Read Bill Ministerial Extracts
Infants, Parents and Carers Bill Debate
Full Debate: Read Full DebateNatasha Irons
Main Page: Natasha Irons (Labour - Croydon East)Department Debates - View all Natasha Irons's debates with the Department of Health and Social Care
(4Â weeks ago)
Commons ChamberI remember with respect to my own children the importance of a visit by the midwife, even after birth, and that is essentially the point that my right hon. Friend the Member for South Holland and The Deepings was making about the importance of district nurses. I entirely agree with the hon. Lady.
Clause 1 lays a duty on the Secretary of State to make regulations to define these services, and the functions that the Secretary of State will carry out. Their primary duty is to work out what those services actually contain.
Natasha Irons (Croydon East) (Lab)
The idea of ringfencing and ensuring that we protect this time is the reason why the Bill is so important. Where councils did not ringfence in the past, they kind of lumped together youth services with this period of time. Does the right hon. Gentleman agree that having a separate pot and protection for this time is valuable, even if we later have to look again at youth services for people as they get a bit older?
Yes, essentially today we are putting these services on a statutory footing. Of course subsequent Governments can change statutes, but this Bill makes it an explicit decision of this House and Parliament, rather than a fiat by Government decision.
Clause 2 places a duty on the Secretary of State to assess the need for these services, and that includes a duty to take into account the opinions of parents, prospective parents and carers, as far as reasonably possible. The first duty is to define what services and functions we are talking about, and the second is to make an assessment of need. The period in which to make that assessment must be no longer than three years before another period of assessment begins.
Clause 3 lays a duty on the Secretary of State to then make provision for the services that she has assessed are needed. To address one of the points made by my right hon. Friend the Member for South Holland and The Deepings, that takes account of the fact that there may be different levels of need in different areas.
Clause 4 lays a duty on the Secretary of State to report to Parliament annually on the provision of those services and the outcomes that arise from them. Clause 5 is largely an interpretation of terms used within the Bill, be it “infant”, “prospective parent” or “prospective carer”. Clause 6 determines the short title of the Bill and provisions for its coming into force.
Effectively, this Bill lays a series of duties to make regulations on the Secretary of State: first, to specify services and functions; secondly, to assess the needs for them; thirdly, to provide for those services; and, fourthly, to report accordingly to Parliament. I commend the Bill to the House.
I agree with everything that my hon. Friend says. The role of fathers is so important, and they must have the opportunity to connect with each other and share their experiences. I will later talk about some powerful work on reading that involves fathers. Parenting support should be presented as something that absolutely everybody needs, not as something that people need only if they have a problem, because that is where the stigma creeps in. As well as making these services as normal as possible, we need to make them as accessible as possible. My hon. Friend also makes some important points about paternity leave.
Natasha Irons
My own experiences as a new parent were as my hon. Friend described: it was this terrifying thing, “How do I keep this bundle of lovely joy alive and get some sleep at the same time?”
Universality is so important but, as these services have lost funding, they have become more and more targeted. One of the good things about a universal service is meeting other parents from different backgrounds and children growing up in a community rather than in silos. Does my hon. Friend agree that any way forward has to be a one-stop shop model—a drop-in service, like a stay and play, not something highly targeted and specialised? It should be the sort of thing where parents can drop in, get some support, and meet other parents who are going through the same thing.
I agree with everything that my hon. Friend says. It is important that Best Start family hubs are, like Sure Start centres, anchor institutions—anchor places in local communities—as well as places where individual services are delivered; then the whole will be more than the sum of its parts.
The second principle I want to mention is the importance of the availability of SEND expertise in early years settings. The earlier that a special educational need or disability is identified, the sooner that appropriate support can be put in place. Early identification also enables parents and carers to understand their child’s needs and provide the support they need as they grow. Early intervention is not only the best for the child and the family, but much more cost-effective for the public purse. I therefore strongly welcome the Government’s commitment to put SEND specialists in every Best Start family hub.
The third principle is the opportunity to participate in a range of activities together. My Committee recently published a report on reading for pleasure, which delivers such significant benefits for children’s development, educational attainment, empathy and mental health and wellbeing. Reading for pleasure should start as early as possible in a child’s life, with parents and carers reading to their babies.
My Committee recommended a national reading guarantee that will embed opportunities to read for pleasure throughout every child’s life, from birth to the age of 18. This should start in Best Start family hubs. I pay tribute to the brilliant work of BookTrust and former Waterstones children’s laureate Frank Cottrell-Boyce in this area. They have modelled inclusive approaches to early years reading that engage and build the confidence of parents and carers, who themselves had negative experiences of reading at school and lack the confidence to read with their own children, by making reading together a fun and joyous experience for everyone. We heard some wonderful testimony about groups who do this work with fathers, grandparents, parents and carers, building the confidence back to do something that delivers such benefits both for children and for parents.
Rebecca Smith
I thank the hon. Lady. I mentioned to one of my colleagues the other day how this entire debate is catnip for Labour Members, because it is an opportunity for them to highlight that they have cared more about families and children than the Conservatives. I do not believe that; I believe that we have always cared about the vulnerable and ensuring that the right thing is done.
