Midwives in the NHS

Debate between Siobhan Baillie and Shaun Bailey

Monday 17th January 2022 Commons Chamber

[Siobhan Baillie]

It would be interesting to hear from the Minister on that. Midwives and some of the marchers have suggested talking about financial payments, but there also needs to be a culture shift. If we are asking midwives to do things that they desperately want to do, such as the continuity of care, but they do not have the staff teams to do them, they will feel as though they are failing. No money in the world will make that any better. Working together constantly and joined-up thinking are important to help that retention. I pay tribute to my hon. Friend’s mother.

I have some questions for the Minister. How many midwives are currently in training and recruitment? Why are babies not counted in the patient headcount to determine staff ratios? What measures, such as flexible working, are being considered to make the profession more attractive to those who have caring responsibilities or who are choosing a second career? Are we looking at salaries and financial support for students?

The issues that midwives face are incredibly complex, and as my hon. Friend the Member for Darlington (Peter Gibson) said, it is not just about staff. Midwives tell me that, without proper administrative support to reduce their huge non-clinical workload, they feel they are drowning in their jobs. The Association for Improvements in Maternity Services says that midwifery is a service that seems unable to support its own staff, including precious newly qualified members, with frequent reports of bullying. That is incredibly worrying. In England, that cultural problem was a key focus of the “Better Births” report in 2016, and it is an issue that the ongoing maternity transformation programme has been working to address.

The pandemic restrictions, which my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom) mentioned, caused huge problems for mothers and partners. Mothers are now so scared that the restrictions will come back.

[Shaun Bailey (West Bromwich West) (Con)]

Further to the intervention from our right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom), I am sure my hon. Friend will be aware that, contrary to NHS guidance, my own NHS trust, Sandwell and West Birmingham, stopped allowing birthing partners to be with expectant mothers. We managed to get that decision overturned, but just to re-emphasise the point, does my hon. Friend agree that birthing partners form an important partnership with midwives in ensuring that the safety of expectant mothers is paramount in the delivery process? I am sure she will expand on that later in her speech.

[Siobhan Baillie]

I thank my hon. Friend for all the campaigning that he has done—as has my hon. Friend the Member for Rutland and Melton (Alicia Kearns), who is not in the Chamber this evening—and he is absolutely right. Birthing partners not only provide that immediate bond and that precious time with the baby; they provide support for the mother and support for the team, and have the important ability to spot what is going on. A mother who is taking quite a lot of gas and air might need someone else to have a couple of conversations when she cannot do so herself.

We are making changes in schools so that we do not see restrictions and closures again, and I think that if we are ever faced with the need to introduce further covid restrictions, we cannot do that in maternity services. The restrictions have had a knock-on impact on midwives as well: seven out of 10 RCM members have experienced abuse about visiting restrictions. That abuse may well have come from very worried and well-meaning people, but there is no doubt that it has contributed to their wish to leave their jobs.

The campaign group Pregnant Then Screwed did a great deal of work on this, and 98% of respondents to its survey said that the possibility of further covid restrictions on maternity services was causing them anxiety. There is enough for pregnant women to be worried about without their having to worry about that. Mothers reported rushing their hospital care during the pandemic, and seeking early discharge so that they could get home to be with their partners. As was mentioned earlier by my right hon. Friend the Member for South West Surrey, women-centred care is the ethos of midwifery. and continuity of carer is the national recommendation. It is the right approach, but at no stage have the current staffing levels and the impact of covid been taken into account to assess the viability of a new system. The vaccine mandate continues to cause concern, and the potential loss of more staff is adding to the pressure-cooker effect.

We in Stroud are hugely proud of the facilities that we have. In the past, Stroud constituents have come together and fought to save the maternity unit, and that fight was so strong that I do not think anyone would dare to try to close it down again. We have also recently instigated an important campaign to deal with mental health and birth trauma. Between 25% and 40% of women view their experience of giving birth as traumatic—I am probably in there somewhere—and one in four have experienced sexual abuse. Such issues often have a huge impact on fears for pregnancies and future births. The campaign and the dedicated mental health team that Gloucestershire is setting up will change perceptions and conversations surrounding birth from the off. Our minor injuries unit across the road from the maternity unit has received a welcome £2 million for refurbishment purposes. I was at the hospital recently for my scan, and it is really buzzing. Although I have raised some serious matters, I do not want expectant mums to be worried about the care that they will receive at Stroud or anywhere else, as professional maternity teams will look after all of them.

One midwife told me that midwives do not speak out because they are always trying to put the women in their charge at ease, but unfortunately it has reached the point at which they feel that they must do so, which is why they have sent me here today. That said, although a Minister will respond tonight, the issues raised are clearly not just for the Government to address. NHS trusts, their human resources teams, managers, and all of us as patients in society need to think about how we behave, how we use the NHS, and how we can improve it. Making the NHS a political football, claiming that more and more money is the only way to fix issues, or putting the NHS on a pedestal so that there can be no criticism or open scrutiny, will not help a single midwife in this great country. I believe that the men and women of our maternity services deserve better. They literally hold new life in their hands, along with all the hopes, dreams and responsibilities that come with that job.

I leave the final words to a midwife who told me:

“I love my job. I love supporting women and the team. But I too feel that maybe this is as far as I can go. I have never suffered with mental health concerns prior to this last year. Anxiety has crept into my normally happy life due to work issues.”

I think that that is quite a stark way in which to end the debate, and I genuinely think that we can do better. I look forward to hearing from the Minister, who I know cares deeply about this issue, and I am grateful for the time that I have been allowed tonight.

