Rt Hon. Dame Andrea Leadsom DBE

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The implication of investing in early years

It says on the Centre for Early Childhood website set up by the Royal Foundation:

“Advances in brain science have shown that early childhood—pregnancy to five—has implications for our development that go far beyond our physical abilities. In fact, this represents one of the best investments we can make for the long-term health, wellbeing and happiness of our society.”

In commending my right hon. Friend the Member for Harlow (Robert Halfon) for his comments on the main estimates day, I urge my right hon. Friend the Minister to take into account where it all begins.

Lockdown has been a painful time for many new parents during the pandemic. The “Babies in Lockdown” report, produced by the Parent-Infant Foundation, Best Beginnings and Home-Start UK, laid bare the experiences that families have faced. Some 70% found that their ability to cope with their pregnancy and beyond had been impacted on by a result of covid, and only one third of parents expressed any confidence in being able to access mental health support.

Through chairing the early years healthy development review, I can tell colleagues that we heard directly from parents and carers about their experiences of having a baby in lockdown. We heard from dads and partners who did not feel that they could access any support at all for their own mental health, as they felt that the services were there for the mums and not for them. We heard how, in some cases, this damaged the relationship with both their partner and their new baby. We heard from a young single mum who contacted her GP, who said she should speak to her health visitor, but she had not been assigned one. When she contacted the local team, no one could tell her who to speak to. She did not hear from a health visitor until after her baby was born. I know that is not a DFE issue, but does it not highlight the importance of joined-up services?

We heard from a foster carer who felt sure that the baby she was caring for was suffering from foetal alcohol syndrome, but she was unable to get access to any information about the baby. We heard from mums who struggled to breastfeed because their babies suffered from tongue tie, and they could not understand why this had not been picked up.

Among the heartbreaking stories, however, the pandemic has given us the benefit of learning what could be improved and has cast a light on some areas of hope. For some parents and carers, a real lifeline during the pandemic was the opportunity to text their health visitor, to receive virtual advice from their GP, to take part in Zoom parent and baby groups, or even to receive breastfeeding support and advice on screen. The feedback that my review team has received suggests that, while every parent and carer longs for the return of face-to-face support, the vital playgroups and advice sessions, there is also clearly a role for the convenience of virtual services. Faced with the prospect of a bus ride to the nearest children’s centre, a mother with a new baby or toddler in tow can find it difficult to take advantage of the support on offer. Home visits and virtual support must form part of a new start-for-life offer for every family.

That is why the vision for the 1,001 critical days that has come out of the review that I am chairing includes the concept of placing in every local area family hubs that are both physical places with multidisciplinary support that is open access and universal, and virtual hubs that provide the convenience and immediacy of support for a family without having to leave their home.

To help every family give their baby the best start in life, we need family hub networks that bring together physical, virtual and home visiting services that put the baby’s needs at the centre of everything that we do. The babies born in lockdown and the toddlers who have had so little company and variety in their young lives need our support for their development. We all want them to be school-ready at four years old, able to learn and concentrate, as well as to play, share, and communicate clearly.

When my right hon. Friend the Minister is considering his Department for Education’s priorities for covid recovery, I urge him to be ambitious for these excellent new family hubs, encouraging every local area to adopt best practice in joining up their start-for-life services between health bodies, local authorities, and DFE policies. Let us bring it all together, putting the baby at the heart of everything that we do. Let us make sure that there is a real focus in Government on the 1,001 critical days—the period from conception to the age of two, when the building blocks for lifelong physical and emotional health are laid down for every human being.