Children’s Health

I beg to move,

That this House has considered children’s health.

I thank the Backbench Business Committee for granting this incredibly important debate. This Government’s ambition is to raise the healthiest generation of children ever. There is so much about improving child health in the 10-year plan, “Fit for the Future”. I am genuinely quite excited about the 10-year plan—maybe I am sad, but that is the sort of thing that excites me. I have been a GP for 30 years, and I have a special interest in child health and child mental health. I will talk briefly about prevention, mental health and then paediatric services.

First, obesity is a massive problem in young people. At the age of five, 10% of children are obese. By the age of 11, 22% are obese—and that does not count the children who are overweight. This starts in pregnancy. We must ensure that pregnant women have really healthy diets, because that reduces obesity. When a baby is born, parents need to be aware that follow-on milks and “hungry baby” milks are basically just milk packed full of sugar. That will not do the child any good. If they are hungry, they need to change their diet and possibly go on to solids. Baby snacks often look healthy—they might have a nice, healthy carrot on them—but when we look at what is in them, they are packed full of sugar as well. Parents need to have a clear idea of what is healthy, so that they can choose the healthiest foods for their children.

The Government are going to bring in a watershed for junk food advertising—it was going to be in October, but it is now promised for January 2026. That is incredibly important, because young people are very sensitive to advertising. A recent report in The BMJ found more than 90 different sponsorship deals in football and six other sports with foods that are high in fat, salt and sugar. We need to look at that issue, because young people look up to sports stars and are very influenceable. They have to advertise healthy foods, because otherwise we will continue to have an obesity epidemic.

In the 10-year plan I was delighted to see measures in the national planning policy framework about fast-food outlets near schools. We must stop those. They are cynically placed close to schools, and they are particularly prevalent in more deprived areas. A couple of other things that I am delighted about include free school meals for children from households in receipt of universal credit. Free school meals have an obvious relationship to obesity and tend to bring it down. I am also delighted that in the autumn we will look at school food standards, and hopefully reduce the amount of processed meat that seems to be in a lot of school foods. The other part of the 10-year plan that excites me is the mandatory health food sales with supermarkets. That has been evidenced to reduce obesity, so I am delighted about that. Let me move on quickly to physical exercise—I am keen for other Members to get the opportunity to talk—because 50% of children are not sufficiently active, and two-thirds cannot swim 25 metres.

Does my hon. Friend agree that the previous Government’s lack of investment in vital leisure facilities, such as the swimming pool in Atherstone in my constituency, which is overdue for renovation, is causing many of these problems? The lack of PE in schools and the lack of safe places for children to play, be active and get involved in sport is causing some of the obesity problems.

I totally agree—indeed, my hon. Friend pre-empts some of my remarks.

Another proposal in the 10-year plan involves the investment, through Sports England, of £250 million into such opportunities for children. The Starlight Children’s Foundation promotes play and exercise, and I am a particular fan of adventure playgrounds in urban areas, which allow children to cut loose, particularly after school, expend energy, and have fun in a safe setting.

I am also working with colleagues on access to nature. It is incredibly important that every child has access to nature, so that they can explore nature and have that type of exercise. I also stress that 50% of children have active travel—bike or walking—to get themselves to school. Let us increase that; let us try to get more children cycling and walking to school, as that will increase their fitness.

Dental care is also in the 10-year plan. I am delighted to see that supervised brushing is already there, and also that fluoride varnish will be applied by people to prevent dental caries from occurring. I will give a quick shout-out on asthma prevention, which is key and all about air quality. I know some young people who, since the ultra low emission zone scheme was introduced, have stopped using their inhalers because pollution has gone down. That is something we must emphasise.

On air quality, will my hon. Friend join me in paying tribute to the Stop the Stink campaigners in Newcastle-under-Lyme, who fought so hard to clean the air around schools such as St Mary’s primary school on Silverdale Road? Their work helped to make the lungs of our young people that bit healthier.

Absolutely, and I thank my hon. Friend for that intervention. He is right: clean air is one way to address our five most preventable health risks, and we must do more on that.

Will my hon. Friend join me in calling on the Government to adopt World Health Organisation levels for particulate matter 2.5?

