Early Parenthood: Supporting Fathers Debate
Full Debate: Read Full DebateTracey Crouch
Main Page: Tracey Crouch (Conservative - Chatham and Aylesford)Department Debates - View all Tracey Crouch's debates with the Department of Health and Social Care
(5 years, 9 months ago)
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I beg to move,
That this House has considered supporting fathers in early parenthood.
As always, Mr Davies, it is a pleasure to serve under your chairmanship. I hope you will forgive me if I make any minor procedural errors; it has been a while since I have been on the Back Benches of the Westminster Hall Chamber, rather than closer to the wise counsel of the Chair.
I begin with two quick disclaimers. First, although my debate is about supporting fathers in early parenthood, I am extremely conscious that there is still much to do to combat inequality during maternity. I am an avid follower of Maternity Action and support many of its campaigns, some of which I know are making good progress. Secondly, this debate is not meant as a dismissal of the wonderful mums out there who are single or in same-sex couples. It is not about mums versus dads, nor am I pontificating only about married parents—not least because that would make me a hypocrite. I simply want to speak up for the many brilliant dads out there who, in an evolving society, are doing an incredible job of bringing up children. I want to highlight some of the real challenges that they too face.
I am grateful to the hon. Lady for giving way so early in her speech. She is making a fantastic return to Westminster Hall from the dizzying heights; she is a principled person and we on the Opposition Benches all love her.
The hon. Lady mentions challenges. Is she aware of Dads House, which does all sorts of things to represent single dads? There are 400,000 single-parent families headed up by dads, which is 13.7% of all single-parent families. Dads House has its own food bank and does buddying, breakfast clubs and football—a sport that is close to the hon. Lady’s heart. Would she be interested in meeting members of the group? In fact, everyone in this House has a good opportunity to meet them, because after Prime Minister’s questions on 20 March they are coming to Speaker’s House for a reception with the all-party parliamentary group on single parent families—and all hon. Members are invited. The group does great work.
I would love to come. Single parents play an incredibly important role, but for various reasons they are often maligned. Meeting single dads who are doing their very best, in whatever circumstances they find themselves bringing up their children, is an incredibly important part of that conversation. I would be delighted to come to the event on 20 March.
I want to address three points: perinatal support, loneliness in new dads, and shared parental leave. The first comes wholly under the Department of Health and Social Care; the second does partially; the third might not, but is important to the debate because it relates to the overall wellbeing of our children.
In December, the Centre for Social Justice published a really interesting report, “Testing Times: Supporting fathers during the perinatal period and early parenthood”. It looked in detail at written evidence submitted to the Select Committee on Health and Social Care inquiry into the first 1,000 days of life by the Fatherhood Institute, which described support for fathers as “toothless” and noted criticisms that within health services,
“well-meaning…father-inclusive policy-making…has been more ‘rhetoric than reality’”.
On the back of those comments, the CSJ did some additional polling. It found that seven in 10 new fathers
“were made to feel like a ‘spare part’”,
six in 10 said that they had
“had no conversations at all with a midwife about their role”,
and nearly half said that they had
“received little or no advice at all…on their role as a dad.”
However, it also found that
“more than 9 in 10 are present ‘at the scans and the birth’”
and that there is
“strong correlation between active father engagement and improved childhood outcomes.”
That is a recurring theme in a really interesting book on equal parenting co-authored by one of our own lobby journalists, James Millar. It includes several quotations from the 2015 UN-backed report, “State of the World’s Fathers”, about how engagement in the first year of a baby’s life is good for the dad as well as the baby. Substantial and high-quality father involvement can encourage a child’s positive social interaction and lead to higher cognitive development scores.
I congratulate my hon. Friend on securing a debate on this important issue. It is hardly surprising that so many dads feel left out when the NHS guidance refers to them not as fathers or dads but as “birthing partners”. Perinatal depression in mums is linked to depression in teenagers: there is a 99% likelihood that a 16-year-old suffering from depression had a mother with perinatal mental health problems, including depression. What is overlooked is that 20% of fathers also experience perinatal mental health problems, which has a big influence on their parenting skills and on their engagement with and attachment to their own children. We need to do more about that.
I am grateful to my hon. Friend for raising that point. I saw those statistics while researching my speech; perhaps the Minister’s reply will describe her Department’s work on post-natal depression for mums and dads. I do not have time to cover everything, but I agree that language is incredibly important. I appreciate that the term “birthing partners” is used in order not to cause offence, because our society and how we bring up children are very different now, but it is important that we think about the language and make our communication with fathers as inclusive as possible.
