Childcare and Early Years Debate

Full Debate: Read Full Debate
Department: Scotland Office

Childcare and Early Years

Andrea Leadsom Excerpts
Wednesday 8th March 2023

(1 year, 2 months ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Robin Walker Portrait Mr Walker
- Hansard - - - Excerpts

My hon. Friend is absolutely right, and I am glad that he has declared his family connection in that respect. We should all value the contribution of the early years and the people who work in what we might describe as childcare but is early education, early simulation and support of children. The steps that the Princess of Wales has taken to draw attention to the importance of the sector are very welcome.

Andrea Leadsom Portrait Dame Andrea Leadsom (South Northamptonshire) (Con)
- Hansard - -

I have to pick up the term “early educator” because the reality is that most children start nursery when they are about six months to eight months old. It is simply wrong to call it early education—what those tiny babies need is a loving, nurturing environment. To call it early education is just the wrong terminology and sends the wrong message. What they need is love and attention. For babies who come from chaotic homes, very often that is their route to secure secondary attachment to somebody. I find that term very misleading, and I wish that we would not always use it.

Robin Walker Portrait Mr Walker
- Hansard - - - Excerpts

I recognise my right hon. Friend’s point. That is part of the dilemma of covering this as an issue from nought to five. The earliest years are not necessarily about education—certainly not in any formal sense—but about stimulation and support. My argument is that the changes that the right support and the right stimulation unlock in young brains and the progress that it allows children to make pay enormous dividends in the education system further down the road.

--- Later in debate ---
Andrea Leadsom Portrait Dame Andrea Leadsom (South Northamptonshire) (Con)
- View Speech - Hansard - -

May I say what a huge pleasure it is to see you back in the Chair, Madam Deputy Speaker—and what better day to be discussing this topic than International Women’s Day? I wish all the women—and men—in the Chamber a happy International Women’s Day. Is it not wonderful that there are so many of us now? It is indeed wonderful to see so many women in politics, making a contribution and debating these issues. On behalf of all of us, I want to encourage every young woman, of whatever party, who has political interests and ambitions to get stuck in. We will help you. Come and join us; you will be most welcome.

Let me begin by paying tribute to my hon. Friend the Minister, who has been such an advocate for what, as I think everyone in the House knows, I am so passionate about: giving every baby the best start in life. The lovely thing about that is that I am, so far, not alone. Every Member I talk to, in every party, is incredibly supportive, because we all know from bitter experience of constituency cases, from what we have read, and from what we have learned as politicians and in our own lives, how critical it is for every single baby to have a chance of the best start in life.

Let me give the House some statistics. We know from a study conducted by the Early Intervention Foundation in 2016 that the cost to our economy of late intervention is about £17 billion a year. Almost a third of that is the cost of looked-after children. The children who have some of the worst outcomes in the country are those who are removed from their families and taken into care, and it is shocking that so much money is spent on achieving such poor outcomes. Huge parts of that £17 billion are spent on dealing with domestic violence, and young people who are not in employment, training or education and whose life chances have been hampered by their not being given the best start.

My hon. Friend the Member for Worcester (Mr Walker) has already mentioned the work of Professor James Heckman in analysing the rates of return on human capital investment. It says very clearly, “If you do not care about human happiness, just look at the money—follow the money!” A pound, or a dollar in the professor’s case, invested during the antenatal period will pay exponentially more, in terms of the return, to the human potential of the child—and will lower the later cost to society—than a pound, or a dollar, spent further down the line, when that child is already in the realms of youth crime or perhaps mental illness. Financially, prevention is not much kinder but so much cheaper than cure. Across our United Kingdom, and indeed across the world, there is a growing wealth of evidence for that.

I pay tribute to the Princess of Wales for her amazing work through the Royal Foundation Centre for Early Childhood, observing the struggles of parents and the number of parents who do not feel confident about knowing what their baby needs. I have talked to consultant paediatricians as part of my work as the Government’s early years healthy development adviser, and one of them said to me, “I am supposedly an expert in this field, but when my wife and I had our baby, we were like, ‘Aargh! What do we do with this?’” That is the challenge. It is not about the nanny state, or about interfering; this can happen to any us. I had three babies, and by the third time I thought I had it sussed, but my 19-year-old still gives me hell!