I am afraid that is not my special area, but it sounds like a good idea and I thank my hon. Friend. Because we cannot see clean air, we do not realise what it is doing, but people genuinely need their inhalers less, and particularly for young people with asthma that is incredibly important.

I want to talk quickly about early years support. In Gloucestershire, an organisation called Home-Start involves volunteers going into the homes of women who have just given birth to support them. Interestingly, women who have had that support often go on to be volunteers. It is a fantastic organisation. This week I was delighted that the successor to Sure Start, Best Start family hubs, is coming back. Sure Start was one of the most glorious things that the Blair Government did, and it affected the health of young people enormously. I am pleased that childcare is getting much more funding. Furthermore, as set out in the 10-year plan, Healthy Start will be restarted in 2026-27, providing money to pregnant women and children aged one to four whose families are in financial difficulty, helping those who are less well off.

Mental healthcare is in a bit of a crisis. Some 25% of young people have mental health issues. We spend only 10% of NHS funds on mental health, but it contributes to over 20% of morbidity. About a million people are on the child and adolescent mental health service waiting list at the moment, and I know that Ministers are doing all that they can to bring that down. To prevent poor mental health, we need to look at exercise, as I have mentioned, and at music in schools, which is proven to reduce rates of mental ill health. I am backing the National Education Union campaign to get rid of SATs, which cause enormous tension and stress in young people.

On treatment, I am delighted that we will have mental health support teams in every school—I understand that 60% will be in place by next April, and 100% by the end of this Parliament. We will have 8,500 more mental health workers and a whole-school approach. I particularly endorse the mental health first aid training that has happened in some Stroud schools, and I have also been looking at the Young Futures hubs.

Order. To ensure everyone gets to contribute, we will have to have a three-minute speaking limit. I call Sarah Hall.

If we want to raise a generation of healthy, thriving children, we must stop treating children’s health as an afterthought. This week, I launched a new survey asking constituents to feed into my work, and I thank everyone who has responded. The responses have helped to shape my contribution to this debate today, along with my work as chair of the all-party parliamentary group on inclusion and nurture in education.

The focus of the survey was children, their education and wellbeing. I heard from parents, carers and guardians about their child’s experiences in schools and in accessing health services; about their child’s mental health, and the anxiety and stress caused by an outdated education system; and about barriers to accessing education because of their child’s neurodiversity or disabilities. Families tell me that there are long waiting lists for CAMHS, and gaps in speech and language therapy and school-based special educational needs co-ordinator support. They tell me about narrow criteria that are limiting health and care support, and how those criteria do not reflect their child’s unique needs, resulting in families feeling lost in the system.

The NHS was founded on the promise that care would be there when we need it, no matter our income or postcode, but for too many children and families, that promise is fraying. Infant mortality remains stubbornly high. Conditions such as asthma, obesity and dental decay are sending more children into hospital, and mental health needs are rising, with longer waiting lists for specialist services. Sadly, health inequalities remain stubbornly persistent and are undeniably linked to the unacceptable levels of child poverty and deprivation.

Children’s health outcomes have been allowed to decline for too long. We know that the children’s health workforce is working incredibly hard, but over the last 14 years it has been underfunded and undervalued. Children and young people are waiting significantly longer than adults for access to health services, with 21.5% waiting for more than 52 weeks, compared with 1.3% of adults. Those numbers represent a gap in provision. In my own integrated health board area of Cheshire and Merseyside, more than 11,000 children are waiting for the care they need. Some 44% of children are waiting between 18 and 52 weeks, and 25% of children have been waiting more than 52 weeks for treatment.

I thank the hon. Member for Stroud (Dr Opher) for bringing such an important debate. I feel strongly about this matter, having trained as a dietician, and I understand the implications that a poor diet in early life can have for a child’s future. From health outcomes to educational outcomes, poor nutrition has a serious, detrimental and long-term effect. The hon. Member mentioned many other health conditions, but I will talk just about diet.

We often assume that parents understand what constitutes a healthy diet for their children, but sadly that assumption is often false. There are so many competing messages in this space. According to the British Nutrition Foundation, nearly one third of parents say that they are uncertain about how much their child should eat. More than a third admit that they regularly make their child finish everything on their plate, regardless of hunger or nutritional need. These are not bad parents; they are well-meaning families trying their best in an environment that fails to equip them with the knowledge they need and that often makes healthy choices less accessible.

