Asked by: Adam Dance (Liberal Democrat - Yeovil)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he will appoint a Maternity Commissioner.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are no current plans to appoint a Maternity Commissioner. The Government has commissioned an independent National Investigation into maternity and neonatal care, chaired by Baroness Amos, which is expected to make recommendations this spring. My Rt Hon. Friend, the Secretary of State for Health and Social Care, will chair the National Maternity and Neonatal Taskforce to address the recommendations and develop a new national action plan to drive improvements across maternity and neonatal care.
Asked by: Michelle Welsh (Labour - Sherwood Forest)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the ruling over Paul versus Royal Wolverhampton NHS Trust has made on secondary victims of medical negligence.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
My Rt Hon. Friend, the Secretary of State for Health and Social Care, has asked David Lock KC to look at the issue of secondary victims for maternity clinical negligence cases only. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps, in due course.
There are no plans to extend the scope of the work wider than maternity clinical negligence cases.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department will consider providing specialist pelvic physiotherapy provision within the NHS for patients with endometriosis.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Pelvic physiotherapy is an established and expanding component of National Health Service pelvic health services, delivered across maternity, gynaecology, community services, and specialist pathways. Across wider gynaecology and women’s health hubs, pelvic health physiotherapy is routinely offered for pelvic pain, pelvic floor dysfunction, urinary/faecal incontinence, prolapse, dyspareunia, and other presentations commonly associated with endometriosis. Multidisciplinary pelvic pain management, including pelvic physiotherapy, is an expected component within women’s health hubs.
The Government is encouraging integrated care boards to further expand the coverage of women’s health hubs and supporting them to use the learning from the women’s health hub pilots to improve local delivery of services to women and girls. This should enable improved access to pelvic physiotherapy and earlier intervention for conditions such as endometriosis.
Asked by: Shaun Davies (Labour - Telford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what standardised guidance is available to NHS maternity services regarding a) paternal involvement and b) support for fathers in childbirth.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
National bodies such as the National Institute for Health and Care Excellence and the Royal College of Midwives have issued guidelines emphasising the importance of involving fathers and partners in maternity and perinatal care. These guidelines set expectations for trusts to adopt family-centred care and to treat fathers as active participants, not just visitors or observers. These resources are available, respectively, at the following two links:
https://rcm.org.uk/wp-content/uploads/2024/06/engaging_dads_pocket_guide.pdf
The Department and NHS England do not hold data on the proportion of births in National Health Service facilities at which a father is present.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance his Department provides to NHS Trusts on the use of ward-wide audible alarm systems in maternity wards.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Guidance is provided to National Health Service trusts on alarms in Health Building Note (HBN) 09-02: Maternity care facilities, available at the following link:
https://www.england.nhs.uk/wp-content/uploads/2021/05/HBN_09-02_Final.pdf
This document includes the requirement for all birthing rooms and maternity beds to have both a nurse call bell for patient use and a staff emergency call bell for staff use in the case of an emergency. Any new builds, large renovations or refurbishments are subject to adhering to HBN guidance. NHS England will be updating the HBN later this year.
Asked by: Natalie Fleet (Labour - Bolsover)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of NHS midwives undertaking trauma-informed training as part of their maternity care training.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Many National Health Service trusts and Accredited Education Providers such as universities have developed their own training programmes or academic modules around Trauma Informed Care (TIC) for midwives. NHS England is undertaking a rapid scoping exercise on current TIC mandatory and non-mandatory training provision across perinatal services, to assess the merit of more comprehensive TIC training for staff.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance is issued to maternity services and safeguarding partners on cannabis use during pregnancy and while caring for new born babies.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Maternity services are required to provide care in line with National Institute for Health and Care Excellence guidelines on antenatal care and pregnancy, reference code NG201, and complex social factors, reference code CG110. These guidelines specify that women should be asked about substance use, including cannabis use, as part of routine antenatal care.
Women requiring support for substance misuse should be offered a personalised care and support plan which may include referrals to specialist services. NHS England recently published the Improving postnatal care toolkit which aims to support system leaders improve postnatal care. This includes the development of targeted care pathways for vulnerable groups, such as women affected by substance misuse.
Asked by: Shaun Davies (Labour - Telford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data his Department holds on the proportion of births in NHS facilities at which a father is present.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
National bodies such as the National Institute for Health and Care Excellence and the Royal College of Midwives have issued guidelines emphasising the importance of involving fathers and partners in maternity and perinatal care. These guidelines set expectations for trusts to adopt family-centred care and to treat fathers as active participants, not just visitors or observers. These resources are available, respectively, at the following two links:
https://rcm.org.uk/wp-content/uploads/2024/06/engaging_dads_pocket_guide.pdf
The Department and NHS England do not hold data on the proportion of births in National Health Service facilities at which a father is present.
Asked by: Caroline Johnson (Conservative - Sleaford and North Hykeham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data he holds on the number of bedrooms available for parents with a baby on the neonatal unit by (a) Trust and (b) neonatal units.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The results from NHS England’s Maternity and Neonatal Infrastructure Review, commissioned in 2023, showed that there are 747 parental accommodation rooms within neonatal units nationally. NHS England does not hold data on the standard of these rooms. However, there is undoubtedly variation in the provision of parental accommodation at neonatal units across England and we know that not all maternity hospitals are currently able to offer adequate accommodation for families due to the historic undercapitalisation across the National Health Service. A summary of the findings report is available at the following link:
Data on the number of parental accommodation rooms is attached.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance NHS England has issued to maternity services on when and how pregnant patients are informed of their BMI, including requirements on explaining associated clinical risks and available support.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence provides detailed guidelines for maternity service staff in relation to body mass index (BMI) and managing weight during pregnancy.
This includes the Antenatal Care Guidance which specifies that women should be offered measurement of height and weight, including a calculation of BMI, at their antenatal booking appointment. This should also include an explanation of BMI’s relevance to pregnancy, as well as associated risks and available support. This guidance is available at the following link:
https://www.nice.org.uk/guidance/ng201
In addition, the Overweight and Obesity Management Guidance specifies that for women with a BMI of 40 kilogram per meter squared of height or above, this discussion should include the option of referral to a specialist obesity service or specialist practitioner for tailored advice and support during pregnancy. This guidance is available at the following link:
https://www.nice.org.uk/guidance/ng247