Maternity Nurses, Nannies and the Infant Sleep Industry
Debate between Tom Morrison and Connor Rand(3 days, 13 hours ago)
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Mr Rand
Yes, I will come to some of that. Whether parents are following advice or performing these duties themselves, it is important that they think about safe sleeping extremely seriously—that is what any parent should be doing. It is very important indeed to understand the qualifications and medical expertise of those providing advice.
In May, the BBC used undercover filming to expose two prominent figures in the infant sleep industry who were openly giving parents advice on safe sleep that could result in the death of their children. That is not just my opinion; the NHS clinicians who observed the BBC’s footage said that it was “horrifying”.
Mr Morrison
I thank the hon. Member very much for getting this debate on the Floor. He references the BBC investigation, and the things that were put out on that were absolutely horrifying. Talking of experts, the Lullaby Trust is a huge leader, particularly around safer sleeping. I was horrified by the lack of regulation—the wild west, as he describes it—so would he agree that we need a proper, legal, regulatory framework to make sure that these charlatans who are putting this bogus safe sleep advice out there on social media and other channels are held to account, and to ensure that parents and their children are protected from these groups of people?
Mr Rand
Yes, I completely agree. I know that the hon. Member has worked with the Lullaby Trust, and I am grateful to have met its representatives myself and to have had their input into my campaign on regulation in this area. Of course, the Government have already begun to set out—quite rightly, after his campaigning work—the approach we need to take forward in early years settings, but it is critical that the whole sector, including advice provided in the home, should have a sustainable legal framework.
The figures who were exposed by the BBC in their undercover filming have thousands of followers online and have published widely bought books. To any parent, they would ostensibly look like an expert. That such unqualified people can operate in that way without any oversight at all is terrifying. How can it be right that an industry dedicated to the care of babies is totally unregulated? We know the answer to that. It is not right and it must change, because without change, more children will die. I do not say that lightly; I say it because of what happened in my constituency.
Two years ago, a four-month-old baby from Trafford died after being placed in an unsafe sleeping position on the advice of a maternity nurse who had no medical qualifications at all. There was no legal accountability for this death because no laws had been broken, but a family had been broken. I cannot begin to imagine what the parents of that child have been through. There are no words to describe it, and I will not try to do so, but what I will try to do is ensure that change is the legacy of their tragedy. It is not just me that is calling for change. The senior coroner who worked on the case issued a prevention of future deaths order to the Secretary of State and, in doing so, called on infant sleep services to be urgently regulated.
What does this change look like? I have three main asks of the Government and the Minister today. First, will the Minister explore the introduction of mandatory minimum safeguarding training and qualification standards in the baby sleep industry and the nanny industry, as has been called for by the National Nanny Association, the Lullaby Trust and other organisations. I am sure that we can all agree on the reason to do this—namely, that people looking after children should have basic medical and early years training, including on safe sleep. This change could introduce standards and safeguards to an industry badly lacking in both.
This change would support the majority of people who provide responsible, home-based care for children while cracking down on the dangerous minority who do not. It would give parents peace of mind and minimum legal standards to hold providers against, and the introduction of mandatory training and standards could lead to the development of a national regulated framework or register for all those providing home-based childcare. With a register, we would strengthen safeguarding, give parents clarity and professionalise the sector.
My second ask is that we need stronger legal protections for the title of “nurse”, and in response to the tragedy in my constituency, the Government announced that they would protect the title of “nurse” so that it could be used only by someone with appropriate medical qualifications. That is a really important step forward that I very much welcome. However, people in the infant sleep industry are also calling themselves “practitioners” and “consultants”, so I urge the Government to explore legal protections for those titles too, because, like “nurse”, they imply a level of expertise that is often not there and that parents might rely on. When announcing that the Government would protect the title of nurse, the then Secretary of State committed to seeking wide input on the proposals to get them right. I appreciate that there have been changes since, but can the Minister update me on that work and set out a timeline for when we can expect action?
My third and final ask relates to the context in which the infant sleep industry has boomed. As I mentioned earlier, this is a sector to which parents are increasingly turning as the support that used to be provided by the state has been stripped back. The number of health visitors has almost halved in the last decade, and home visits are not happening consistently across the country, as overstretched staff battle caseloads of up to 1,000 families. That is the vacuum that causes parents to walk into the wild west of dangers. I would appreciate the Minister setting out the Government’s plan to invest in health visitors and infant care, so that we can protect children and their parents with the highest-quality support possible in our national health service.