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The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
It is a pleasure to serve under your chairmanship, Mrs Harris. I congratulate the hon. Member for Mid Norfolk (George Freeman) on securing this important debate, in particular during what must be an unimaginably difficult week for him. I think I speak for all of us when I say that we send him our love and sympathy. I also thank my hon. Friend the Member for Stoke-on-Trent Central (Gareth Snell) for sharing his powerful personal story, and the hon. Member for Strangford (Jim Shannon) and my hon. Friend the Member for York Central (Rachael Maskell) for their thoughtful contributions. I will be very happy, once the APPG has been convened, to liaise with the hon. Member for Mid Norfolk and the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton), who has responsibility for public health, to see what form of meeting can be arranged.
Alcoholism is a tragedy that blights communities across the United Kingdom, including in my constituency of Glasgow South West and the west of Scotland. Having practised as a medical doctor for more than 20 years, I have seen it, including in some of the transplant patients who have arrived across my operating table. As much as I love my job as a surgeon, I would love nothing more than for those transplants to never be needed again.
I want to reassure colleagues that this brief sits not just with my hon. Friend the Member for West Lancashire, but with all Ministers across Government, who are rightly focused on raising the healthiest generation of children in history. We want to support children whose parents have alcohol problems, but we also want to support their parents to get better.
Although not all children of parents with an alcohol problem will experience harm, they are clearly at far greater risk and, as we have heard, far too many of them will have their childhood scarred by their parents’ drinking. In 2024-25, 14% of child social worker assessments cited parental alcohol use, and in 2023-24 alcohol or drug use was identified in 43% of child safeguarding practice reviews where a child was seriously harmed or, sadly, died.
Children growing up in these environments are more likely to face additional challenges, such as parental mental health problems and sometimes, unfortunately, domestic abuse. The trauma from such experiences can last well into adulthood, which means that the cycle can repeat, with the trauma passed on through multiple generations. We must do everything we can to break that cycle.
As we have heard, alcoholism can affect anyone, but at times it hits hardest in some of our deprived communities. That is why from April next year, the Government will be rolling out Best Start family hubs to every local authority. Those hubs will provide a high-quality service for parents, and will focus on early child development and the digital resources to facilitate that. They will be open to all and based in communities where alcoholism is most prevalent, ensuring that services reach the children and families who are likely to benefit most from them.
The Government have also confirmed that we are giving vulnerable families and children better access to local support services. Our strategy is based, first, on breaking the cycle of late intervention and, secondly, on helping more children and families to stay safely together as a unit. We are doing this through the national roll-out of the family help multi-agency child protection and family group decision-making reforms, which will be delivered through the Families First Partnership programme led by my right hon. Friend the Secretary of State for Education. The programme’s funding amounts to £2.4 billion over the next three years. To help identify vulnerable children and families affected by parental alcohol problems who need a helping hand, my Department will support local authorities with an additional range of resources, including local prevalence and treatment data, and child safeguarding guidance for alcohol and drug treatment services.
We are doing this for children and their families, but we must also target our support to make a sustainable difference to pregnant women with alcohol problems. Timely and effective treatment is key, because drinking in pregnancy leads to long-term harm for babies—for example, foetal alcohol spectrum disorder, which has already been highlighted in this debate. Unfortunately, the more that women drink, the greater the risk. That is why the UK chief medical officer’s guideline is that if a woman is pregnant or thinks she might become pregnant, the safest approach is not to drink at all.
It is a genuine tragedy that pregnant women and mothers with alcohol problems are sometimes the most stigmatised and harshly judged people in our society. That means it is incredibly difficult for those women to speak out about their issues and to let services know that they have children, which prevents women, children and families from getting the help they deserve. We cannot forget that many women who drink during pregnancy come from homes where their own parents were dependent on alcohol and are often at the sharpest end of not only inequality, but complex and multiple other needs. Many of them were victims of trauma and abuse in their own childhood.
That is why the Government are committed to reducing stigma, improving the quality of treatment and making support available to every woman who needs it. First, we are piloting local approaches to reduce stigma among doctors, nurses and other healthcare professionals. Secondly, we will soon publish the UK’s first clinical guidelines for alcohol treatment that include advice for supporting pregnant women and parents to stop or safely slow down their alcohol use. Thirdly, the Department of Health and Social Care and NHS England are finalising the co-occurring mental health and substance use delivery framework, which will outline the commitments that we are making to improve integration of alcohol and drug treatment with mental health services at a national level. Fourthly, we plan to publish guidance on how treatment providers can better support and improve service provision for women. We will work with local commissioners to ensure that they consider in their drug and alcohol treatment commissioning plans the specific needs of pregnant women and parents.
We are also continuing to invest in improvements to local alcohol treatment services, which faced significant cuts followed by a decade of disinvestment. Just last week, the Government announced an investment of £13.4 billion—a 5.6% cash increase—over the next three years in local authorities’ vital public health work through the consolidated public health grant. That includes the overall £1 billion of drug and alcohol treatment and recovery improvement grants over the next three years. But treatment alone is not enough to improve outcomes for children. The evidence suggests that alcohol treatment, combined with support to help parents raise their kids, can increase the likelihood of recovery from alcohol dependency, reduce the risk of child neglect or abuse and, crucially, keep families together.
I am grateful for the opportunity to respond to this debate. It has given me the chance to outline how the Government are laser-focused on improving outcomes for children from all kinds of backgrounds who find themselves in these situations—children who, through no fault of their own, were born to parents who suffer from alcohol problems. I hope I have demonstrated that our approach is based not on stigmatising, but on keeping families together. That is why our strategy is based on Best Start family hubs and the Families First Partnership programme, so that we can make sure that parents in alcohol treatment services also receive vital parenting and family support.
The Department for Education has released statutory guidance called “Working Together to Safeguard Children”, and I want to pick out one line from it:
“Nothing is more important than children’s welfare.”
That could not be more true. Everything we are doing across Government is aimed at improving children’s health and protecting child welfare, so that every child can thrive in a loving, safe and stable home.
Let me end by speaking directly about the hon. Member for Mid Norfolk. Today he has spoken not only in this place, but to the nation. In doing so, he has ensured that more Members and citizens of our nation will now look, acknowledge and see below the line, so that together we can ensure that more children do not continue to suffer in silence.
Question put and agreed to.