Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of socioeconomic inequality on (a) stillbirth and (b) neonatal mortality rates; and what cross-government action is being taken to address this.

The Department recognises that there are stark inequalities for women and babies, and that they should receive the high-quality care they deserve, regardless of their background, location, or ethnicity. Stillbirth and neonatal mortality rates remain higher for mothers in more deprived areas.

A number of interventions specifically aimed at addressing maternal and neonatal inequalities are underway. These include the Perinatal Equity and Anti-Discrimination Programme, delivery of an inequalities dashboard, and projects on removing racial bias from clinical education and embedding genetic risk equity. Additionally, all local areas have published Equity and Equality action plans to tackle inequalities for women and babies from ethnic minorities and those living in the most deprived areas.

We are putting in place immediate actions to improve safety across maternity and neonatal care, which includes the implementation of the Saving Babies Lives Care Bundle. This bundle is a package of evidence-based interventions to support staff to reduce stillbirth, neonatal brain injury, neonatal death, and pre-term births. It includes guidance on managing multiple pregnancies to ensure optimal care for the woman and baby.

NHS England is also introducing a Maternal Mortality Care Bundle to set clear standards across all services and address the leading causes of maternal mortality. Women from black and Asian backgrounds are more at risk of specific clinical conditions that are the leading causes of death. This bundle will target these conditions, and we expect a decline in deaths and harm.

To further target disparities in maternal care, Baroness Amos is chairing the National Independent Maternity and Neonatal Investigation. The investigation aims to identify the drivers and impact of inequalities faced by women, babies, and families from black and Asian backgrounds, those from deprived groups, and those from other marginalised groups when receiving maternity and neonatal care.

The Government is also setting up a National Maternity and Neonatal Taskforce, chaired by my Rt Hon. Friend, the Secretary of State for Health and Social Care, to address inequalities in maternal and neonatal care and to promote health equity in the delivery of those services.