Infants, Parents and Carers Bill (First sitting)

Rachael Maskell Excerpts

Committee stage
Wednesday 14th October 2026 Public Bill Committees

[Sir Desmond Swayne (New Forest West) (Con)]

It is always a pleasure and a privilege to address the Chair, but particularly so when you are in it, Dame Siobhain. With your permission, I will make one contribution dealing with both groups.

Clause 1 sets out the statutory powers available to the Minister to secure services and functions with respect to

“pregnancy or childbirth…the health and development needs of infants, or…the relationship between parent or carer and infant.”

Although the amendment would amend clause 2, it clearly has implications for clause 1. In substance, it would require consideration of

“the well-being of infants, parents, carers and prospective parents and carers, and…inequalities between infants, parents, carers and prospective parents and carers.”

“Well-being” is defined in the amendment as

“physical, mental and emotional health, and…in respect of infants, protection from harm and neglect.”

My reading of the powers in clause 1 is that they are clearly inclusive of the wellbeing of infants and parents. The wellbeing of infants and parents must fall within

“pregnancy or childbirth…the health and development needs of infants, or…the relationship between parent or carer and infant.”

In that respect, I am confident that the amendment would be consistent with the powers granted in clause 1.

I am not so sure that equalities comes within those three powers set out in clause 1. I fear that the amendment would leave Ministers making an assessment that included health and wellbeing and inequalities, but with no power to address the issue of inequalities in statutory instruments under clause 1. It is a technical matter on which I defer to the Minister, but that is my take on it.

[Rachael Maskell (York Central) (Lab/Co-op)]

May I bring greater clarity? Discussion of the wellbeing of prospective parents or carers could include their wellbeing pre-conception, as I will argue later. In that case, a technical amendment may be needed to the definition in clause 1(2).

[Sir Desmond Swayne]

That is a fair point and undoubtedly a matter for debate. The clause sets out that regulatory powers are to be made by a statutory instrument under the affirmative procedure.

Clause 2 sets out the requirement for an assessment and a consultation within that assessment. Amendment 1 would explicitly add the need for health and wellbeing and inequalities to be included in the assessment. I believe that the assessment of need implicitly includes those things—as it should; these are important matters. My argument is that they are implicitly there already. However, it is important that the Minister, when making her assessment, should look beyond demand to how babies and families are faring, especially those that are at risk of doing poorly.

I can entirely understand the desire to make explicit that which is implicit in the Bill. After all, if the Bill is doing it anyway, what danger is there of adding an explicit requirement—belt and braces? The difficulty as I see it is that that opens it up to danger on Report, when Members might seek to explicitly add other things that are implicit in the Bill. I have received a number of suggested amendments from organisations representing different aspects of childcare in infancy and pregnancy, which state things that could be added explicitly but that I believe are clearly implicit in the powers the Bill gives to Ministers. That is why I resist the amendment.

Clause 3 covers the exercise of functions that ensure the appropriate level of provision. Having made an assessment, the Minister must then make appropriate levels of provision to meet those needs. That concludes my assessment of the first group.

Clause 4 concerns the annual reporting power and the laying of a report on provisions and outcomes before Parliament. Clause 5 is about the interpretation of various terms—what we mean by “infant”, “parent”, or “prospective parent or carer”. Clause 6 defines the short title of the Act and sets out the rules for commencement.

I commend these clauses to the Committee, but ask that amendment 1 be withdrawn.

--- Later in debate ---

[Ruth Jones (Newport West and Islwyn) (Lab)]

It is a pleasure to serve under your chairmanship, Dame Siobhain. I commend my friend, the right hon. Member for New Forest West, for introducing this excellent Bill. I am so pleased that, as No. 1 in the ballot, he chose this issue and to build on the work of Dame Andrea Leadsom in the other place. So many people in this Parliament, including my hon. Friend the Member for Washington and Gateshead South, have done so much good work to make sure that the Bill comes to fruition.