When you first have a child, you do think, “What am I supposed to do with this?” You take that beautiful, squeaky new baby home, and once you have got over the stitches and the other horrific unspeakable things that befall women in these circumstances, you find yourself trying to focus on the fact that you have had no sleep, which is an effective torture, is it not, Madam Deputy Speaker? We all know what it is like if we have had no sleep, and your baby, like my first, does not sleep for more than two hours at a time. In the one antenatal class that I just vaguely recalled, I was asked, “What is your 24-hour clock like now?” We all said things like, “Between 11 pm and about 7 am, I am fast asleep.” Then we were asked, “What do you think it will be like once you have had the baby?” We all said, “Well, I don’t really know, actually.”

It is so difficult, having a baby. You can be as rich as Croesus, you can be happily married, you can have all the support and the nannies in the world, you can have maternity nurses, and it is still difficult. Actually, I pay tribute to the Netherlands, where 95% of babies are born at home and you get a free maternity nurse, on the state. I would do that trade any day of the week—hands up those who would not! To have someone who will take the baby off you so that you can get a few hours’ sleep—that is extraordinary. However, I hope I am not freaking out anyone who is thinking of having a baby: it is the most glorious thing we ever do, and I welcome the fact that so many of our colleagues in the House have young children. I was proud as Leader of the Commons to introduce proxy voting for baby leave, because, oh my goodness, we cannot just sit at home and watch everyone voting and hope that our slip is going to be adhered to. We need to continue our lives.

So, for many women, and men, this is the most difficult thing they ever do, but what is so appalling is that we are really not allowed to say that. When I had my first child I was working at Barclays and I had just been appointed senior executive—one of only eight women; it was an absolute badge of honour—and they said, “We will do this appointment if you will come back after 10 weeks.” I know that seems extraordinary. They could not legally do that now, but in those days they could. And I said yes, which was really stupid. In hindsight, why on earth did I say yes? Anyway, there ensued two miscarriages, postnatal depression and awful trauma, and I left. It was not a happy experience. I say that because we are never allowed to say when things are difficult and we are really struggling, but we really want to keep our career. We do want to have it all, and that is understandable, but at the moment we really cannot.

We absolutely have to focus on the incredible investment in the early years. Again, I pay tribute to the Under-Secretary of State for Education, my hon. Friend the Member for East Surrey (Claire Coutinho); to the Prime Minister who, as Chancellor, funded this incredible project; and to the Chancellor, who as a Back Bencher and Chair of the Health and Social Care Committee was absolutely supportive of the best start for life. I also pay tribute to Opposition colleagues. One of my earliest friends in this place was the wonderful Lord Frank Field—if I may use his name since he is no longer an MP—and the even more wonderful, if that is possible, Dame Tessa Jowell, both of whom have been such advocates for giving every baby the best start in life.

What the Government are seeking to do is to provide support. My hon. Friend the Member for North Dorset (Simon Hoare), who is no longer in his place, talked about the importance of early years settings to build families’ capacity to be parents. In those settings, parents can chat to others and ask, “What size nappies are you using? Have you weaned yet? What are you feeding your baby?” We do not get a manual, do we? We should, but we do not. Another thing we do not get, which we should, is an on/off button. Don’t you agree, Madam Deputy Speaker? I am sure Matthew would agree. When Madam Deputy Speaker’s son used to sit in his sitting room opposite mine and play my music in my flat from his Bluetooth, I wanted an on/off button then. He was a bit older.

That is one of the challenges that we have as parents: there is no manual. So how do we get that information? We have the Government’s programme of rolling out family hubs across England. I wish we could roll them out across the UK, and we will be working with our colleagues in the devolved Administrations to make that the case. In Scotland, they have got parenting mental health absolutely sorted but they do not have family hubs. Talking to some colleagues who are Scottish parliamentarians, I know that they would be keen to follow what we are doing here. I think we can learn from each other all around the world. In Chile they have the most wonderful support for new mums that we do not currently have here, but we are starting to roll out the family hubs across England.