Building Safety Bill (Ninth sitting)

Debate between Siobhan Baillie and Shaun Bailey

Thursday 23rd September 2021 Public Bill Committees

[Shaun Bailey]

I am talking to clause 37. To help the hon. Member for Weaver Vale, I am responding to the intervention by my hon. Friend the Member for Bassetlaw. He asked a specific point about the categories of people caught by clause 37, so I am just expanding on that and explaining why it is right for those individuals. I am saying, just as my right hon. Friend the Minister pointed out in his opening comments—and I am sure that the hon. Member for Weaver Vale agrees with me—exactly why those individuals should be caught by the clause.

I was in the process of winding up my comments prior to that point of order. I fully support the clause, which brings out issues that my right hon. Friend the Minister needs to address. I do not want it to result in unintended consequences and I hope that he can give me a reassurance, to take back to leaseholders who have been caught out and, more broadly, to the industry, that there will be no delays. The clause is an important development in stop notices. It will enable our regulatory framework to act quickly to prevent serious situations from occurring and, I hope, prevent other scenarios from causing issues down the line. I want to be sure of that, so I press my right hon. Friend for a guarantee that he will do whatever he can to ensure that the process operates expediently and that it will have no unintended consequences.

[Siobhan Baillie (Stroud) (Con)]

It is a pleasure to be back before you so quickly this week, Mr Efford. I will be brief. I want to expand on the issue of the need for culture change. Hon. Members have already raised this and the Minister himself has said that the clause is part of the cumulative weight of the Bill to achieve a culture change. That is crucial. Not only is Dame Judith correct in her assessment and desire to see change, which has led to clause 37. The lay public would be genuinely shocked, if they had no experience of these worlds, to learn that there is currently no power available to prevent non-compliant building from creating these issues.

I welcome clause 37 and I am glad that the Government are addressing the issue. bringing matters forward. However, to really achieve culture change, there need to be prosecutions. We know that we are far off that at the moment. What discussions has the Minister had with stakeholders and others on the formulation of the regulator and the creation of clause 37? There is a real appetite not only to enforce the clause and the new, strengthened powers but to drive them through to prosecutions, which are the true deterrent and which will lead to change in the industry.

Building Safety Bill (Sixth sitting)

Debate between Siobhan Baillie and Shaun Bailey

Thursday 16th September 2021 Public Bill Committees

[Siobhan Baillie]

I will come to that intervention shortly, but I was just about to say that a quick google of the definition of the word “wellbeing” is quite telling. The top result notes that it is

“a state of being comfortable, healthy or happy.”

As Members know, one man or woman’s happiness and comfort is another man or woman’s woe. A quick search of “wellbeing” hashtags across Instagram is even more illuminating as to what makes people healthy, happy, and feeling that the “wellbeing” box is ticked. My overarching view is that we do not want to be too prescriptive to the regulator.

[Shaun Bailey]

I relayed this point to my right hon. Friend the Minister earlier. Does my hon. Friend agree that it is very important that the regulator should not be siloed in its approach to building safety? While I agree with the point that she is articulating about the broad definition of welfare, does she agree that it is going to be important to ensure that the regulator is looping in with different agencies and organisations, so that it can take a holistic approach to its objectives?

[Siobhan Baillie]

I absolutely agree with that point.

As I said regarding an earlier amendment, the definition of the requirements and the core functions as set out to the Building Safety Regulator will require it to go out to a range of different agencies. The hon. Member for Weaver Vale made a point about the Health and Safety Executive. I am a member of the Select Committee on Work and Pensions. The Health and Safety Executive is world-leading in many ways, and is going in and out of businesses looking at, for example, issues surrounding covid. It is very much people-focused, and I believe that giving the regulator the absolute ability to determine safety is important. I do not think that the amendment is necessary; I think it could end up creating more confusion and issues, particularly surrounding what health and wellbeing means to individuals. As such, I urge the hon. Gentleman to withdraw the amendment.

Building Safety Bill (Fifth sitting)

Debate between Siobhan Baillie and Shaun Bailey

Thursday 16th September 2021 Public Bill Committees

[Siobhan Baillie]

As I have already pointed out, I do not feel it is necessary to add that given the scope of the Bill, the work of the regulator and the work that has been done to get to this stage. We need to be really confident in the regulator so that it is not hamstrung and can use the expertise of local authorities, the Environment Agency and all the other bodies with which it is directed to work, to make sure that the building safety work is done. I implore the Committee to agree that there is absolutely no need for the amendment.

[Shaun Bailey]

In the light of your comments, Mr Dowd, I shall try to keep mine short and sweet.

I do not disagree with a lot of what the hon. Member for Weaver Vale said. My concern, as a constituency Member who had real flooding issues last year, is that planning is a real patchwork. That is one thing that we perhaps need to go further on. The hon. Gentleman talked about house building, and he will know as well as me that water companies, for example, are not statutory consultees on planning issues. I would like that to change, because it is ridiculous that water companies are just asked to join an estate up to the network, having played no part whatsoever in planning. That is an example of something that needs to change.

On flooding specifically, we go down a plethora of different avenues. Flood Re is meant to cover buildings at risk, and some house building standards are being amended right now. I do not disagree with the hon. Gentleman about the climate change issue; we know that temperatures are going up and that we all have a responsibility to tackle that. The environment that we are dealing with at the moment is complex and will require us to bring many strings together. Although I do not disagree with his intentions, my concern is about the mechanism for ensuring that that happens. I do not think that relying on the BSR should be our only avenue; we need a mechanism to ensure that this happens.

I have seen the impacts of flooding on my constituents, particularly in deprived urban areas, which are quite often overlooked. For the best part of 18 months, I have been making the case that there needs to be more of a realisation that it is not just nice shire areas that get flooding, but inner-city areas, too.