Dr Caroline Johnson

First, I must declare an interest as a consultant NHS paediatrician and a member of the British Medical Association and of the Royal College of Paediatrics and Child Health, and also that I have worked in neonatal intensive care in a number of different hospitals, including Nottingham University Hospitals NHS Trust, where I worked as a junior doctor, briefly overlapping with the initial period of the Ockenden review. I congratulate the hon. Members for Rossendale and Darwen (Andy MacNae) and for Sherwood Forest (Michelle Welsh) and my right hon. Friend the Member for Godalming and Ash (Sir Jeremy Hunt) for securing this important debate, and also charities such as Bliss, Tommy’s and Sands for their important work. As has been said, this has become somewhat of an annual debate, and it follows the same pattern. We hear many stories—we have heard many emotional stories this evening from very brave Members who have put forward their words or the words of their brave constituents. We reflect on the babies that have been lost—their first words, when they would have taken their first steps, who they would have grown up to become. We talk in sorrow and in memory. But there is also some frustration, because 13 babies every day will die shortly before, during or after their birth. So although it is important to reflect, I firmly believe that families would like us also to focus on prevention and service improvements. I shall therefore focus in the rest of my remarks on the question of whether the Government are doing all they can to tackle baby loss, and are doing so as quickly as possible. As a children’s doctor, I have been privileged to attend hundreds of births. Politics offers the opportunity to save more lives than doctors can across the whole country, because it has the power to make impactful change and save lives, and the Government must use it. Just over a decade ago, my right hon. Friend the Member for Godalming and Ash, then the Secretary of State for Health and Social Care, set a target to halve the rate of stillbirths and neonatal and maternal deaths by 2030. He did not succeed completely but made encouraging progress. Stillbirths fell by 20%, neonatal deaths fell by 20% and maternal deaths fell by a third. As my right hon. Friend himself said earlier, that means that 700 additional babies a year are waking up today and tomorrow, loving their parents and being loved by their parents, and bringing great joy. The new Health Secretary came into post last month and I welcome her to her place. She is right when said that “it is time to put maternity and neonatal care and safety at the top of the NHS agenda, where they belong.”—[Official Report, 15 September 2026; Vol. 790, c. 1616.] I know that this issue is important to her and we acknowledge that the Government have made progress in some areas. They have built on Conservative work by expanding baby loss certificates—we heard from the hon. Member for Lancaster and Wyre (Cat Smith) just how important and vital those certificates can be—and they have implemented Martha’s rule, so that people can have a second opinion. I appreciate the Secretary of State is new in post, but her predecessors have acted too slowly. The Government came to power in July 2024 saying that they had a plan for the NHS, but it took them a year, until July 2025, to bring forward their 10-year plan. They said that they will bring forward a neonatal task force, but they took seven months to decide who was going to be on it. They said that a maternity and neonatal plan was going to be produced, and that a rapid review would produce a plan by December 2025, but it came in June 2026, almost two years after their election. The national maternity investigation brought forward two key recommendations. The first recommendation is to appoint a maternity and neonatal commissioner, which the Government have promised to do. That promise was announced over three months ago, so will the Secretary of State tell us when that appointment will be made? Will it be delayed by putting it on a statutory footing or will she be able to make the appointment anyway? The second recommendation is to develop a modern service framework to establish minimum standards for maternity care. The Government announced that they were developing a national action plan on that, but it will not be ready until December 2026. Will the Secretary of State guarantee that it will be ready by December 2026, which is now very soon? In the meantime, the Government have promised £41 million for maternity and neonatal buildings. Will the Secretary of State tell us how and where this money will be spent, and which hospitals will benefit? My hon. Friend the Member for Meriden and Solihull East (Saqib Bhatti) talked about people experiencing baby loss or who had babies on the neonatal unit being placed on a ward next to people who were celebrating the births of healthy children, who were beside them. Will the Secretary of State say how she is going to manage that so it does not happen any more? The Government have spoken about the black and Asian maternal mortality gap. In their manifesto, they committed to a target to close that gap. Will the Secretary of State tell us when that target will be published and how she will close that gap? The workforce is key to delivering these outcomes. The last Conservative Government created a long-term workforce plan for the NHS, but this Government decided that they wanted to create their own workforce plan, which is absolutely their right to do so. We were promised that plan by the end of 2025. We are now deep into autumn 2026, and we are being told they will provide an update on the workforce plan “in due course”. Having previously been told it was imminent, that is somewhat disappointing. The Government need to know and say how many midwives they are going to need, as well as how many obstetricians, gynaecologists and paediatricians. How will all those people be trained? How many more medical school places may be required? The Government promised time and again that they would double the number of medical school places, yet they have rowed back on that promise like it never existed. Will the Secretary of State tell us once and for all if the Government will be doubling the number of medical school places, or if that was just a 2024 general election promise? On what date will the workforce plan be ready and published? The manifesto also promised to train thousands of additional midwives. Will the Secretary of State tell us how many have been trained so far? My right hon. Friend the Member for Godalming and Ash and my hon. Friend the Member for Rutland and Stamford (Alicia Kearns) spoke about the importance of listening to women and not having an ideological fixation on a normal birth or particular type of delivery, but instead looking for a good outcome. On training, will the Secretary of State elaborate on how she intends to encourage midwives and obstetricians to see themselves as one team? I know in some places they do, but in other places, tragically they do not. Will she set out how they can work together with the wider team of anaesthetists, paediatricians and other professionals to achieve the best outcomes for women, rather than a particular ideological outcome? Some have talked this evening about the complexity of pregnancies in modern times. Can the Secretary of State talk about whether she feels nursing skills are required in midwifery, and to what extent? How does she intend to ensure that they are delivered? I know that the Government have their three shifts, one of which is prevention. Will she talk about vaccination and chronic disease optimisation before pregnancy and how they could help to reduce the number of babies lost? On a wider level, the NHS is being reorganised. I appreciate that that was announced before the Secretary of State became the Secretary of State, but the abolition of NHS England and the shaking up of ICBs is causing disruption to health services. The abolition of Healthwatch, which she still has time to do something about, is removing the independent voice—the listening to women that we have heard about so much this evening. There are many, many fantastic NHS staff, and many women—most women, in fact—get great care, but some do not, and the findings of recent investigations and investigations over many years have been hugely disturbing. I know that the Secretary of State cares very deeply about this topic, so I would like her reassurance that these plans will be published, the staff will be trained and the taskforce and commissioner will be effective, and that she will deliver on the maternity safety that everybody right across the House wants to see.