Maternity Nurses, Nannies and the Infant Sleep Industry

Motion made, and Question proposed, That this House do now adjourn.—(Taiwo Owatemi.)

Motion made, and Question proposed, That this House do now adjourn.—(Taiwo Owatemi.)

Being a parent is the one of the greatest joys we can have in life, but let me be clear, it is also one of the hardest things we ever do. I remember the first year of my son’s life and the happiness those precious early moments brought me and my partner, but I also remember the less precious moments, with the daily battle every new parent has with their own anxieties as they ask themselves, “Why are they crying? Why are not they sleeping? Am I doing something wrong?” Those questions swirl around our heads at a time when we are sleep deprived, emotionally drained and totally unsure of ourselves—in other words, we are vulnerable.

What do we do in that situation? We seek out help, expertise and people we think we can trust. In the majority of circumstances, that is absolutely the right thing to do—health visitors and the vast majority of nannies who provide responsible care give parents vital support that helps them get by—but what if, when we turned for help, the person who responded was not someone we could trust? What if they were not the expert they claimed or seemed to be? What if they had no qualifications, no training and no accountability? When that happens, we run the risk of unimaginable tragedy.

I commend the hon. Gentleman for bringing forward this really good debate; I spoke to him about it last week. He will be aware that, as it stands today across the United Kingdom of Great Britain and Northern Ireland, anyone can buy a website domain, call themselves an infant sleep expert or a maternity nurse and charge vulnerable, sleep-deprived parents hundreds of pounds for unregulated, untested and potentially unsafe advice. Does he agree that sleep-deprived and vulnerable parents need to have security that the advice they are taking comes from a solid foundation, and that qualifications—or lack of qualifications—must be clear when advice is offered?

I thank the hon. Member. The vulnerability that parents feel in that moment is one of the reasons why it is so important that we ensure adequate regulation in this area. At the moment, we run the risk of unimaginable tragedies day after day, and it is happening more and more as the support we used to provide for new parents has shrunk. In the gaps that has created, the infant sleep industry has boomed. The industry is currently a wild west where, as the hon. Member said, anyone can pose as an expert and give parents advice that puts their child’s life at risk. Sometimes, these people call themselves maternity nurses, practitioners or consultants. Sometimes they call themselves sleep trainers or specialists. Sometimes they provide care in the home. Sometimes they share their advice to vast and growing audiences on social media. In all cases, there is no requirement for them to have any medical training or qualifications to justify their title. In addition, there is also no legal accountability for advice provided and no recognised standard for support provided.

As a new parent, this is hugely concerning to me and not something I was particularly aware of. Does my hon. Friend have any advice for new parents looking for support about what questions they should ask to ensure they are talking to experts and not so-called experts who, as the hon. Member for Strangford (Jim Shannon) said, are people without any qualifications at all?

Yes, I will come to some of that. Whether parents are following advice or performing these duties themselves, it is important that they think about safe sleeping extremely seriously—that is what any parent should be doing. It is very important indeed to understand the qualifications and medical expertise of those providing advice.

In May, the BBC used undercover filming to expose two prominent figures in the infant sleep industry who were openly giving parents advice on safe sleep that could result in the death of their children. That is not just my opinion; the NHS clinicians who observed the BBC’s footage said that it was “horrifying”.

Will the hon. Member give way?

The hon. Member is an assiduous campaigner on these issues and I am always happy to give way to him.

I thank the hon. Member very much for getting this debate on the Floor. He references the BBC investigation, and the things that were put out on that were absolutely horrifying. Talking of experts, the Lullaby Trust is a huge leader, particularly around safer sleeping. I was horrified by the lack of regulation—the wild west, as he describes it—so would he agree that we need a proper, legal, regulatory framework to make sure that these charlatans who are putting this bogus safe sleep advice out there on social media and other channels are held to account, and to ensure that parents and their children are protected from these groups of people?

Yes, I completely agree. I know that the hon. Member has worked with the Lullaby Trust, and I am grateful to have met its representatives myself and to have had their input into my campaign on regulation in this area. Of course, the Government have already begun to set out—quite rightly, after his campaigning work—the approach we need to take forward in early years settings, but it is critical that the whole sector, including advice provided in the home, should have a sustainable legal framework.