Even when parents have some nutritional awareness, that knowledge does not always translate into healthy practice. Research shows that inconsistent portioning and irregular parental eating habits can contribute to poor outcomes, even among families with higher nutritional literacy. In short, good intentions are being undermined by a lack of clear, practical guidance. That is not a new problem, but it is growing with time.

As we have heard, across the UK 10% of children aged four to five are overweight or obese; by the ages of 10 to 11, that figure rises to 22%. The covid pandemic deepened the crisis. During lockdown, many families saw a sharp rise in unhealthy snacking and reduced access to fresh, nutritious food. In homes where both time and money were tight, convenience often won out over balance. The cost of inaction is already visible, and it is vast. Obesity-related conditions cost the NHS more than £6 billion a year, and the wider cost to society stands at around £27 billion annually. Without meaningful intervention, that figure is projected to rise by £50 billion by 2050.

When we talk about children’s health, we often think about the start of life—safe births, vaccinations and early years support—but we also need to talk about those children whose lives will be short, those with life-limiting and life-threatening conditions. Across the country, families caring for a seriously ill child face unimaginable challenges, yet too often the support they need simply is not there, especially at the end of life and especially at home.

In my constituency, we are incredibly fortunate to be served by Shooting Star Children’s Hospices, which supports over 700 children and families across 14 boroughs and throughout Surrey. However, because the number of children needing that care in each individual borough is small, those children can easily be overlooked. That is the problem with a system built around commissioning at such a local level: when the numbers are low, the needs get lost. That is why the ringfenced central funding—formerly the children’s hospice grant—is so important. It supports hospices such as Shooting Star to provide respite, symptom management, bereavement support and end-of-life care, and helps give families choice at the hardest possible time. I welcome the Government’s decision to confirm £26 million for children’s hospices in NHS England’s funding for 2025-26, alongside £100 million in capital investment across all hospices.

The truth is that the sector remains under real strain. According to Together for Short Lives, the leading voice for children’s palliative care, just 19% of ICBs formally commission 24/7 end-of-life care at home, and a third are still failing to meet even the basic national standards. I have three questions for the Minister: will the Government commit to maintaining and increasing the children’s hospice grant beyond 2025-26? Will they launch a proper review of how children’s palliative care is funded and planned, and will the Minister hold ICBs to greater account to ensure they meet their legal duty to commission that care and report transparently on progress? We are told that the 10-year NHS plan will bring care closer to home, but right now, there is no mention of children’s palliative care in that plan and no clarity on how those vital services will be funded. That has to change.

I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this important debate. One of the most frequent issues raised with me in Lowestoft is dentistry, and the situation is particularly acute for children. As we have heard, one in four five-year-olds experience tooth decay, and preventable tooth decay remains one of the top reasons for hospital admission. That is why the Government’s roll-out of supervised teeth brushing in our most deprived areas and the inclusion of dental services in the roll-out of family hubs are so welcome.

Children from deprived areas are almost three times more likely to have dental decay than those from less deprived areas. One in three children in my constituency of Lowestoft are in relative poverty—a poverty that is linked to, and compounds, health problems. As such, one of the most effective ways to tackle poor child health is to reduce the number of children living in poverty—something that the last Labour Government did to great effect. That record will be built on by this Government’s forthcoming child poverty strategy, which I hope will set out clear and bold targets, alongside a path to reaching those targets.

As has been mentioned, one of the biggest health crises facing children today is mental health. Some 85% of children and young people’s mental health services report that they are struggling to keep up with demand. I hope the Government will continue to look at the growing evidence that links access to social media and addictive smartphones with children’s poor mental health, but their commitment to roll out mental health support teams to all schools and colleges by 2029-30 is hugely welcome.

I am glad that the 10-year health plan that the Health Secretary set out a week ago begins an important shift towards prevention and early intervention, and I welcome the plan’s aim to “end the obesity epidemic”. I remain concerned that the ban on advertising unhealthy food and drink will mean that brands can continue to advertise so long as they do not explicitly identify their unhealthy products, and I hope that the Government will consider how to deal with that issue.