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1732774

registered interest
date	09/10/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve care for families after (a) pregnancy loss and (b) the death of a baby.
tabling member constituency	Ealing Southall
tabling member printed	Deirdre Costigan
uin	8277
answer	answer is ministerial correction date of answer 17/10/2024 answer text <p>The Government is committed to delivering compassionate care for women, and supporting parents who have experienced any type of baby loss. Many trusts have specialist bereavement midwives, who are trained to care for and support parents and families who have suffered the loss of their baby. All trusts are signed up to The National Bereavement Care Pathway, which acts as a set of standards and guidance that trusts should follow when a patient has suffered a baby loss. Baby Loss Certificates are now available for all historic and future pregnancy losses, should parents wish to record and receive a certificate to recognise their loss.</p><p>Paid Parental Bereavement Leave was introduced in 2020. This entitlement is available to parents who lose a child under 18 years old, including where a baby is stillborn after 24 weeks of pregnancy.</p><p>Following the death of a baby, there are a number of different investigation and review routes available depending on the age of the baby and the circumstances surrounding the death. These include the Maternity and Newborn Safety Investigations Programme, the Perinatal Mortality Review tool, and the Child Death Review process. These reviews aim to provide answers for bereaved parents about why their baby died and learning for the healthcare system.</p><p> </p> answering member constituency Bristol South answering member printed Karin Smyth question first answered 17/10/2024 13:04:56 answering member 4444 label Biography information for Karin Smyth
tabling member	5075

1722418

registered interest
date	22/07/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the infant mortality rate was in intensive neonatal care units in each year between 2010 and 2023; and if he will hold discussions with his counterpart in the Welsh Government on providing comparative data for Wales.
tabling member constituency	Goole and Pocklington
tabling member printed	David Davis
uin	879
answer	answer is ministerial correction date of answer 31/07/2024 answer text <p>Reporting of neonatal mortality in neonatal care units is conducted through audit programmes. Data is published by the National Neonatal Audit Programme (NNAP), with the figures for January 2017 to June 2024 available at the following link:</p><p><a href="https://www.rcpch.ac.uk/resources/nnap-data-dashboard#view-the-dashboard" target="_blank">https://www.rcpch.ac.uk/resources/nnap-data-dashboard#view-the-dashboard</a></p><p>In addition, Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) also report neonatal mortality in neonatal care units, with the figures for 2017 to 2022 available at the following link:</p><p><a href="https://timms.le.ac.uk/mbrrace-uk-perinatal-mortality/surveillance/" target="_blank">https://timms.le.ac.uk/mbrrace-uk-perinatal-mortality/surveillance/</a></p><p>The NNAP covers England, Wales, and in more recent years, Scotland, and reports the proportion of very preterm babies, those born at 24 to 31 weeks completed gestation, who are admitted to a neonatal unit and die before discharge home, or 44 weeks post-menstrual age, whichever occurs sooner. It does not, therefore, report on babies born before 24 weeks or after 31 weeks, or babies not admitted to a neonatal unit.</p><p>The MBRRACE report covers the United Kingdom and captures mortality rates up to 28 days after birth, broken down by the level of neonatal care provided by the trust or health board where the birth occurred.</p><p>These data sources only give a partial view of infant mortality in England. All infant deaths, both neonatal and post-neonatal, in England and Wales are reported by the Office for National Statistics, and are available at the following link:</p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/childhoodinfantandperinatalmortalityinenglandandwales/latest" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/childhoodinfantandperinatalmortalityinenglandandwales/latest</a></p><p>Department officials meet with Welsh authorities on a regular basis to discuss a range of maternity and neonatal-related issues.</p> answering member constituency Bristol South answering member printed Karin Smyth question first answered 31/07/2024 08:43:47 answering member 4444 label Biography information for Karin Smyth
tabling member	373 label Biography information for Sir David Davis