To bring the House back to the point and bring down the temperature in the Chamber, I want to talk about what is good about family hubs and why they are different. The key point is that they are not just Sure Start rebranded. Sure Start did good things, but we felt at the time that it was not necessarily targeted in the right way.
I pay significant tribute to Lord Farmer. If it were not for his work and his personal commitment in all sorts of ways—he effectively trailblazed the family hubs policy—we would not be here today. Family hubs have provided a model that we can replicate. That is not to say that Sure Start did not provide the opportunity to do something similar, but the distinctive thing about what Lord Farmer set up and that we put into practice in government—he is seeking to work with the Government to continue it—is that it is not just for the early years but for people right up to the age of 19. Regardless of what we think about what happened in the past, what family hubs are called and what they do, I think we all agree that we need to provide support right through to when a child is 19 and to give families that opportunity. We have heard many people speaking about the challenges in teenage life if we do not get it right at the beginning.
Natasha Irons
To bring us back to the Bill and to take the temperature down—to be fair, nobody on the Government Benches sent it up—the point is that this particular time, the first 1,001 days, has not been protected. I agree that of course we need to take support through to 19, but the challenge when Sure Start was rolled back was that councils found themselves with one pot of funding for the journey from conception to the teenage years, which meant that the youth services that help with later intervention were competing with the early intervention we are talking about today. Protecting this time means that we can invest properly in and hopefully bring down the cost of those youth services later on. I hope the hon. Member can agree on that point.
Rebecca Smith
I thank the hon. Member for that contribution. Of course, if we are going to do this properly, we have to make sure that the funding is there, which I think is the entire point of the Bill. I agree with that, but the great thing about family hubs is that they set out an intention right from the start that it is not okay to just ringfence the money until the age of five; we need to ensure that we provide support all the way through. There is a lot more work to be done on both sides of the House to develop what that looks like. I think we are in pretty good agreement on this, whether it is support up to five or beyond. At the end of the day, we want families and young people to have the best start, as the name suggests.
It is worth pointing out that family hubs are required to provide support for children up to the age of 19, or 25 for those with special educational needs and disabilities. There is clearly a lot more thinking to be done. I appreciate that the Bill will specifically ringfence provision for under-fives, but ultimately we do not want there to be a cliff edge—we do not want all this support to suddenly drop off when children get to five because that would not maintain and make the most of the family hub model as it was established.
When I visited the Rees centre family and wellbeing hub in Plympton in my constituency, I was very impressed with what is going on there. It is a brilliant community asset that has been there since the ’60s. There is breastfeeding support, but what is also amazing is that it has a time bank, so there are all these mums bringing in their babies to see the health visitor or to be weighed—all the things that a family hub does for under-fives—but there are also older people from the community coming to meet, socialise and do things together.
When a family hub or a Best Start centre is truly embedded in a community, it has the opportunity to be a place where all sorts of things are delivered, and that combined delivery makes them even better. We do not want them to become centres where only people with children and those who have families go; we should open them up, to do as much as possible within the community, because that is at the heart of what they can do. It is really important that we look at the whole picture, as well as focusing on the first 1,001 days, and I look forward to hearing from the Minister how the Government intend to deliver family hubs right up to the age of 19.
As we discuss earlier support, there is a little elephant in the room. Evidence consistently shows that children under the age of two need to be nurtured by their parents primarily, and I think we are all saying the same thing today, but it is my personal view that parental presence requires childcare choice. More than two thirds of working mothers with pre-school children say that they would work fewer hours if they could afford it, according to the Department for Education, but too often parents feel pushed towards a one-size-fits-all model of formal childcare. We need to explore where we can offer parents more options in the earliest years and free them up to do what they feel is best for them and their family. It is not about telling parents what to do; it is about trusting them to make the right decisions for their family. We must never forget who matters the most to the baby: it is their parents. We should do everything we can to help mums, dads and carers be present as much as possible.
This Bill must be the start of a wholesale reframing of family support. Every stage of childhood matters, and we must back families every step of the way. That is why I am very keen to support the Bill today.
Natasha Irons (Croydon East) (Lab)
I congratulate the right hon. Member for New Forest West (Sir Desmond Swayne) on the wonderful Bill he has brought forward and on the debate, and thank my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) for her tireless work on this issue.
Up and down the country, it is a bittersweet time for parents. We have enjoyed spending the summer with our children, creating lasting memories, but we are also celebrating not having been asked to provide a snack for the last 10 minutes, or worrying if someone has fallen down the stairs, like in my house. In our household, we are celebrating my eldest putting on a blazer for the first time and heading off to high school—[Hon. Members: “Aww!”] Yeah, it’s a bit much. It has been an interesting time, and as we have reached this new milestone in my son’s life, I could not help but reflect, in the context of this debate, on what it was like in those early days of parenthood, because no matter how scary it is to see my son becoming his own person and having his own views on things, nothing compares to that first initial fear when you become a parent, not knowing what to do and where to go, when you are a little bit dazed, terrified and wondering if you will ever sleep again.
