Neonatal Care (Leave and Pay) Bill

Stuart C McDonald Excerpts

2nd reading
Friday 15th July 2022 Commons Chamber

[Stuart C. McDonald (Cumbernauld, Kilsyth and Kirkintilloch East) (SNP)]

After such a smooth start, it is good to see you in your place, Madam Deputy Speaker. It provides me with an opportunity to thank you for and congratulate you on your flawless oversight and running of the private Members’ Bill ballot. Indeed, you showed impeccable taste even when picking numbers out of the hat. Seriously, however, you can be very pleased with the range of Bills before Parliament today.

I also welcome the new Minister, the Under-Secretary of State for Business, Energy and Industrial Strategy, the hon. Member for Loughborough (Jane Hunt), to her place and wish her well. I was grateful to meet her predecessor and his officials to discuss the Bill and work together on it, and I appreciate the new Minister having ensured that that work can continue in the week since her appointment. I hope that she is as enthusiastic about this Bill as both her predecessor and I am—I am sure she will be and, from our first discussions, I know that she definitely is.

We should all be enthusiastic about this brilliant Bill, which I know will make such a huge difference to tens of thousands of families each and every year. That is because it paves the way for the introduction of neonatal care leave and pay. I am grateful to all the hon. Members in the Chamber for being here to consider this proposal and, I very much hope, to support it. We will never be able to get rid of the stress, anxiety, doubts, questions and trauma that so many families experience when their baby is in neonatal care, but what we can and must do is help to relieve some of the practical and financial challenges that accompany that experience.

[Hannah Bardell (Livingston) (SNP)]

I am delighted to see the Bill come to the Floor of the House, and I know that other hon. Members have sought to bring it previously and have done a huge amount of work in this area. I hope that the Government put their full weight behind it. My constituent Coady Dorman does a lot of work with Bliss, as my hon. Friend will know. She had a premature son, Matthew. He is now thriving, but she spoke about the months she spent going to see him in neonatal care and how different the experience was, and how different maternity leave was after that. She told of the stress and strain of having to worry about money all during that time. My hon. Friend’s Bill will, we hope, take away some of that stress.

[Stuart C. McDonald]

I am grateful to my hon. Friend for that intervention. Hearing about those experiences is precisely what has prompted my bringing this Bill forward today. Campaigns groups such as Bliss and The Smallest Things, which I will come to in a moment, have really driven this forward. As she alluded to, there are Members in the Chamber today with personal experience of having a baby in neonatal care, which makes them the best advocates for this cause so I am grateful for their participation. Many of them, such as my hon. Friends the Members for Glasgow East (David Linden) and for Paisley and Renfrewshire North (Gavin Newlands), and the hon. Member for Thornbury and Yate (Luke Hall), have been passionate and articulate campaigners for reform for a considerable time.

I am pleased to say that we are joined in the Gallery today by people from Bliss and The Smallest Things, representing families who have direct experience of the challenges around neonatal care; I am immensely grateful to them and so many other organisations and individuals for their help and support in taking this Bill forward and for the campaign they have been driving since long before I was elected to this place. I hope that the families with lived experience of neonatal care who are watching today will be satisfied that we have represented the issues they have faced, and are facing now, with the careful consideration and compassion they deserve.

The Office for National Statistics reports that an estimated 100,000 babies every year across the UK are admitted to neonatal care following their birth. Many of those babies spend prolonged periods of time on a neonatal care unit in a hospital as a result of being born prematurely or with other health conditions. That is, of course, an incredibly worrying and stressful time for parents, and their extended families. All our hearts go out to everyone who has found themselves in that position. Parents will naturally want to be able to focus their attention simply on getting through that period, supporting each other and their newborn. There is an emotional imperative to be with their babies, but there is also a practical one: those vulnerable, little children need their parents, and those parents need to be with their wee ones. As the charity Bliss has highlighted,

“parental presence on a neonatal unit is essential. Babies have the best developmental outcomes when their parents can deliver hands-on care.”

However, some families struggle to do that while keeping in employment and earning a living. Fathers get two weeks of statutory paternity leave. That is good, but when those two weeks run out, they must be called back to work while their baby is still in hospital. How can any parent be expected to focus at work while their sick baby is undergoing life-saving, life-changing neonatal care?

When babies have an extended stay in hospital at the start of their life, mothers report that 39 weeks of paid maternity leave does not give them enough time. That gets used up during the neonatal care and they do not feel that they have enough time at home with their baby before they need to go back to work. Some mothers may choose to leave work as a result. Indeed, research by The Smallest Things shows that one in 10 mothers were not able to return to work due to the ongoing needs of their babies who had required neonatal care.

