Andy MacNae

I agree wholeheartedly, and as the hon. Member will see, I will focus on that significantly later in my speech. On miscarriage data, Scotland is expecting to begin routine data collection on miscarriage from this year. England should match that ambition. Linked to that, we also need to address anomalies in how stillbirth is defined and recorded. However, targets and data are only meaningful if someone is responsible for monitoring progress and challenging failure. That brings me to my second point. The maternity and neonatal commissioner, as recommended by Baroness Amos, must be independent, empowered and properly resourced. The commissioner could provide a strong national voice for women, babies and families, monitoring whether recommendations are implemented, holding the system to account and ultimately helping to rebuild trust. The commissioner should report regularly to Parliament on progress against national targets, identify where improvement has stalled and require public bodies to explain what corrective action they will take. That must include being able to challenge the regulators. Long-terms issues with the Care Quality Commission and the General Medical Council are well recognised, but effective, trusted and fit-for-purpose regulators are a crucial element of any maternity safety system and a maternity commissioner should be able to demand better of them. The commissioner’s potential will be realised only if they can act independently of the system being scrutinised. The system cannot be allowed to mark its own homework. The commissioner should have a statutory basis, independent publication rights, the power to obtain information and make formal recommendations, and a duty to monitor their implementation. The office will also need protected funding and a dedicated team. The Government must explain how the commissioner will work alongside the taskforce and other bodies, what powers the office will possess and how its independence will be protected. That will be particularly important if the role is to be based within the Department of Health and Social Care. If that is the case, the Government should present a clear rationale as to why it is the best option and provide specific assurances around independence. Ultimately, families will judge the maternity commissioner role by whether it can ask difficult questions, publish uncomfortable findings and demand proof that change has occurred.