I think back to the services I leant on: the antenatal classes, the health visitor who came to my home—we have heard how important that is—and the stay and play that I took my son to and met other parents, where we were able to swap notes. We have remained lifelong friends, and they have helped raise my son, creating that sense of community and village around him. That network meant that I had the right diet during my pregnancy, that my son was surrounded by the things that helped him to learn, and that our new family had the support we needed to get the best possible start.
We often talk in this place about policy being routed not in ideology but in evidence, focusing on what works and investing in that. Well, we know what works for the early years of a child’s life because the evidence is overwhelming. The first 1,001 days from pregnancy to a child’s second birthday are among the most important in human development. As the Government describe in their “Best start in life” review, these critical 1,001 days are the
“foundations for lifelong emotional and physical wellbeing”,
as many have mentioned today.
Research shows that during these critical days, a baby’s brain develops at an extraordinary rate—doubling in size during their first year, with around 1 million neuro connections forming every second. These precious days have the potential to shape our health and resilience and who we are later to become. This Bill matters so much because it protects those critical days with legislation. It requires the Government to assess need, listen to parents and carers, ensure that appropriate support services are available, and report transparently to Parliament on the impact of that support. The reality is that too many children growing up are without the services they need in those most critical moments. If those neural pathways are developing every second, then every second counts, doesn’t it?
In my constituency of Croydon East, around 30% of children are growing up in poverty. Croydon’s public health data suggests that girls growing up in the most affluent parts of our borough can expect to live around six years longer than the girls growing up in the least affluent parts. For boys, that gap is nine years. In a borough like Croydon, where a child’s postcode can still have a profound impact on their health and life expectancy, we cannot afford to treat early intervention as an optional extra. It is not a luxury; it is the most effective tool we have to break the cycles of disadvantage and create genuine equality of opportunity.
That is why I cannot speak on this debate today without acknowledging the impact of Sure Start, which many colleagues have mentioned. Sure Start was the most successful early intervention programme this country has ever seen. Independent research from the Institute for Fiscal Studies has shown that access to Sure Start improved educational outcomes for disadvantaged children, with benefits lasting way up to their GCSEs. It found that the positive effects of Sure Start came with significant financial benefits, including reduced costs for Government services at later stages in life and increased tax revenue from higher earnings. In fact, it estimated that at its peak, Sure Start generated over £2 for every £1 of Government spending. Yet despite that evidence, funding for Sure Start fell by more than two thirds between 2010 and 2022, and over 1,000 children’s centres closed across England.
I wholeheartedly welcome this Government’s commitment to giving every child the best possible start in life, for their investment in Best Start family hubs and the steps they have taken to eliminate child poverty by lifting the two-child benefit cap. But if history can teach us anything, it is that priorities change, spending changes and even Governments change, and when support at this critical time is scaled back, it is the most vulnerable who suffer. Just think about where we would be if we had kept that investment in those Sure Start centres, if they had not closed—if families, regardless of their shape, size or background, had continued to have the support and investment they needed, how much better off would we be?
It is important that we do not make the same mistakes. The Bill means that for the first time, we legally give the first 1,000 days the recognition, protection and visibility that they deserve. We set out that no matter what or who is in charge, we choose to invest in our children. If we are serious about reducing inequality, improving mental and physical health, strengthening families, and giving every child the best possible start, then we must act when it matters the most: at the very beginning. I welcome the Bill and give it my full support. I am so proud to take part in this debate.
Jess Brown-Fuller
I thank the hon. Lady for her intervention. It is very much my opinion that mothers should all have the right to choose how we want to feed our babies, and that choice should be based on information. If parents are not given the information they need before making those choices, they do not have a choice—it has been taken away from them.
Natasha Irons
Anyone who has been a new mother will understand that for some women breastfeeding is very easy, and for some women it is not. Does the hon. Member agree that research into the difference between an easy breastfeeding experience and a harder one is not particularly good? If all a struggling mother wants to do is feed her baby, because she has been told that she needs to feed her baby and that if she goes below a point on a chart, she is not doing a good job, perhaps we need more investment and research into how we can make it easier for mothers to breastfeed, so that they can make informed and supported choices as they go forward.
Jess Brown-Fuller
The hon. Lady is right. Just as every pregnancy is different, every breastfeeding journey is also different. We do not want to put mothers in a position where all they have is Google at their fingertips at 2 o’clock in the morning, when the baby is devastated and will not feed, and they are worried that they are dehydrated. The National Breastfeeding Helpline, a 24/7 service funded by the Department of Health and Social Care, is an important resource and a lifeline for so many mothers—33,000 mothers call every month. It is also helpful to have peer support. If someone is in a room with other mothers who are saying, “I experience mastitis,” or “I experience thrush, and this is what I did to get past it. Keep going and come back next week and see if things are better,” that support can mean so much to a mother who feels like they are on their own in that journey.