1681718

registered interest
date	11/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the outcomes arising from the 2020 final progress report of the Each Baby Counts programme run by the Royal College of Obstetricians and Gynaecologists.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1515
answer	answer is ministerial correction date of answer 18/01/2024 answer text <p>No specific assessment has been made of the outcomes arising from the 2020 final progress report of the Each Baby Counts programme. However, we have taken the findings of the report into consideration when shaping our future ambitions.</p><p>In March 2023, NHS England published the <em>Three year delivery plan for maternity and neonatal services</em>. The plan sets out how NHS England will make maternity and neonatal care safer, more personalised, and more equitable for women, babies, and families. A copy of the plan is attached.</p><p>The plan is underpinned by four key themes. Theme 3 focuses on developing and sustaining a culture of safety, learning, and support. Each Baby Counts frameworks are referenced as a basis to support the development of a positive safety culture.</p><p>The Government has also set a National Maternity Safety Ambition to halve the 2010 rates of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2025, alongside a further ambition to reduce the rate of pre-term births from 8% to 6% by 2025.</p><p>To support this ambition, we have provided £5 million to the ‘avoiding Brain Injury in Childbirth’ collaboration in 2021/22 to build consensus on a new approach for improved identification, escalation and action on foetal deterioration in labour and a new protocol for complications that can arise with positioning of the baby at caesarean section.</p><p>We are currently developing a pilot programme to develop and test a delivery model for training of the trainers and for site level training.</p> answering member printed Lord Markham question first answered 18/01/2024 16:19:39 answering member 4948 label Biography information for Lord Markham attachment 1 file name B1915-three-year-delivery-plan-for-maternity-and-neonatal-services-march-2023 (6).pdf title Attachment
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1681719

registered interest
date	11/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their response to the conclusion in the 2020 final progress report of the Each Baby Counts programme run by the Royal College of Obstetricians and Gynaecologists that 7 per cent of parents in 2018 were not invited to local reviews into still births, deaths of babies who died within seven days of birth, or births of babies with severe brain injury.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1516
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>The Department has introduced several initiatives which seeks to ensure that parents are engaged in reviews following adverse outcomes, and that lessons are learnt within the National Health Service.</p><p>The Perinatal Mortality Review Tool (PMRT) provides objective and standardised reviews for bereaved parents about why their baby died. It also aims to ensure local and national learning to improve care and ultimately prevent future baby deaths. All bereaved parents have the option to be involved in a high-quality review of the death of their baby via the PMRT. The fifth annual <em>Perinatal Mortality Review Tool</em> report highlighted that parental engagement with the PMRT has improved. 96% of parents in the United Kingdom were told that a review of their care would take place. Parents’ perspectives of the care they received was reported as having been sought from 95% of these parents. A copy of the report is attached.</p><p>The Maternity and Newborn Safety Investigations (MNSI) Programme conducts single-case investigations into specific cases of stillbirths, neonatal deaths, maternal deaths and brain injuries. It is within the remit of the programme to analyse data to identify key trends and provide system wide learning to the health system. Parental engagement is a key aspect of the investigations conducted by the MNSI.</p><p>To improve maternity services in England, NHS England published the <em>Three year delivery plan for maternity and neonatal services</em> in March 2023. The plan sets out how NHS England will make maternity and neonatal care safer, more personalised, and more equitable for women, babies, and families. A copy of the plan is attached.</p> answering member printed Lord Markham grouped question UIN HL1517 question first answered 22/01/2024 16:39:51 answering member 4948 label Biography information for Lord Markham attachment 1 file name B1915-three-year-delivery-plan-for-maternity-and-neonatal-services-march-2023.pdf title HL1516, HL1517 - Three year delivery plan
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1681720

registered interest
date	11/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their response to the conclusion in the 2020 final progress report of the Each Baby Counts programme run by the Royal College of Obstetricians and Gynaecologists, based on reviewers' assessments, that 74 per cent of babies might have had a different outcome if the NHS had learnt lessons and improved outcomes.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1517
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>The Department has introduced several initiatives which seeks to ensure that parents are engaged in reviews following adverse outcomes, and that lessons are learnt within the National Health Service.</p><p>The Perinatal Mortality Review Tool (PMRT) provides objective and standardised reviews for bereaved parents about why their baby died. It also aims to ensure local and national learning to improve care and ultimately prevent future baby deaths. All bereaved parents have the option to be involved in a high-quality review of the death of their baby via the PMRT. The fifth annual <em>Perinatal Mortality Review Tool</em> report highlighted that parental engagement with the PMRT has improved. 96% of parents in the United Kingdom were told that a review of their care would take place. Parents’ perspectives of the care they received was reported as having been sought from 95% of these parents. A copy of the report is attached.</p><p>The Maternity and Newborn Safety Investigations (MNSI) Programme conducts single-case investigations into specific cases of stillbirths, neonatal deaths, maternal deaths and brain injuries. It is within the remit of the programme to analyse data to identify key trends and provide system wide learning to the health system. Parental engagement is a key aspect of the investigations conducted by the MNSI.</p><p>To improve maternity services in England, NHS England published the <em>Three year delivery plan for maternity and neonatal services</em> in March 2023. The plan sets out how NHS England will make maternity and neonatal care safer, more personalised, and more equitable for women, babies, and families. A copy of the plan is attached.</p> answering member printed Lord Markham grouped question UIN HL1516 question first answered 22/01/2024 16:39:51 answering member 4948 label Biography information for Lord Markham attachment 1 file name B1915-three-year-delivery-plan-for-maternity-and-neonatal-services-march-2023.pdf title HL1516, HL1517 - Three year delivery plan
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1681378

