If the coalition is committed to families, why are maternity services being cut?

The strain of austerity is beginning to show on maternal care provision.

Recent news that the health of pregnant women and new mothers is being negatively impacted as a result of the coalition’s budget cuts strikes an odd note:  like them or loathe them, if there’s one thing you can rely on Conservatives for, it’s proclaiming their allegiance to the family. When the brutality of the cuts began to show in areas like refugee services or young people from non-privileged backgrounds no longer applying to university, there was at least the grim ring of consistency – have the Tories ever credibly claimed to care about such constituencies? Similarly, when feminist groups like the Fawcett Society demonstrated that women were facing a double-burden of the recession and government cuts in the workplace, one didn’t need to stretch one’s imagination too far to place this in the broader picture of a Conservative Party who seems to prefer women both at home and "in their place". “Families” though, were safe in the arms of the Conservatives’ paternal concern. Never mind that the whole gamut of austerity measures, from the game-changing overhaul of higher education to the cutting up of the NHS, daily and tangibly corrode the wellbeing and future prospects of parents, children, communities – families, in short, of one kind or another.  Still the amorphous ideal of the "traditional" family unit was one the governing party claims to hold close to its heart.

It’s striking, then, that the latest area in which the government’s cuts are being felt is in maternal care. Framing its concern largely in terms of children, the Daily Mail (that other "family" cheerleader) recently reported that breastfeeding rates have been directly hit by the cuts to healthcare services, citing research by health data analysts SSentif that post-natal women living in areas where cuts to maternity services have come into effect are more likely to stop breastfeeding in the first eight weeks, due to lack of available support from midwives and healthcare visitors. Given the wealth of scientific evidence on the life-long benefits, for children, of being breastfed, the logic follows that there may likely be a long-term negative impact on a future generation’s health.

The blog FalseEconomy has detailed further reasons for, and consequences of, the increased strain on maternal care provision, including demographic shifts towards later pregnancies as a reason for an increase in "complex pregnancies" taking more time for midwives, and the "knock on" effect of cuts in other areas such as violence against women provisions and services to the homeless. It cites the Royal College of Midwives’ State of Maternity Services report to lend credence to the claim that the government cuts have combined with demographic changes to stretch maternity services beyond their capacity. The Valuing Maternity campaign by Maternity Action is calling for greater commitment from the government to ensure this vital aspect of public health is addressed.

Aside from the inherent concern of the reduction in maternal care, and the worrying evidence suggesting its impact on a decline in breastfeeding, the example of the over-stretching of reduced maternal services is also a chilling reminder that no reduction of a public service happens in a vacuum. Women’s experiences of the recession are a prime example of the knock-on effect of one area of government policy to another, and how the recession and the cuts introduced under the guise of "austerity" have combined to corner women into a position of less work, less pay, fewer benefits and fewer rights. (Meanwhile urgent calls to address issues such as gender-inequities in public life and pre-recession concerns about the continuing pay gap are dismissed as a luxury "in these difficult times". As Susan Faludi outlined so eloquently in The Terror Dream’s analysis of the Bush-Blair years, that women’s concerns were dismissed along the lines of “not now dear, there’s a war on”, in the post-financial crisis era this is modified: not "now dear, it’s the austerity – but we’re all in this together"). 

Not only was this the first feminised recession in terms of the sectors hit hardest by job losses, but measures introduced under the guise of "austerity" doubly-targeted women, as women were both a larger proportion of public sector workers with jobs on the line, and some of the main users of state-provided services. (To add a further grim footnote: just as women needed financial independence the most, research from IPPR suggests that banks, too, turned on women, arbitrarily denying mortgages and other loans to female customers, using the new excuse of "new stricter regulations").

Eventually, as the new evidence on maternal health provision in the UK indicates, the knock-on effect manifests even in an area the Conservatives claim as their own: protecting the "family" and women as child-bearers. The painful cycle being played out in dominoes as one service after another is gutted by the cuts reveals the inherent flaw even in ideologically-driven cuts – while wealth may not trickle-down, corrosion of communities and services does trickle up, and into areas the Tories claim are their priority.

It also reveals what a sham it is to say you care about "families" when your policies show little if any concern for women.

Follow Heather McRobie on Twitter as @heathermcrobie.

 

A young boy is weighed after being born in an NHS maternity unit in Manchester. Photograph: Getty Images
Photo: Getty
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The Brexiteers have lost battles but they are still set to win the war

The prospect of the UK avoiding Brexit, or even a “hard” version, remains doubtful. 

Before the general election, the Brexiteers would boast that everything had gone their way. Parliament had voted to trigger Article 50 by a majority of 372. The Treasury-forecast recession hadn't occurred. And polls showed the public backing Brexit by a comfortable margin

But since the Conservatives' electoral humbling, the Leavers have been forced to retreat on multiple fronts. After promising in May that the dispute over the timetable for the Brexit talks would be "the fight of the summer", David Davis capitulated on the first day.

The UK will be forced to settle matters such as EU citizens' rights, the Irish border and the divorce bill before discussions begin on a future relationship. Having previously insisted that a new trade deal could agreed by 29 March 2019 (Britain's scheduled departure date), the Brexiteers have now conceded that this is, in Liam Fox's words, "optimistic" (translation: deluded). 

That means the transitional arrangement the Leavers once resisted is now regarded as inevitable. After the eradication of the Conservatives' majority, the insistence that "no deal is better than a bad deal" is no longer credible. No deal would mean the immediate return of a hard Northern Irish border (to the consternation of the Tories' partners the DUP) and, in a hung parliament, there are no longer the votes required to pursue a radical deregulatory, free market agenda (for the purpose of undercutting the EU). As importantly for the Conservatives, an apocalyptic exit could pave the way for a Jeremy Corbyn premiership (a figure they previously regarded as irretrievably doomed). 

Philip Hammond, emboldened by the humiliation of the Prime Minister who planned to sack him, has today outlined an alternative. After formally departing the EU in 2019, Britain will continue to abide by the rules of the single market and the customs union: the acceptance of free movement, European legal supremacy, continued budget contributions and a prohibition on independent trade deals. Faced with the obstacles described above, even hard Brexiteers such as Liam Fox and Michael Gove have recognised that the game is up.

But though they have lost battles, the Leavers are still set to win the war. There is no parliamentary majority for a second referendum (with the pro-Remain Liberal Democrats still enfeebled), Hammond has conceded that any transitional arrangement would end by June 2022 (the scheduled date of the next election) and most MPs are prepared to accept single market withdrawal. The prospect of Britain avoiding Brexit, or even a "hard" version, remains doubtful. 

George Eaton is political editor of the New Statesman.