Sudden Unexpected Death in Childhood

Alison Bennett Excerpts
Tuesday 24th March 2026

(1 day, 9 hours ago)

Westminster Hall
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Alison Bennett Portrait Alison Bennett (Mid Sussex) (LD)
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It is a pleasure to serve under your chairmanship, Sir John. I thank the hon. Member for Rossendale and Darwen (Andy MacNae) for his brilliant opening speech setting out the frame of our conversation.

I am mindful of the families in the Public Gallery, who have had unimaginable loss and who represent just a fraction of the families across the United Kingdom who have gone through this tragedy. I also know that some hon. Members who have met families who have lost a child through sudden unexplained death in childhood could not be here today, and they have asked me to extend their thanks to SUDC UK for the advocacy and support it has provided for those families.

As hon. Members have said, losing a child is one of the most devastating experiences a parent can face. For parents to lose a child suddenly and to not know why is even harder to comprehend, leaving them without answers and wondering endlessly whether anything could have been done. That is a burden no parent should have to carry alone, yet that is the reality for families affected by sudden unexplained death in childhood.

As we have heard this morning, the experience for families is far from what we would hope. According to research by SUDC UK, only about half of families who experienced an unexplained child death were assigned a bereavement key worker. Many parents reported distressing and at times traumatic experiences when dealing with authorities in the aftermath of their child’s death. At the very moment families need compassion, clarity and support, too many are instead met with confusion, delays and even suspicion. We must do better than that.

Of course, that is a reflection not of the incredible staff across the NHS and other services but of a wider system that is failing. When a child dies unexpectedly, there is meant to be a structured review process. Families should be guided, supported and treated with care and dignity. Not only do more than half of NHS areas in England not have a specialist bereavement nurse available to visit parents after such a death, but as the hon. Member for Rossendale and Darwen set out, there is a shocking shortage of paediatric and perinatal pathologists across the United Kingdom. I am going to spend the next few minutes focusing on that often overlooked profession.

I recently met the president of the Royal College of Pathologists, Dr Bernie Croal. He explained that with vacancies for this specialism running at 37%, bereaved families are suffering. Let me set out the scale and consequences of the situation. In December last year, there were only 52 paediatric and perinatal pathologists, or PPP consultants, working in the United Kingdom. There were no PPP consultants working in Northern Ireland, none in the south-west and none in the midlands. The royal college says that that has led to

“total service collapse in these areas.”

In Northern Ireland, there has not been a paediatric and perinatal consultant in post since 2019. For children from Northern Ireland, post-mortem examinations are being carried out on an interim basis at Alder Hey children’s NHS foundation trust in Liverpool. Bluntly, if a baby or child needs a post-mortem, their body must be transported from Northern Ireland by ferry or plane to England.

Right across the UK, the lack of PPP consultants is having a harrowing effect on bereaved families, with one in five families having to wait six months or more, and some waiting more than 12 months. This matters because the support and expertise of paediatric and perinatal pathologists can give families answers where they exist, and in many cases, a diagnosis can help to screen other family members who might be affected by a certain condition. They can also potentially give information that aids treatment should a family decide to try for another baby.

I have three questions for the Minister. The first is on the root causes; namely, the shortage in the paediatric and perinatal pathology workforce. Given that the royal college recommends that training posts should be expanded to 37 places by 2030, what concrete, funded plans do the Government have to deliver those to ensure a sustainable pipeline of paediatric and perinatal pathologists?

Secondly, on the delays affecting families, will the Minister commit today to bringing forward a plan to improve the resilience of paediatric pathology services so that bereaved families receive timely answers when they are trying to understand the shocking and unexpected loss of their child?

Thirdly, on investment in the wider pathology workforce, what investment will be made in the multidisciplinary workforce, such as biomedical scientists and pathology technicians, to ensure that paediatric pathology services can function effectively? Even with more doctors, services fail without the supporting team.

A sudden unexplained death in childhood is truly shocking; it happens to around 40 children each year. Those deaths will never be explained, as things stand, and could not have been anticipated, but we have a moral obligation to make sure that what we can control—the right people with the right training in the right places—is there for families. Paediatric and perinatal pathology services is just one specialism where there are gaps in provision, and as we have heard from other hon. Members, there are other specialisms, too. More can be done, and so more must be done.