registered interest
date	10/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration they have given to setting a target for reducing the infant mortality rate.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1438
answer	answer is ministerial correction date of answer 18/01/2024 answer text <p>The Government has set a National Maternity Safety Ambition to halve the 2010 rates of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2025.</p> answering member printed Lord Markham question first answered 18/01/2024 16:19:56 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1681413

registered interest
date	10/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have for the Health Service Safety Investigations Body to take forward the Royal College of Obstetricians and Gynaecologists' Each Baby Counts programme.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1440
answer	answer is ministerial correction date of answer 18/01/2024 answer text <p>The Maternity and Newborn Safety Investigations Programme (MNSI) now carries out the maternity work previously carried out by Health Service Safety Investigations Body Maternity Investigations Programme.</p><p>Similar to the purpose of the Each Baby Counts programme, the MNSI Programme is intended to identify key trends and provide system-wide learning. The programme carries out investigates into specific cases of stillbirths, neonatal deaths, maternal deaths and brain injuries, with its criteria originally based on the categories of “eligible babies” as described in the Each Baby Counts Report.</p><p>The Department therefore has no plans for the Health Service Safety Investigations Body to take forward the Royal College of Obstetricians and Gynaecologists' Each Baby Counts programme.</p> answering member printed Lord Markham question first answered 18/01/2024 16:18:32 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1671254

registered interest
date	20/11/2023
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made towards their target, announced in November 2014, of reducing the rates of stillbirths, neonatal and maternal deaths and brain injuries in babies by 50 per cent by 2025.
tabling member printed	The Lord Bishop of St Albans
uin	HL428
answer	answer is ministerial correction date of answer 21/12/2023 answer text <p>The Government’s National Maternity Safety Ambition is to halve the 2010 rates of stillbirths, neonatal and maternal deaths and brain injuries in babies occurring during or soon after birth by 2025. The ambition also includes reducing the rate of pre-term births from 8% to 6% by 2025.</p><p>The most recently published data which measures progress against the Ambition is for 2021 and 2022. This data coincided with the COVID-19 pandemic and is out of date. It will, therefore, not reflect recent efforts and initiatives to improve outcomes. The Department is working to increase the frequency and timeliness of publications, which will allow for closer monitoring of progress against the National Maternity Safety Ambition.</p><p>According to the latest data for 2021 and 2022, the stillbirth rate reduced by 23%, and the neonatal mortality rate for babies born over the 24-week gestational age of viability reduced by 30% since 2010.</p><p>Meanwhile, the proportion of babies born pre-term, with gestational age under 37 weeks, reduced from around 8% of all births in 2017, to 7.7% in 2021, and the overall rate of brain injuries occurring during or soon after birth has fallen to 4.2 per 1,000 births in 2019, 2% lower than the 2010 baseline.</p><p>The maternal death rate has increased. In the period 2019 to 2021, the maternal death rate was 11.56 per 100,000 maternity, which is a 9% increase from the 2009-2011 baseline.</p><p>The Department will keep Parliament updated when more recent data becomes available.</p> answering member printed Lord Markham question first answered 21/12/2023 10:00:26 answering member 4948 label Biography information for Lord Markham
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1657356

registered interest
date	01/09/2023
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether it remains his Department's policy to achieve a 50 per cent reduction in stillbirth and neonatal mortality by 2025.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197268
answer	answer is ministerial correction date of answer 11/09/2023 answer text <p>It remains the Government’s ambition to halve the 2010 rates of stillbirths and neonatal deaths by 2025.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 11/09/2023 15:39:36 answering member 4492 label Biography information for Maria Caulfield
tabling member	4822 label Biography information for Feryal Clark

1657357

registered interest
date	01/09/2023
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Infant Mortality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what targets his Department has on reducing inequalities in (a) pregnancy loss and (b) baby deaths.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197269
answer	answer is ministerial correction date of answer 08/09/2023 answer text <p>The Department is committed to tackling disparities in maternal outcomes. In March 2023, NHS England published its three-year delivery plan for maternity and neonatal services. The plan outlines an ambition to reduce inequalities for all in access, experience and outcomes and provide targeted support where health inequalities exist.</p><p>We will measure progress against our equity aims for mothers and babies through metrics described in the Equity and Equality Guidance for Local Maternity systems.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 08/09/2023 15:17:46 answering member 4492 label Biography information for Maria Caulfield
tabling member	4822 label Biography information for Feryal Clark