Most importantly, we are rolling out the best start for life, which involves six universal services. People who go to a family hub will be able to get antenatal midwifery checks, to chat to a health visitor, to seek support for their mental health issues or those of their partner or any member of their family, or for their relationship with their baby. They will also be able to get breastfeeding support. This is another ridiculous thing: we are all expected to know how to do that, aren’t we? How on earth do you breastfeed a baby? Who knows? Hands up, any of the men? No. We do not get a manual for that either, and actually women need a lot of support. You would not give your five-year-old a two-wheel bicycle and say, “Right, off you go, darling.” You hold the back of the seat until they have got the hang of pedalling. Our breastfeeding rates are among the worst in western Europe and that is because no one gets any help—

Steve Brine Portrait Steve Brine
- Hansard - - - Excerpts

On that point, will my right hon. Friend take an unlikely intervention?

Andrea Leadsom Portrait Dame Andrea Leadsom
- Hansard - -

My colleague is going to tell us how to breastfeed, ladies!

Steve Brine Portrait Steve Brine
- Hansard - - - Excerpts

I have never name-checked them in this House, but Auntie Jane and Auntie Jenni ran the BABIES breastfeeding support group at Lanterns nursery, which still exists in Winchester, and I remember going to them one morning after we had had a dreadful night with our first, Emily—who is 15 now and still a challenge—and we were just desperate. The only thing that got us through to daylight was knowing that we were seeing Auntie Jane and Auntie Jenni in the morning. I remember taking my wife and Emily down to see them, and they provided amazing support, as do support groups all over this country. So, Auntie Jane and Auntie Jenni, thank you.

Andrea Leadsom Portrait Dame Andrea Leadsom
- Hansard - -

That is lovely, and I pay tribute to the thousands of volunteers who provide breastfeeding support. My hon. Friend highlights perfectly one of the great challenges of becoming a new parent. When we are really struggling, there is a high correlation with mental health issues. When there is not enough support for women who want to breastfeed their babies but find they cannot do so, they suffer from feelings of guilt and feeling that they have failed and they are not good enough, and that lends itself to the problems of postnatal depression that are only too prevalent right across England.

So, to recap: midwifery, health visiting, mental health support, breastfeeding support, safeguarding support and disability support will be universally available in family hubs to help every family to give their baby the best start in life. Not only that, there will be universal-plus support for the most tricky and challenging issues such as the prospect of domestic violence. We know that up to 30% of domestic violence starts in pregnancy because of the partner’s feeling, “This person is going to love the baby more than they love me.” All these challenges that are brought out by pregnancy are quite desperate to be solved. We know that if we can get the hang of giving every baby the best start for life, that will transform our society.

I mentioned that the cost to our economy of late intervention is about £17 billion a year. The Maternal Mental Health Alliance’s study has shown a cost of around £8 billion a year for every new cohort of births as a direct result of the cost of poor maternal mental health in the perinatal period. The all-party parliamentary group on conception to age two—the 1,001 critical days—has demonstrated that school readiness results in a reduction in later problems such as the propensity of children to get into gangs, to have poor mental health and to fail to learn and do well at school. The 1970 cohort study showed, significantly later on, that only 18% of children in the bottom 25% academically at age five get one or more A-levels, compared with 60% of those in the top 25% at age five. What happens to a child in their earliest years follows them throughout their life, and the more we can do in that earliest period, the better, so the Government are totally on the right lines.