I spoke in support of the Bill on Second Reading, which was a real honour, and I would like to speak today in support of amendment 1, tabled by my hon. Friend the Member for Lowestoft. I take on board what the right hon. Member for New Forest West said about the Bill’s intricacies—I defer to his abundant knowledge of intricacies, because he knows far more in this place than I do—but I support the amendment because it is all about the inequalities. We also know that a number of charities and NGOs support the amendment.

There are currently stark and stubborn inequalities in outcomes in the UK, and factors including ethnicity, family income, geography and disability are all associated with differences in the likelihood of parents and babies surviving pregnancy and the first parts of life. It is also so important to ensure that they are healthy and developing well as they go forward.

The amendment would not prescribe which services the Government must provide, nor would it require them to achieve specific outcomes through any single service. Instead, it would require the Government to understand and report on whether babies and their parents are doing well, where inequalities exist, and whether they change over time. Putting those requirements on the face of the Bill would ensure that outcomes and inequalities remain a consistent part of the Government’s assessment and reporting, regardless of future changes in policy, Parliament or personnel. Those were the important points for me.

Obviously, I defer to the right hon. Gentleman’s interpretation, but it is important to recognise that we cannot go forward with a Bill unless we know what it is measuring. We need a baseline, and we then need to be able to return to the data, year after year, and ask whether we are making progress. It is an issue if we cannot do that, because we cannot then adequately amend services to make sure that they work in the future.

I declare an interest as a physiotherapist for 32 years, many of which I spent as a paediatric physio, so I know how important the Bill is for pre-term babies, when they are in the womb. My physiotherapy colleagues now treat babies in the womb, which is amazing stuff, and surgeons also operate in the womb. The first 1,000 days are really important, as the right hon. Gentleman said, and this is about conception through to the first couple of years, as well as pre-conception planning.

Once the baby is born, whether or not they are born pre-term and go to a neonatal intensive care unit—in my day we called it a special care baby unit—we know that those first 1,000 days are so important for every baby across the UK. I say that as a Welsh MP, because Flying Start in Wales never went away—it is a bit shaky, but it never went away, compared with Sure Start in England. It is really important to make sure we have a level playing field for all mums and babies. The evidence is clear that a brain needs stimulation from day one, because its neuroplasticity becomes so much less after the age of five. That is really important.

Whether or not the amendment is accepted, I believe this is an excellent Bill. It is a good start that allows us to go forward united and make sure that we do the best we possibly can for parents and babies in the future. I pay tribute to the hard work undertaken by all the right hon. and hon. Members who have been here much longer than I have, and I look forward to hearing what the Minister has to say.

[Rachael Maskell]

We are indebted to the right hon. Member for New Forest West for introducing the Bill, and for all the work he has done on this issue. I will start by focusing my contribution on clause 4(2)(b), on which this debate hinges. It looks at inputs into the services and then outcomes with respect to matters mentioned earlier in the Bill. We are talking about fine lines and distinctions, but they are incredibly important.

In my intervention, I talked about the need for outcomes. If we are serious about achieving equality in outcomes, we cannot simply start at the point of pregnancy or childbirth, as set out in the Bill, or the point at which someone becomes a prospective parent, as set out in the amendment. A prospective parent means someone who expects to become a parent as a result of a current pregnancy or someone who expects to become the parent or carer of an infant already born.

I raise this issue because taking a public health approach to pregnancy means acknowledging that many of the factors that impact on outcomes are determined preconception. One clear example is the exposure of infants to fetal alcohol spectrum disorder. Around 77% of parents at the point of conception have used alcohol, exposing the foetus to risk of developing FASD. The trajectory through pregnancy and beyond of that infant has therefore been impacted by what happened in preconception.

If we are serious about the outcomes as set out and addressing the inequalities, we cannot simply start at the point of conception because we would miss a huge opportunity to change the outcomes for those infants and address these issues. Given that children with FASD are now more prevalent than children on the autism spectrum, we must recognise the impact that focusing on preconception can have in ensuring that parents have support.

