity or a favour, but opportunity: the opportunity for a mother to be safe and heard, the opportunity for a family to be supported before they reach crisis, the opportunity for a baby to be given the very best start in life, and the opportunity for every child, whatever street they are born in and whatever their parents earn, to look at their future and believe it belongs to them. Ultimately, that is the test of everything we do here—not whether we can write another strategy or create another pathway, but whether the child born tonight in the poorest household in the country has the same right to dream, to thrive and to succeed as the child born into the richest. Where someone is born should never determine their future, but what we choose to do in this House can.