That research also highlights two incredibly concerning statistics, which are perhaps unsurprising given the emotional trauma of a baby being born premature or sick. The charity reports that 77% of parents said they experienced anxiety after neonatal care, and that nearly a quarter had been diagnosed with post-traumatic stress disorder after neonatal intensive care. In short, The Smallest Things concludes that we need to strengthen the statutory rights and support offered to these parents because that

“would give parents the emotional and financial support needed at a time of great stress and trauma – in turn leading to better postnatal health, a more positive return to work and better outcomes for children born prematurely.”

[Carol Monaghan (Glasgow North West) (SNP)]

I commend my hon. Friend for bringing forward this really important Bill. I got in a taxi the other day that was driven by one of his constituents who said that his baby had spent nearly three months in hospital having been born prematurely. His employer was not at all helpful, so he had to go back to work after his two weeks’ paternity leave. It was incredibly stressful—everything my hon. Friend is talking about rings really true—and he ended up having to leave that employment because being with his wife and baby was far more important. That is why the Bill is so important for families.

[Stuart C. McDonald]

I am grateful to my hon. Friend. There are employers out there who already provide this support for their employees, and they are to be commended. Unfortunately, though, as we have heard, there are too many who do not. Sometimes fathers are forced to use sick pay for extended periods, which is far from ideal, and on other occasions, as we have just heard, people are forced back to work.

At an incredibly distressing time when these families need each other the most, we should be doing what we can to support them and allow them to spend that precious and vital time with their babies. As Bliss has highlighted, the main reason why parents on maternity leave return to work before they are ready, and why parents taking paternity leave return to work while their baby is still in neonatal care, is financial pressure.

Bliss estimates that the additional cost of a neonatal stay is around £250 per week by the time we factor in travel costs, buying food and drink at the hospital, extra childcare, and even accommodation costs if the hospital is far from home. That is obviously a significant financial burden, and I am very glad that it was recognised by the Scottish Government when they established the neonatal expenses fund—now the young patients family fund—in 2018.

The Bill will create a new statutory leave and pay entitlement for the parents of babies receiving neonatal care. Employed parents who find themselves in this immensely challenging situation in the future will know that, as a minimum, they are entitled to time off work to care for their babies, and that they will not suffer any repercussions as a result. Crucially, the Bill will allow parents to have protected time off work to care for their children at such a difficult time.

[Darren Henry (Broxtowe) (Con)]

I thank the hon. Gentleman for bringing the Bill forward. I want to express how I much I support what he is trying to do. As somebody who was employed when my wife, who is also a constituent of Broxtowe, had our twin children, who were six weeks premature and one of whom spent three weeks in neonatal care, I strongly support the hon. Gentleman’s Bill.

[Stuart C. McDonald]

As I said, the best arguments come from those with direct experience—they are the most powerful advocates—so I am really grateful to the hon. Gentleman for staying behind this morning and lending his support.

As I said in response to the intervention from my hon. Friend the Member for Glasgow North West (Carol Monaghan), there are some brilliant, supportive and flexible employers out there, such as those who are signed up to The Smallest Things’ “Employer with Heart” charter. I take this opportunity to commend them and ask them to continue to support their employees when these circumstances occur. However, we all know that there are employers who are not as forward thinking—some cannot afford to be—and it is those employers, and the parents who work for them, that we will need particularly to consider when introducing the provisions of the Bill. In short, that is why neonatal care, leave and pay entitlement is not just desirable, but essential to protect and support parents at this very difficult time.

Let me explain to the House in a bit more detail what the Bill and the powers it sets up are designed to achieve. Much of the framework and terminology borrows from other related statutory rights ensuring consistency, compatibility and, hopefully, ease of implementation. I am grateful to parliamentary counsel for their work in drafting the Bill to reflect the important policy goals. Neonatal care, leave and pay will apply to parents of babies who are admitted into hospital at the age of up to 28 days and who have a continuous stay in hospital or in other agreed care settings of seven full days or more. It is intended that eligible parents will be able to take up to 12 weeks of paid leave on top of their other parental entitlements, such as maternity or paternity leave. Neonatal care leave will be a day one right—available to an employee from their first day in a new job. Statutory neonatal care pay, like other family-related pay rights, would be available to those employees who meet continuity of service and a minimum earning test.

