Early Years Family Support

Wera Hobhouse Excerpts

Tuesday 16th July 2019 Commons Chamber

[Andrea Leadsom]

My hon. Friend is absolutely right. One of the so-called “Five to thrive” is cuddling up to your baby, reading with them and looking at pictures with them. That engagement, which develops the early brain of the infant, is vital, and I pay tribute to him for his work on that.

[Wera Hobhouse (Bath) (LD)]

I congratulate the right hon. Lady on securing this very important debate. It is vital that we get this right, and she has mentioned the troubled families programme. Bath and North East Somerset Council has a successful project, but I understand the funding is not secure. Does she agree that, where this has been an important part of a local authority’s intervention, it should continue and the Government should make funding available?

[Andrea Leadsom]

The hon. Lady is right, and it is, of course, part of the upcoming comprehensive spending review. I will return to that later because, at the moment, the troubled families spending does not specifically pick out the 1,001 days, but I think it will in future.

--- Later in debate ---

[Mrs Maria Miller (Basingstoke) (Con)]

What has marked out this debate already is Members’ great passion for and commitment to this subject. It is a great pleasure to follow the hon. Member for Manchester Central (Lucy Powell) and to hear more about the work she has been doing. However, the absolute tribute has to go to my right hon. Friend the Member for South Northamptonshire (Andrea Leadsom), who is quite simply the oracle on early years and attachment theory.

I will always remember the first time I met my right hon. Friend, and I had a teach-in that most people would pay for on early years attachment theory. I think that it was in the car park of a pub, but I very much appreciated that teach-in. Actually, I do not think she realised it, but she sparked a real interest in this area for me. This conversation happened many years before we were both in Parliament together, and it really marked out a very deep interest for me. I was able to follow that up as a shadow Minister—not particularly when I had a ministerial post, but when I was a shadow Minister—in the years before 2010.

My right hon. Friend is an expert in early years and attachment theory, and I do not want to add to what she and, indeed, the hon. Member for Manchester Central have said on a number of these issues. I want to go on to some other areas to expand the debate a bit more, but before I do so, let me say that it is absolutely fundamental that we get it right for every single baby in this country. The early intervention that my right hon. Friend and the hon. Lady have talked about in the debate is completely critical and vital.

As my right hon. Friend has said, having universal and targeted services is a critical part of this. While she was talking, I was reflecting on the service offered in my own constituency by Basingstoke breastfeeding counsellors. They are a mixture of paid-for counsellors and volunteers, but this is very much focused on volunteers who are there for mums to be able effectively and successfully to breastfeed in those early weeks and months. It is a service, frankly, that the NHS finds quite difficult to provide and that involves those expert counsellors. That is one way we can help to improve not only the health of our babies, but attachment from those very early weeks and months. That sort of support can be so important for babies and new mums in the early weeks—certainly, it was for me when I had my three children. Health visitor support makes a real difference in supporting mental health, breastfeeding and the health of the mother and baby.

I want to expand on the specific issues talked about today, because we need to get it right for families, too. To get it right for babies, we need secure and stable families and parents before babies are born, as well as afterwards. My right hon. Friend talked about the stress that can be put on mothers during pregnancy and how it can be transferred to the unborn child. That is one reason why I introduced a 10-minute rule Bill to try to change the law with regard to redundancy and pregnant women. More than 50,000 women a year in this country feel that they have no choice but to leave their jobs when they are pregnant. Those of us who have been pregnant, or have had partners who have been pregnant, can think of no time of our lives when we have less wanted to leave a job. At a time when financial stability is so important, one can only imagine the pressure individuals who have to give up their jobs are under.

In addition to specific expert support for parents around attachment, the Government need to reflect specifically on how we ensure pregnant women receive the support they need. In Germany, a law is in place that stops, except in extreme circumstances, any pregnant woman being made redundant. Not only does that help to alleviate some of the stress we have talked about, it enables that country to ensure that more women go back into employment after they have had children, and that helps to close the gender pay gap. I hope that the UK Government will continue to think about this issue, particularly at a time when we now have more women than men coming out of our best universities with science degrees. We need to find a way to ensure that those women can stay in the labour market and have a successful family life.

My right hon. Friend touched on the mental health of women after they have given birth. I commend the National Childbirth Trust’s campaign for a six-week maternal post-natal check. I think that happened in the past, but it seems to have dropped out of the most recent iteration of the GP contract back in 2005 or 2006. It would be a great way to ensure that, as well as protecting mums before they give birth, we have a mental health check after they give birth. If mum’s mental health is good, attachment can be strong.

