Andy MacNae

I fully agree. I am so glad my hon. Friend raised that point, because she has, wonderfully, set up the next passage of my speech. Staff must be able to raise concerns without fearing damage to their careers. The figure in the NHS staff survey is, I believe, that 43.5% of midwifery staff felt confident that concerns would be addressed. Staff are often the first to recognise when a system is becoming unsafe. If they believe speaking up will make no difference, an opportunity to prevent harm may be lost. Improving culture must therefore mean more than asking staff to attend another programme or complete another exercise. It must mean creating an environment with time to listen and time to care. Speaking up should be welcomed, concerns taken seriously and those who raise them protected. Boards and senior leaders must hear what staff are telling them. They must be able to trace concerns from the ward to the boardroom, demonstrate what action has been taken and report back to those who spoke up. Whistleblowers must be protected from retaliation or isolation. No healthcare professional should be forced to choose between remaining silent about unsafe care and risking their livelihood by raising it. If staff are trusted, supported and heard, they are far better placed to listen to families in turn. Fundamentally, we should empower staff to provide the standard of care they entered the NHS to deliver. Finally, we must deliver compassionate and equitable bereavement care. Our daughter Mallorie died at five days old. Nothing could have been done to prevent that, and we received exceptional care throughout our time in hospital. We also received good emotional support in the immediate aftermath from hospital staff, but trauma can take time to kick in. The impacts of losing a child do not end after a week or a month or a year. They stay with us. My wife, Vanessa, suffered depression and post-traumatic stress disorder in the years following Mallorie’s death. For 11 years now, she has had consistent difficulties accessing specialist and sustained mental health support. Instead, she has been bounced between short-term interventions and generalists, and often reliant on limited voluntary services. At no point was she able to get support from a mental health professional who actually specialised in birth trauma. She was never able to return to her role as a senior health visitor. She has now had her NHS career terminated on ill health grounds and she is back on another waiting list for therapy. Vanessa’s experience is far from unique. Time and again, I have heard from mothers and fathers about how the system was incapable of responding to their individual circumstance, and the timing and depth of trauma.