Sir Jeremy Hunt

I thank my hon. Friend for her courage in talking about her personal experience, which says it better than I ever could. That leads me to my conclusion and what I think are the solutions. First, bringing together the points made by my hon. Friend and the hon. Member for Bury St Edmunds and Stowmarket (Dr Prinsley), we need a total overhaul of midwifery education to make it clear that there has to be teamwork around every birth. It is not midwives versus doctors; it is midwives and doctors working together for the safe delivery of every single child. Secondly, we need a shared agreement across both professions about what risk is, and about when escalation is required—total agreement about the moment for intervention—so that something such as my hon. Friend describes never happens again. Finally, we need to rehumanise the whole process through which the NHS takes care of pregnant mothers and newly born babies so that from the moment of pregnancy, every mother is assigned one team of doctors and midwives who are responsible for that mother and child right the way through pregnancy and after birth. No one should ever be turned into a number or a type of care. Everyone is a human being and should always treated that way by the NHS. This week we are here to remember the babies and mothers who should be here but are not. We recognise the progress that has been made in their name, but we also have a duty to the families to be humble about the failures as well.