I congratulate my hon. Friend on securing this important debate. Was she struck, as I was, by the statistic cited in the CSJ report that
“95 per cent of births in the UK are to couples…with 85 per cent of these parents living together”?
Far more needs to be done to encourage and support the family and the community at that stage, to help improve life chances.
I did see that interesting statistic. I do not want to get into the details of family make-up in a modern society, because I do not want us to inadvertently criticise those who are not in such relationships—it is important that we respect different family make-ups. The point that I wish to raise today is about fathers and the role that they play.
The excellent book on equal parenting co-authored by James Millar notes the “State of the World’s Fathers” report’s finding that
“fathers who report close, non-violent connections with their children live longer, have fewer mental or physical health problems…and report being happier than fathers who do not report this connection”.
Given the well-understood positive outcomes of fathers’ engagement in their children’s development, it is only right that we should have the infrastructure and systems in place to support them. As the CSJ report states, we need to collect more data at the point of birth to get a better understanding of participation by fathers, but also identify “cold spots” for investment in supporting father engagement.
We definitely need to be a bit more dad-friendly in our language and correspondence about children’s healthcare. I agree with the National Society for the Prevention of Cruelty to Children that a “dad check” would be a valuable way for our health services to ensure that resources are open and accessible to new fathers. I also agree with the recommendation that NHS England should roll out schemes that increase support to fathers. That support should include either creating a new fatherhood fund or making the maternity challenge fund a general parental support fund and putting in additional investment.
The CSJ makes commendable recommendations for the Department of Health and Social Care to improve inspection frameworks, develop a dad test for the perinatal period and extend the reach of digital communications for new fathers. Those all seem sensible ideas; I accept that resources are always a challenge, but the long-term health and wellbeing outcomes must surely justify their consideration.
I thank the hon. Lady for her well-informed discussion of this important issue. She may be aware of my constituent Mark Williams, who has been a campaigner for the best part of a decade on fathers’ mental health after childbirth. He has been fundamental in pushing the campaign in all nations of the UK, including in the English NHS. He tells me frequently that—as the hon. Lady says—in the services that follow a baby’s birth the father is almost forgotten.
Mark had a breakdown—I know he will not mind my saying that on the Floor of this Chamber. It took him years to understand what was wrong, but now he champions the issue. Does the hon. Lady agree that we need more fathers like Mark to stand up and say that this is a problem? As she will be aware from her former role as a Minister, loneliness and mental health are an issue, and it is worse in men because we do not like talking about it. We need more people like Mark to speak up about what they face after having children.
I could not agree more. It is almost as if the hon. Gentleman has seen my speech, because I am about to start talking about loneliness in new fathers. We need to talk more about men’s mental health and to look at the triggers for poor mental health. It is a well-established consideration for mothers—health visitors and other members of the health services regularly ask about the mother’s mental health after a birth. It is not necessarily the same for men’s mental health. Quite often—although as I far as I can remember, it was not the case when my son was born, nearly three years ago—mothers are asked questions by health visitors that relate to the father of the child, rather than the father being asked directly, even when they might be in the same room.
Does the hon. Lady agree that there needs to be far more training in midwifery or mental health services on focusing on the father’s mental health as well—not just asking the mother about her partner, but creating a structure from very basic training that recognises that fathers are a person, too, in this context? They need the questions put directly. Often husbands and partners will simply not tell their partner how they are feeling or how they are responding to the birth of their child, so the partner might think that everything is fine, and it is all missed. That is the important point.
One reason why I wanted to hold this debate is that I feel it is hard for male colleagues to raise the subject. As a mother, I know that if my other half had come to me and said, “I am feeling a bit down,” I would have said, “But you didn’t give birth to the child!” For many years, we have forgotten that it is very much about a partnership. There are many issues that mothers still face—there are still huge issues around discrimination in maternity and everything else—but that must not mean that we forget the issues that fathers face, and that is why this is an important debate.
I completely understand why male colleagues might not have felt comfortable in raising this issue, because they may well feel that they would be accused of forgetting all the other issues around maternity discrimination. I feel very honoured to be raising it on behalf of all the dads out there. Perhaps I can talk about it with more ease.
The constituent of the hon. Member for Ogmore (Chris Elmore) is doing a brilliant job in raising the issue of men’s mental health, post-baby. It is important that we do that. If that equates to having more training, that is what must happen, although I am always loth to say that our hard-working health professionals need any more training than they already get. They have a very important job to do, and by and large they are all doing it brilliantly.