[Wera Hobhouse]

The right hon. Lady is making a very powerful point about the perinatal mental health of women. NHS England and the British Medical Association are conducting a review of post-natal checks and the GP contract. Does she agree that now is the right time to include in the GP contract a mandatory check, as the NCT is asking for?

[Mrs Miller]

I have very strong sympathies with that. It should happen by rote for every woman, and I think that it happens haphazardly now. I can remember having that sort of conversation with my GP after the birth of my children, but it does not happen routinely. The NCT is right to pick this up. If we are to ensure that early years family support is as good as it can be, it needs to include a mental health check for mums. All of us know individuals who have gone through post-natal depression. For the health of the mother as well as the children, it is so important that it is identified early on and action is taken.

As well as protecting mothers who are pregnant or have new babies, and as well as making sure that they get the right support from their GPs on mental health, the Government also need to reflect on a couple of other areas to make sure that our children have the best early years support possible. We heard about one of these earlier from my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), who talked about flexible working. The Government have already heard an expert dissertation from her, so I will not repeat what she said. In summary, however, the more that we can give flexibility to families, particularly when they have very small children, but not solely then—I speak as the mother of a teenager, as my youngest is now—so that they can balance work and family life, the better. This goes on for our children’s entire lives, even beyond them being children, so I hope that the Government are making sure that they take very seriously flexibility and flexible working as a default, which my hon. Friend spoke about in relation to her ten-minute rule Bill.

No Government have gone further than this one and the coalition Government in making flexible working something that we can all now request. We will take no lessons from anybody about any lack of understanding from Government Members on that, and I commend the Government for all the work that they have done, but we now need to look at going further to make sure that businesses take that flexibility for granted. The best businesses already do, of course, but we need more to do it routinely.

My final point is on shared parental leave. If we are to get it really right for our littlest people—the half a million babies that are born every single year—we need to get it right for both parents. At the moment, we do not get it right for dads at all. All the research coming out of countries such as Germany shows that if we have proper shared parental leave, fathers and children have much better relationships not just in the early years, but throughout their lives, including even if the adult relationship with the other parent breaks down. It is absolutely proven that a shared parental leave policy involving fathers far more in the lives of their children at an early age can lead to far better relations later in life as well. I urge my hon. Friend the Minister to consider very carefully the role of shared parental leave in future. My Committee—the Women and Equalities Committee—has done an excellent paper on it, which he can read at his leisure. It shows clearly that three months of “use it or lose it” leave for dads is one of the best ways that we can support family life and help to address the gender pay gap.

Those are just some other ideas, building on the debate secured by my right hon. Friend the Member for South Northamptonshire, on how we can make sure that every child in this country gets the best start in life and that every family can thrive.

--- Later in debate ---

[Tim Loughton (East Worthing and Shoreham) (Con)]

It is a great privilege to follow the hon. Member for Warwick and Leamington (Matt Western). I, too, worship at the altar of my right hon. Friend the Member for South Northamptonshire (Andrea Leadsom). She is the great authority on this subject and I pay tribute to her. I also pay limited tribute to the hon. Member for Manchester Central (Lucy Powell), given I am no longer her favourite ex-Children’s Minister—but there we go. [Laughter.] You can go off people.

It is interesting that at the same time as we started this debate there was a debate in Westminster Hall on children’s mental health. In the many years I have been in this place, subjects such as children’s mental health rarely got on to the Order Paper. It is a sign of huge progress that it is now much more common for us to talk about them—and with a great deal of experience and consensus. It is long overdue. We are starting to appreciate the huge strategic importance of doing much more, much better, much earlier for our children. Some of us have been banging on about that for many years in this place, and it is great to see many other headbangers joining us. It is becoming almost common parlance.

[Wera Hobhouse]

rose—

[Lucy Powell]

rose—

[Tim Loughton]

Hold on a minute. I will give way first to the hon. Member for Bath (Wera Hobhouse) and then to the hon. Member for Manchester Central.

[Wera Hobhouse]

I thank the hon. Gentleman. Does he agree that the whole body of knowledge about adverse childhood experiences should be shared even more widely in the House, because it makes so much sense when we are discussing, for instance, the Prison Service or the probation service? Every service should be informed about trauma. Once we understand adverse childhood experiences, it all seems to make sense.

[Tim Loughton]

I think that the hon. Lady is right. I shall come on to the way in which it is all joined up. “Adverse childhood experience” has become more common parlance now. Essentially, it goes back to attachment and all the stuff that Bowlby was talking about, often as a lone voice, many decades ago. However, it is true that we can now relate it to many of the challenges that we see as individual MPs and the Government see, in relation to antisocial behaviour, mental health conditions, and all the issues that have been referred to my right hon. Friend the Member for South Northamptonshire and others.

I will now give way, very enthusiastically, to the hon. Member for Manchester Central.