I spoke to my local director of public health just yesterday. As one might expect, he raised issues around smoking cessation, mental health, exercise and diet. Ensuring that women are healthy at the point at which they conceive means that their pregnancy will carry in a safer environment. If we are serious about addressing the inequalities, we must consider the opportunity provided by this amendment. There is some conflict, and that is why it is important to consider that through the earliest of years.

I also want to raise the factors that can have a real impact. Can the right hon. Member for New Forest West assure me that we are talking not just about physical, mental and emotional health, but environmental health? That would be an important public health intervention. I cannot count the times I have had to support pregnant women because they are in appalling housing conditions, which can cause real stress and anxiety throughout the pregnancy. That can lead to poorer outcomes.

It is important, when considering the Bill, that we are look holistically at women’s surroundings and make sure they have the support they need.

[Sir Desmond Swayne]

I am confident that the needs of infants, parents and babies, from conception onwards, would clearly include healthy housing and all those provisions. In my view, that will be implicit in the Minister’s assessment of the needs. If we start being explicit about all these things, the danger is that we would have a very long Bill and a prolonged Report stage.

[Rachael Maskell]

I am grateful to the right hon. Member for his clarity. I hope that airing the issue in this debate will ensure that we measure the elements and secure the right environments.

A further issue that is particularly important to me, as chair of the APPG on adoption and permanence, is that of children at risk. We know that if early interventions are made to support parents through a pregnancy, we can diminish the risk of a child being taken into the care system. I spoke to our director of midwifery about the distress caused to midwives by trying to support a distressed mother as her child is removed. Reducing the risk of that happening is important.

Information sharing between health services and local authorities is absolutely crucial for interventions to be made to try to secure the relationship between the child and their parents, and for reducing the risk of a child being removed at birth or in the early days after it. I recognise that, in the lone local authority in my constituency, much is done to secure family bonds at the point the baby is born, but it is important that interventions are made during pregnancy to reduce the risk of a child being removed. The issue often stems from inequalities, so being able to measure them is incredibly important.

My final two key points look at input under clause 4(2). We know that the issue of workforce has been incredibly difficult to address at times, because we do not have a comprehensive workforce plan for the multi-agency teams involved in work around an infant. I therefore propose that the Minister consider creating an integrated, multi-agency workforce plan for the 1,001 critical day period to ensure real integration of service. That would also ensure that we do not see a workforce deficit, because clearly, not having the workforce there would have a huge impact on outcomes, particularly for more vulnerable families.

On how the report will be produced under clause 4, we need a pathway within the measurement, as it is important that parents and carers with lived experience have agency and voice in its formulation. I would appreciate the Minister commenting on that in her remarks, because we have demonstrated in York that when parents and carers are involved in providing feedback, services improve.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

It is a pleasure to serve under your chairmanship, Dame Siobhain.

I start by congratulating my right hon. Friend the Member for New Forest West on introducing this important Bill. I also recognise the contributions of Members of both Houses, and that of the former Members of Parliament Andrea Leadsom and Will Quince, who have done so much work in this area. I declare an interest, Dame Siobhain, as a consultant paediatrician in the NHS and a member of the Royal College of Paediatrics and Child Health. I put on record that the Opposition support this Bill.

Child development is hugely important; that is why Committee members are here today. It is also why I am in this place at all, as it was a major motivator for me to become an MP. As a paediatrician, I saw the profound effect that children not receiving the care that they need in the early years can have. Some cases were of deliberate neglect, and I saw children who had delayed growth, delayed development or physical changes. I remember one little boy who was admitted with vomiting, but he was not ill with a medical condition. We discovered that he had learnt to vomit because nobody came when he cried. Those children need us to step up in a way that we do not always do at the moment.

There is a spectrum, and most of the children are thankfully not in that situation, but it does demonstrate the profound changes that can occur if children are not looked after. However, we also see the profound improvements that can occur if children receive all the things that they need to thrive to their best potential. Sometimes parents may not understand the importance of certain interventions, or they may need support to deliver them. That is where this Bill comes in.