Contribution
It is a pleasure to serve under your chairmanship, Ms Jardine. I declare an interest as an NHS consultant paediatrician. I have attended more than 1,000 deliveries of babies over my career. More recently, they have been more likely to be the ones where things were going wrong and where there were more concerns about the baby, as my role is about looking after the infant.
I have also had my own three children. The hon. Member for Esher and Walton (Monica Harding) described having a mixed experience; I had three healthy children, but the first one was a normal delivery, the second a somewhat chaotic emergency caesarean section and the third a nice and smooth, peaceful elective caesarean section, so I had a range of experiences.
I congratulate the hon. and learned Member for Folkestone and Hythe (Tony Vaughan) on his opening speech. I particularly thank Theo Clarke—my friend and former colleague—and Louise Thompson for their campaign on maternity safety. They have shown incredible bravery in talking about their experiences and challenging the taboos around the troubles related to pregnancy. In particular, I commend Theo for her talk about perineal injuries, because this has been something spoken about in hushed tones and quietly among women and not something discussed in the public arena, but once it is spoken about in the public arena, that courage enables other women to find the courage to come forward and talk about it. That is how we will ensure that these injuries become less likely and the treatment becomes better, so I thank them for their work on that.
Since the petition was launched, it has received more than 150,000 signatures, including 270 from my constituency. As a parent, I know that bringing a child into the world is one of the most rewarding and exciting experiences in life. As has also been said, it generally goes well—reasonably smoothly, if not completely smoothly—and the outcome is generally good. But for too many women, their experience is deeply traumatic. Every year, 30,000 women suffer negative experiences during pregnancy, and one in 20 of those goes on to suffer from PTSD.
The APPG on birth trauma ran an inquiry into birth trauma, soliciting 1,300 submissions. What it detailed painted a shocking picture. It spoke of mothers left unattended to in hospital beds and some left in their own blood or faeces for hours on end; vaginal examinations undertaken without consent and in some cases triggering a mother’s waters to break; mothers belittled; concerns torn from the records; a baby dying during delivery after concerns were raised 44 times in vain; and significant mental health consequences and debilitating effects of perineal injury.
Every single failing we have heard about today is one too many. As I have said, maternity care is generally safe, but it is not safe enough yet. I am proud that the previous Government identified maternity care as a priority and began making some improvements. There is a way to go, but the previous Government launched a maternity and neonatal safety strategy, funded the saving babies’ lives care bundle, setting out evidence-based practices for providers and commissioners of maternity care in England, and rolled out maternal medicine networks in 2023. They established 17 centres of excellence to help women with high-risk conditions to get the care that they need when they need it. The previous Government’s reforms were backed by £127 million of investment specifically for maternity and neonatal care, and much of that was focused on the workforce.
Because of these efforts, more babies are delivered safely than ever before. Between 2010 and 2022, stillbirths fell by 25% and maternal mortality fell by 17%. The improvements were in large part overseen by my right hon. Friend the Member for Godalming and Ash (Sir Jeremy Hunt). He has saved countless lives with these improvements and deserves much credit for that.
I am concerned about the trajectory that we are currently on, because as has been said, there is still quite a lot left to do. In June, the Health Secretary agreed. He said that
“we’re not making progress fast enough on the biggest patient safety challenge facing our country”,
but he has responded with another inquiry. He did say that it would be a rapid inquiry, but it took months—in fact, till September—to decide which trusts would be involved in that inquiry, and then that was changed in and of itself. It was announced almost a year ago, has been much delayed and has still not reported. Hopefully it will be a great report when it has reported, but the delay means that action is not taking place quickly enough.
As has been mentioned, Baroness Amos found in her interim report that 748 recommendations had been made over the last decade, but progress in delivering on them had been too slow. Could the Minister update the House on how many remained undelivered on at the point of the general election and how many she has delivered on since?
In June, Ministers also announced a maternity and neonatal taskforce; and in November, I tabled questions asking how many times the taskforce had sat and who was on it. The answer was that they had not decided yet. In January, the question was raised again and they still had not decided. It took until last month for the Government to decide who was going to be on their urgently created taskforce from last year.