Kit Malthouse Portrait Kit Malthouse
- Hansard - - - Excerpts

I applaud my right hon. Friend’s work on the early years and, as she knows, I share her enthusiasm. We are talking today about the estimates for the Department for Education. What role does she think public health has to play in educating parents, particularly about our shared passion for attachment theory? We have been successful over the last few decades in educating parents about not smoking or drinking during pregnancy, about not smoking in the car with their children and about how to give them nutritious food. Much of that has been a huge success, but we have never really had a public health campaign based on the fundamental building block of emotional maturity in children, which comes from strong early attachments. When I was in the DFE, we were considering the idea of a big public health campaign to illustrate the importance of attachment, not just to women but to men as well. An attachment to a father is just as important as an attachment to a mother.

Andrea Leadsom Portrait Dame Andrea Leadsom
- Hansard - -

My right hon. Friend is absolutely spot on.

That gives me the chance to mention the London School of Economics report in 2019, which illustrates the cost of insecure attachment. The cost is 50% higher if an infant is not securely attached to their mum than it is for a securely attached child, at around £4,000. If that baby is not securely attached to their dad, the cost can be four times higher than that, which obviously illustrates the importance of dads. My right hon. Friend is absolutely right to raise not only the importance of secure attachment but, very specifically, the importance of dads. The provision of holistic support on fathering is crucial.

My best start for life project is commissioning different bits of training, nationally and free to all early years practitioners, including on reflective parenting, so that everyone working with families, whether as a volunteer or as a professional, understands how reflective parenting can contribute to secure attachment. There is also video interaction guidance that demonstrates to families the good and the not so good, in a way that has been clearly evaluated. A lot of work is being done in the best start for life project to skill up everyone who is volunteering or working in the early years sector and to roll out support for families.

If a family are expecting a baby, they go to their family hub. If they want a book, they go to the library. If they want a bottle of milk, they go to the supermarket. We want family hubs to be a household name where people go if they have a child, and particularly if they have a baby. They should go whether they are rich or not so rich, whether they are young or old, and whether they have other caring responsibilities or not. We know that learning from each other in a supportive environment can be transformative.

I finish on childcare because, although my role as early years healthy development adviser is about nurturing support in the early years, most babies find themselves in a childcare setting when they are still very young—six months to a year old. The 1,001 critical days, the period from conception to the age of two, are a continuum, and it is when the vast majority of the lifelong blocks for emotional and physical health are laid.

Babies may spend a lot of that time in a nursery setting, and it seems to me that there are two issues. The first is quality, and it must be about parental choice. We need good-quality nurseries, but we also need choice for parents. If they want their mum to look after their baby, and if their mum is able, we should be willing to say, “Thank you very much, granny. You will get some sort of payment.” The payment should not be as if they are a trained nanny or nursery worker, but there should be some form of carer’s allowance or attendance allowance for grandparents who go part time to care for their grandchildren.

Secondly, we have already heard that childminding has fallen off a cliff because the regulatory burden, which predates this Conservative Government, has been so great that it has taken a lot of people out of childminding. If I had a six-month-old, I would much rather they were in a home environment than a nursery environment or baby setting.

We need to go with the grain of what works for families, so we need to have choices, with quality nurseries, many more childminders and support for relatives, just as we have for people who look after their elderly husband or wife who has disabilities. People who go part time to look after their granddaughter, grandson, niece or nephew get nothing. It is a straight choice, and it has a significant financial cost. I urge the Minister to consider that.

The final thing is flexibility for parents. Families know best what works for them, and people tend not to have just one child. Child No. 1 can be very difficult, but when a family is faced with paying 50 quid a day for a tip-top nursery because they want to go back to work nine-to-five—they also need to get to work and get back to pick up their child—the nursery costs are huge. For an awful lot of women, having a second child means it simply is not worth going back to work.

We should allow parents to have their own childcare budget that they decide how to use. I wanted my first child to come out of childcare when my second child was born because I wanted them to be together. If a mother is home on maternity leave, why not have the two children together? It should be a choice for families, but if the first child is three years old, families do not want to lose their free hours of childcare, even if it would suit them to have both children at home. I urge the Government to consider giving parents that choice. Childcare is difficult enough without there being hurdles that make it unaffordable and inflexible for far too many families.

I am delighted with the Government’s work on rolling out the family hubs and best start for life, but childcare is part of it and we need to give families more choice.