Parents will have an entitlement to up to 12 weeks of neonatal care leave—one week for every week that the child spends in neonatal care. That leave will be protected, and a person should not suffer any form of detriment due to taking that leave. As I have said, statutory neonatal care pay will be available to employees who meet continuity of service and minimum earnings tests, and it will be paid at the statutory rate, which is currently £156.66 or 90% of the employee’s average wages, whichever is lower, and that should be uprated in line with increases to statutory payments. That mirrors the existing family leave in pay provisions such as paternity, shared parental, adoption and maternity pay after the first six weeks. Employers will be able to reclaim spending on neonatal pay in a manner similar to other statutory payments.

It is expected that some parents, such as fathers who have only two weeks of paternity leave, may want to take their neonatal leave while their child is still in neonatal care. However, once maternity leave commences, a mother cannot stop it to take neonatal care leave, or she will lose her remaining maternity leave rights. Neonatal care leave will therefore be flexible so that mothers can add it to the end of their maternity leave and other forms of parental leave that they may be entitled to. That flexibility allows an employee to take the leave at a time that best suits them when their child is receiving or has received neonatal care. With that in mind, the Bill provides for the window of time within which neonatal care leave can be taken to be set out in regulations. That will be a minimum of 68 weeks following the child’s birth, ensuring that mothers and fathers have sufficient time to take their neonatal care leave alongside other leave rights that they may be entitled to, rather than having to lose out on any such entitlements.

I do not aim to persuade Members that every single aspect of the design of the scheme is perfect—of course there are arguments that it might not be. There are debates to be had about statutory rights and entitlements and support for the self-employed or workers who are not technically employees. We can debate whether neonatal pay, like leave, should be a day one right. Some might ask whether we should raise levels of statutory entitlements. While 12 weeks of leave and pay will cover the overwhelming majority of cases, others might ask if we can go further.

First, it is important to remember that the Bill and the regulations will set out minimum standards for neonatal leave and pay. Employers can and do already go beyond them, and we encourage them to continue to do that. In any event, while those are all fair questions and issues, they are for another day and relate to statutory rights more generally, not the principle behind introducing this new right.

Today, I hope we will take a significant step forward in expanding the range of statutory family rights to leave and pay—a step that will make a big difference to tens of thousands of families every year for generations to come. There is overwhelming support for this change from families, trade unions, health professionals and employers, and Members of Parliament from all corners of the House support it, too. Indeed, it is a rare and remarkable Bill that will at one and the same time deliver on a specific manifesto commitment of the Conservative party and the SNP.

No more should we be leaving parents to use up maternity and paternity leave travelling great distances to a neonatal ward. There should be no more forcing fathers back to work after two weeks with their newborn still on a ventilator, separating families at a crucial time, no more leaving mum to cope on a neonatal ward facing significant decisions alone and no more depriving babies in neonatal units of the support of both their parents. There should be no more making parents choose unnecessarily between being with their newborn baby in hospital and being able to secure an income through work. This Bill will help thousands of parents each year to spend more precious time with their premature and sick babies, so we need this Bill to succeed for them.

To conclude, I hope that hon. Members on both sides of the House share my desire to ensure that the Bill succeeds. Collectively, we have an opportunity to effect real change. It is our duty to ensure that those who will have to rely on such provision are fully able to do so.

--- Later in debate ---

[Stuart C. McDonald]

May I say how grateful, and indeed humbled, I am with the way Members have spoken so passionately, coming together unanimously to support the Bill? I was optimistic about support for the Bill, but it has taken my breath away. Indeed, the hon. Member for Watford (Dean Russell) has suggested a visit to my constituency, and the talented former Minister, the hon. Member for Charnwood (Edward Argar) requested to serve on the Bill Committee. The answer, of course, is yes, particularly if he can bring a friend. There was even a welcome and powerful intervention from you, Madam Deputy Speaker, which we all appreciated.

Many Members raised similar points, which is testimony to the work of charities such as Bliss and others, how they have advocated for this case, and how we have all become familiar with the arguments in favour of the Bill. Many other sensible points have been added, which it was remiss of me to miss out in my opening speech. One of those was about the benefit to employers. Employers are overwhelmingly in support of these measures. They appreciate that having folk at work who have kids in neonatal care is of no use to them, and they end up managing it through sick pay and other means, rather than through proper statutory leave.

Finally, it is so important to welcome and highlight the fantastic work of staff in neonatal units up and down the country, and I look forward to visiting the constituency of my hon. Friend the Member for Motherwell and Wishaw (Marion Fellows) to see that at first hand. As I said at the outset of the debate, the best advocates for this cause are those who speak from personal experience. I am particularly grateful to MPs who have spoken from that point of view today, and I look forward to working with them all in the weeks ahead to as the Bill continues its passage through the House.

Question put and agreed to.

Bill accordingly read a Second time; to stand committed to a Public Bill Committee (Standing Order No. 63).