Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will take steps to ensure that pregnant women are (a) asked about alcohol use at the earliest point in their pregnancy and (b) given healthcare to abstain from alcohol use throughout the duration of their pregnancy.

Pregnant women with alcohol problems are often highly vulnerable with multiple and complex support needs. The Government is committed to ensuring pregnant women with alcohol problems are supported to reduce the risk of harm to themselves and the foetus, and later the baby, and to help them to engage in antenatal care, safeguarding, and other local services.

The Department, with the support of partners from the devolved administrations, has recently developed and published the first ever United Kingdom clinical guidelines on alcohol treatment. The guidelines have a full section dedicated to pregnancy and perinatal care which sets out the principles that guide the personalised care that women and other people who are pregnant should receive, in order to be supported to reduce, and when safe to, stop their alcohol use as quickly as possible, and that this should be done in a non-judgemental, non-stigmatising way. Healthcare staff, including in maternity and alcohol treatment services, should make every effort to provide accessible care and to engage women who are pregnant and who are alcohol dependent or drinking heavily.

The guidelines also reference the National Institute for Health and Care Excellence (NICE) guidance QS204, which recommends that pregnant women are asked about their alcohol use throughout their pregnancy and that the response is recorded. If there is evidence of failure to follow NICE guidelines, which can lead to negative outcomes, the Care Quality Commission can take appropriate action in response. NICE guidance is expected to be followed unless there is clear justification and alternative evidence-based practice for any deviation from them.

We are providing local authorities with £3.4 billion ringfenced funding over the next three years for alcohol and drug treatment and recovery. Local authorities are responsible for commissioning alcohol treatment and recovery services and can invest in interventions that strengthen the support available to children and families, including pregnant women affected by alcohol, according to a local assessment of need.