That is why, in our manifesto and under our commitment to the work going forward, we want to address some of those issues and have a look at mental health in our strategic plan now and in the future. I take on board the expertise that Alex Cole-Hamilton brings to the debate through his previous role at Aberlour. I look forward to working with him on some of these areas of common concern.
We continue to invest in our maternity services. We are creating an additional 1,000 nursing and midwifery training places and we are retaining the nursing and midwifery bursaries. We are undertaking a person-centred review of maternity and neonatal services, with choice, quality and safety at its heart.
In the first few years of a child’s life, health professionals, particularly health visitors, continue to have a vital role to play in supporting children and families. The early establishment of a therapeutic relationship provides health visitors with a sound foundation for their role as the named person from birth. That is why we have provided funding to every territorial health board across Scotland to appoint additional health visitors and grow the workforce by 500 by 2018.
We have strengthened the support to families by publishing the new “Universal Health Visiting Pathway in Scotland” last year. It details the core home visiting programme that will be offered to all families with children up to the age of five. The programme consists of 11 home visits to families, with eight within the first year of life and three child health reviews between 13 months and four to five years. Moreover, the child health review at 27 to 30 months, which was put in place two years ago, is now helping more children than ever.
We will also continue the roll-out of the family nurse partnership programme to reach all eligible teenage mothers by the end of 2018, extending it to include vulnerable first-time mothers up to the age of 24. However, we need to ensure that everyone is working together to put the child at the centre of all that they do. Interagency and interprofessional working, along with the valuable contribution from the third sector, must be pooled together, creating a strong focus on improving outcomes for all children, especially those furthest away from reaching their full potential. Early learning in childcare will play a key role in that endeavour, and I know that Mr McDonald will say more about that when he sums up this debate.
Over the past four years, we have invested an additional £19 million on specialised children’s services, which has improved priority specialist services, and our patient safety programme has published the first worldwide paediatric early warning score system for use throughout our health systems. However, the Government is aware that it has to do more and we have made a number of commitments specifically relating to continuing to improve the health and wellbeing of children. We will develop a new 10-year child and adolescent health and wellbeing strategy, covering both physical and mental wellbeing, key to which will be support for children in community health services. We will also implement a new framework for families with disabled children, so that all our children get the right support from birth to adulthood.
The Scottish Government is committed to equality for disabled children and young people in Scotland and to ensuring that all children can achieve their potential. Families with disabled children face a range of challenges and are far more likely to be affected by poverty than other families—by virtue of that, they are also at greater risk of health inequalities. Although a great deal of work has already taken place to improve the lives of disabled children and their families, we need to increase our efforts to ensure that our ambitions of getting it right for every child are met.
In 2011, we introduced a 10-year strategy, the maternal and infant nutrition framework, which was the first of its kind to recognise the importance of the pre-conception period. We are now five years into the implementation of the framework and are currently refreshing the evidence base to set the direction for the next five years, connecting with the work on obesity, diet and physical activity. As part of that work, we recently announced that all pregnant women will receive free vitamins from spring 2017. That is a positive step and we are also exploring how we can complement that work to further improve the diet and nutrition of pregnant women and young children. Evidence suggests that the best nutrition from birth includes exclusive breastfeeding and starting solid foods at around six months. We want to ensure that everyone understands the benefits and—perhaps more important—understands their role in ensuring that breastfeeding is protected, promoted and supported and being cognisant of the pressures mums feel at what is, or can be, a very vulnerable time for them.
To support that ambition, I am delighted that, from May this year, Scotland became the first United Kingdom country to achieve full maternity UNICEF baby-friendly accreditation. One hundred per cent of Scotland’s births are now in hospitals that meet UNICEF’s infant feeding standards, which compares with 52 per cent in England, 92 per cent in Northern Ireland and 61 per cent in Wales.
The best start in life for our bairns means recognising that parental smoking and substance misuse have an adverse impact on children. Giving up smoking is the single best thing that a pregnant woman can do to improve her health and that of her unborn child. Our support to NHS boards helps to ensure that vital stop smoking support is available to all pregnant women in Scotland who want to quit smoking. That support builds on the array of strategies and targets that are in place to raise awareness of tobacco harm to children and young people, and to prevent it from happening.
Our priority as a Government is to give all children their fair chance to flourish, but we are doing so against a backdrop of persistent social inequality and poverty, and having to mitigate the worst impacts of welfare reforms. We know that, if we are going to close the poverty gap later in life, we need to do more to reduce disadvantage in the early years. That is why our manifesto committed to replacing the sure start maternity grant with a new maternity and early years allowance. The new benefit will be targeted at reducing inequality and will provide more support to low-income families, increase the maternity payment for the first child from £500 to £600, and restore a payment of £300 for second and subsequent children, which was cut by the Westminster coalition Government in 2011.
We will introduce two new payments to support families through key transitions as children begin their education: £250 when children begin nursery and £250 when they start school. The new benefit will help to tackle the impact of child poverty in a child’s earliest years, to help ensure that all children who are born into low-income families can receive the very best start in life.
Within a year from now, every child born in Scotland will receive a baby box—a box of essential items to help level the playing field in the very first days of life. The First Minister stated in her opening address in this parliamentary session that our children deserve the best start possible in life, and the introduction of the baby box symbolises that fair and equal start. That commitment to the principles of fairness and equality is the hallmark of our approach to social and economic policy.
We promote the measures that we do because they advance both our economy and our society. Children only get one shot at childhood, so we must endeavour to do all that we can to get it right. The early years offer a glorious opportunity to mould and shape a landscape of opportunity for each child, and the benefits can last a lifetime.
I have set out the actions that the Government is taking from pre-birth; Mark McDonald will set out our ambitions to do ever more. I look forward to working with all the new spokespeople and members on this journey towards making Scotland the best place to grow up in. Regardless of party and politics, giving children the best start in life unites us and I hope that it will unite our effort, with the appropriate challenge and debate, to create the fairer Scotland that we all seek.
I move,
That the Parliament commits to making Scotland the best place for children to grow up; supports parents through the promotion of children’s health and wellbeing from pre-birth, in the early years and primary education; believes that the new 10-year mental health strategy should help renew focus on the early identification of child mental health issues; welcomes that all pregnant women will receive free vitamins and support to enable a healthier diet, and that every newborn in Scotland will be entitled to a baby box to help them to get the best start in life; agrees with a grant for expectant mothers on low incomes for the first and subsequent children, and that low-income families should also receive grants when their child starts both nursery and school; believes that investment in the expansion of high-quality early learning and childcare, alongside an increase in highly-trained staff, will support children during their early years and help them to reach their full potential, and supports efforts to reduce stigma and social pressures on children of all ages.
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