The figures who were exposed by the BBC in their undercover filming have thousands of followers online and have published widely bought books. To any parent, they would ostensibly look like an expert. That such unqualified people can operate in that way without any oversight at all is terrifying. How can it be right that an industry dedicated to the care of babies is totally unregulated? We know the answer to that. It is not right and it must change, because without change, more children will die. I do not say that lightly; I say it because of what happened in my constituency.

Two years ago, a four-month-old baby from Trafford died after being placed in an unsafe sleeping position on the advice of a maternity nurse who had no medical qualifications at all. There was no legal accountability for this death because no laws had been broken, but a family had been broken. I cannot begin to imagine what the parents of that child have been through. There are no words to describe it, and I will not try to do so, but what I will try to do is ensure that change is the legacy of their tragedy. It is not just me that is calling for change. The senior coroner who worked on the case issued a prevention of future deaths order to the Secretary of State and, in doing so, called on infant sleep services to be urgently regulated.

I commend the hon. Gentleman’s excellent speech, particularly the three points that he has just made, with which I absolutely agree. I put on record my thanks to Maria Culley from the National Nanny Association, who has been working tirelessly on this issue, and who is a constituent of mine. I have met Children and Families Ministers under this Administration and previous Administrations and not managed to get too much traction, so I absolutely back everything that the hon. Gentleman is asking for.

Does the hon. Gentleman agree that it is not only sleeping tutors and maternity nurses but nannies who are completely unregulated? We need Disclosure and Barring Service checks, a compulsory national register for nannies, and the minimum training standards that he is calling for. Finally, I would be over the moon to work with him to ensure that we can get those asks on the statute book.

I appreciate the hon. Member’s support. We owe it to people who are working in the industry and behaving responsibly to ensure that those standards are in place right across the industry.

This Government are already doing vital work on safe sleeping. Safe sleep guidance in nurseries is set to become statutory, and Ofsted will now assess safe sleep practices during its inspections of early years settings. I pay tribute to the Campaign for Gigi, the Lullaby Trust and the hon. Member for Cheadle (Mr Morrison) for their role in securing these truly transformative steps. The Government must build on that progress. If we accept the urgent need for safe-sleep protections in early years settings, why would we not apply the same standards to care that is provided in people’s homes? This is about safety, accountability and support for every parent.

Of all the contributions that I have made in this place so far, this is the one I feel most strongly about. I know from experience the difficulty of being a new parent, and how vulnerable we are in that time of stress, fear and confusion. It is truly chilling that this vulnerability, combined with the desire we all have to do the best for our children, can lead us to seek support from those not fit to give it. But that is what is happening, and we have a responsibility to do something about that.

I hope that today can be the start of that journey. I look forward to meeting and working with Minister, the charities working on this issue, and all those across the House who want to see real progress to develop the solutions we need to protect children and their parents from unimaginable tragedy.

House adjourned.

I thank my hon. Friend the Member for Altrincham and Sale West (Mr Rand) for securing this debate and acknowledging the concern that has been raised recently in the field and by the media. We are all deeply saddened to see the impact of those giving poor advice on infant sleeping. Public safety is and has to remain the top priority.

As my hon. Friend said, being a new parent is a difficult time; I certainly recognise that helping an infant settle into a regular sleep pattern can be difficult for new parents and carers. It is a worrying and stressful time, as he said. Rogue advice from so-called experts can have a devastating effect on those who seek reputable advice and guidance.

Before I talk about regulation of the infant sleep industry, I want to clarify that the Department for Education is responsible for the regulation of nannies and childcare services, which my hon. Friend mentioned. The early years foundation stage statutory framework sets the standards and requirements that early years providers must meet to ensure that children have the best start in life and are kept healthy and safe. All early years providers are already required to meet the safer sleep requirements set out in the statutory framework, which currently links to the NHS safer sleep guidance. The Department for Education plans to update the wording in the early years foundation stage statutory framework so that the requirements are set out directly in the framework itself. That is due to come into effect from September 2026, subject to the usual parliamentary and legislative processes. The Department for Education has already written to providers informing them of the proposed new wording and to remind them that they must meet the current requirements.