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Infants, Parents and Carers Bill Debate
Full Debate: Read Full DebateRebecca Smith
Main Page: Rebecca Smith (Conservative - South West Devon)Department Debates - View all Rebecca Smith's debates with the Department of Health and Social Care
(3Â weeks, 6Â days ago)
Commons Chamber
Rebecca Smith (South West Devon) (Con)
I join many others today in congratulating my right hon. Friend the Member for New Forest West (Sir Desmond Swayne) on securing this debate and on his choice of topic. There does seem to be an enormous amount of agreement in the Chamber today, and I know that he has secured cross-party support for the Bill, which is excellent.
Like everyone else present, I wholeheartedly welcome the Bill. While I, like many others, do not have my own children, I am an aunt to four, a godmother to four and a friend to many people who have children. I have been looking after my friends’ kids since I was about 18, so I am pretty adept at changing nappies; I know how to get them to smile and how to do all those things. We have heard mention of the value of the wider family and friendship group, and I am very pleased to be able to speak in support of the Bill from that perspective. As a result, I know that there is a reason why we say, “The hand that rocks the cradle is the hand that rules the world”—it is because those earliest years really do matter profoundly.
During the first 1,001-day period, secure attachment is built through a baby’s everyday interactions with their parents, their carer or, indeed, their aunties and uncles. A smile, a cuddle, a comforting voice—those simple moments lay the foundations for emotional wellbeing. I certainly hope that the 24 hours in which I was the only person to provide my 18-month-old nephew with all those things added to his wellbeing, rather than detracting from it—we will see in a few years’ time. I think he generally knows who I am and is happy to see me, so that is fine.
By the age of two, a child’s brain reaches around 80% of its adult size. As Lord Cameron has said,
“mums and dads literally build babies’ brains.”
By supporting parents from the very beginning, we can improve outcomes for children and reduce the need for costly state intervention later down the line. That is why I support the Bill’s intention to put services during pregnancy and early childhood on a stronger statutory footing.
The reporting requirements in the Bill will mean that decisions on funding cannot be made in the dark, ensuring that services such as Best Start family hubs and the healthy babies programme remain a Government priority. Family hubs provide a vital one-stop shop for parents, bringing together practical support under one roof, from breastfeeding advice to work to help to reduce parental conflict.
Plymouth was one of the original 75 local authorities selected to participate in the Conservative Government’s family hubs programme back in 2022. The council has now successfully established a network of 11 hubs. However, interestingly, there have been recent reports about funding changes, and trying to find out information on what is happening, who is responsible and what is going on has been really difficult. Therefore, anything that ensures that that reporting back is done—particularly on funding and sustainability when external agencies are providing those services—will be particularly important. As an advocate for family hubs, when I have constituents come to me and say that people working in those hubs are being made redundant, I want to know what is going on and whether delivery is continuing.
It is important to remind ourselves that the value of family hubs is that they are open to everyone. However, I believe that more could be done to encourage parents to use them. So far, only 16% of parents with a child under five have used a family hub, despite 66% having heard of them, according to a poll from the National Society for the Prevention of Cruelty to Children. It is clear that we need to do more on that.
One of the other challenges I heard about in the family hub I visited was that, in constituencies like mine, we have towns but also lots of villages that are perhaps very far away. I agree with people having to physically go somewhere, but this is an example of where funding for rural authorities needs to reflect the additional costs involved in providing all sorts of services, including family hubs.
Rebecca Smith
I thank my hon. Friend for that good point, which I am particularly passionate about. I have spoken a lot this week about funding for rural services, particularly under local government reorganisation, and that will be really important in the future structure of unitary councils. How can we ensure that villages and smaller towns get access to family hubs and things like them—and whatever else comes about following the Bill—and that people are not reliant on infrequent public services or on having a car to get to them? I am glad he mentioned that, because it gives me even more reason to continue on my journey against local government reorganisation in my constituency.
My hon. Friend also highlights how we want every community to have a family hub. I am considered to be the MP for the slightly well-off bit of Plymouth, so I am incredibly grateful that the city set one up in my constituency, but there are whole communities in my constituency, such as Plymstock where I was a councillor for many years, that do not have a wellbeing hub or a family hub. If we are to do this, we must ensure that we do it properly.
I want to take the opportunity to remind the House that family hubs are a Conservative innovation, grounded in the principle that strong families make for a strong society. I am delighted that the Labour Government have committed to build on our success and roll out family hubs to all local authorities, not just those initial 75. I must also say that they are not merely Sure Start rebranded.
Pam Cox
On the historical point—forgive me; I could not stop myself—the Maternity and Child Welfare Act 1918 probably preceded some of the things the hon. Lady is about to say, as well as some of the measures mentioned by the hon. Member for Carshalton and Wallington (Bobby Dean). There is a long history of efforts to introduce child welfare.
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.