One aspect of parenthood that can impact on wellbeing is loneliness. When Jo Cox stood in the Chamber and spoke of her own challenges with loneliness, including the example of becoming a mother, she widened discussion on the subject. I, too, had my own brushes with maternity-leave loneliness. While the rest of the world here was discussing the referendum campaigns, I was on maternity leave. I dealt with that by going to the supermarket every day, just for a chat.
For new fathers, it can be harder. When my other half took his three months shared parenting leave, he felt isolated from baby groups, as many were either branded “mother and baby” or were predominantly made up of mums, making him feel less inclined to go in. There are excellent apps connecting mums, such as Mush, which we profiled in the loneliness strategy, as did the CSJ in its report, but there are hardly any dad apps set up to connect full-time fathers. The Secretary of State for Health and Social Care, with his digital background, may be interested in upscaling that from a health perspective.
The loneliness strategy, which I was privileged to publish on behalf of the Government in October 2018, specifically, on my request, used an infographic of a dad pushing a baby to highlight becoming a parent as a trigger for loneliness while at the same time reflecting that it is not a gender issue. The more we all acknowledge loneliness as an issue, the quicker we will reduce the stigma and instead create connections that help to combat it. I was pleased that the Department of Health and Social Care was a core partner in the delivery of the strategy.
The CSJ noted that children's centres are a key part of delivering opportunities for dads to connect, and that many were not doing so, despite its being a legal requirement. I know that children’s centres are a politically contentious issue because of funding and I would hate the debate to be bogged down by that, but the centres in my constituency, some of which have restructured, could play an enormously important role in creating support networks for dads. It is a shame that because of funding pressures, gaps in services are occurring.
My hon. Friend makes a very important point. The problem with the children’s centres—a fantastic asset—at the moment is that they are closed most of the time when dads can access them, particularly at weekends. Some of the best children’s centres are those that open at weekends, have football teams that dads and their children can come along to, and have computer-reading facilities latched on to that. It is a way of getting dads into the children’s centres. The centres need to be used much more at weekends and outside of working times when many fathers cannot access them.
I agree with my hon. Friend, but it is very important that we do not fall into the trap of talking about dads as weekend parents. The point of the debate is to discuss how society has evolved; there is a lot more equal parenting. I completely understand his point. I shall come on to talk about shared parenting. The take-up of shared parenting is so low that many fathers can play that meaningful role in parenting only at weekends, so we would want those services to be open. Children’s centres have an incredibly important role, which is not just about creating a connection, but also about, for example, trying to break the cycle in domestic abuse. They play a fundamental role. I know that the Stefanou Foundation is doing some excellent work in supporting such initiatives.
I accept that my own experience is based on good fortune, and that it could easily be criticised as coming from a comfortably-off middle-class professional, but we need to do so much more on shared parenting than we do at the moment. We lag very far behind other countries on shared parenting, particularly Scandinavian countries.
What I see from my other half taking shared parenting is a very special bond between him and our son. Sadly, there are still a significant number of men who are ineligible for parental leave, and for those that are eligible there is a financial disincentive to take it. The Fawcett Society found that nearly seven in 10 people believed that men who took time off work to look after a baby should be entitled to the same pay and amount of leave as women. In Germany, fathers on leave are paid two thirds of their salary and in Sweden it is 80% of their income. Here it is £145 per week. We managed because I am paid well, but an average or low-income family would inevitably struggle, so while many might want to, it is unsurprising that take-up of parental leave is so low.
I know that much work is being undertaken to improve the situation. I thought the speeches in our debate on proxy voting on Monday evening encouraging male colleagues to take shared parenting leave were really helpful, and we could set an example in this place. I commented earlier on the wider societal and health benefits of a father’s meaningful engagement in the upbringing of a child. To me, doing more to improve our shared parenting policies is a no-brainer.
There is so much more I could have spoken about this morning, including the emerging organisations that help support fathers, such as workingdads.co.uk, which seeks employment with flexible, child-friendly hours, and the really funny social media accounts, such as Man vs. Baby, which might make light of some of the challenges that fathers face but also highlights that they exist in the first place. Ultimately, if we accept that meaningful fatherly engagement with their children is good for the health and wellbeing not just of the child but of the dad, making sure that we provide the infrastructure to support them, from neonatal to perinatal and beyond, is simply common sense, fair and equal—good economics but also really good politics.
Order. We have six speakers, which with my maths makes about six minutes each. I would like to introduce an advisory limit of six minutes. As with the EU referendum, it is not mandatory, but I strongly advise it. I invite Paul Masterton to start.