Andy MacNae

I thank John and Holly for raising that question. Of course, I agree that listening to parents, listening to families and listening to mothers is crucial to a good service. To me, it is the thing that defines a good service: the personalisation and individualisation of care. Building on that, families must be genuinely involved in decisions. Information must be clear and accessible. Risk must be assessed individually. When a mother or parent says that something is wrong, that concern must be taken seriously. The national action plan should establish what every family is entitled to expect throughout the maternity and neonatal pathway: physical and psychological safety, dignity, informed choice, and compassionate care and communication. In designing this change, we should recognise that there are midwives, doctors, nurses, support workers and bereavement specialists throughout the country delivering extraordinary care every day, often under immense pressure. We must learn from that and build on it. To give just one local example, we have the Lancashire Women and Newborn Centre in Burnley. Speaking with staff and patients there, we can see what good practice looks like. It is a high-quality environment, with a triage unit to catch early issues. There is mutual respect among staff and personalised care for patients. They take time to listen and to provide compassionate bereavement support when needed. This same high standard of care is replicated in many units throughout the country, so reform must not simply identify what has gone wrong. We must recognise, celebrate and share what works. We must have structures that identify best practice and effectively propagate it throughout maternity services. That brings me to my fourth point. Supporting and empowering staff must be central to reform. Throughout the all-party parliamentary group’s work, we have heard from healthcare professionals who care deeply about families and take great pride in their work, but goodwill cannot compensate for a lack of time, training, capacity or appropriate facilities. Safe care requires the right staff with the right mix of skills and the right resources and facilities needed to deliver it. Staff need time to listen properly to families, undertake training, reflect on difficult cases and learn from colleagues.