4 Not Addressed

Perinatal mental health investment remains insufficient and geographically limited to address needs.

Conclusion
Perinatal mental health is as important as physical health, with poor mental health outcomes having potentially significant long-term consequences for both the mother and child. We were struck by how frequently mental health concerns were raised in evidence. Given that the Government’s 54 new investment is available only to the original 75 local authority areas this will struggle to address the need identified by witnesses. (Conclusion, Paragraph 32)
Government Response Summary
The government's response details the universal offer of Best Start Family Hubs, including support for socio-emotional and language development, co-location of health professionals, and community outreach. However, it does not address the committee's specific concern about the limited scope of the £54m investment for perinatal mental health being restricted to only 75 local authority areas.
Government Response
Not Addressed
HM Government Not Addressed
2028. This means ensuring that evidenced-based interventions support children’s socio- emotional, behavioural and language development to help prepare them for school. EBIs for families of children aged 3 to 4 forms only one part of this wider service offer and are intended to sit within a universal package of parenting and HLE support for families across the full 0 to 5 age range. Together, the range of universal and targeted activities ensure that families receive consistent, practical help to support their child’s development from birth to age 5. The period from conception to age 2 remains critical, and Best Start Family Hubs will continue to provide a universal offer focused on prevention and support for healthy development. This includes co-location of midwives and health visitors, peer support sessions, stay and play activities, and community outreach - all of which help parents build strong relationships with their babies, promote early bonding and support development from birth. Those local authorities receiving Healthy Babies funding will be expected to have a strong focus on this period. This will include encouraging secure attachments through support for parent-infant relationships as well as support for perinatal mental health and infant feeding. Conclusion We welcome the government’s intention for neighbourhood health services and neighbourhood health centres to work in partnership with family hubs. Given that both models aim to bring together health and broader support services in a ‘one-stop shop’, it will be important that families know where to go to access support and that partner organisations are not stretched too thin attempting to provide a presence in multiple locations. We invite the government to provide further information on how it will manage potential overlap between neighbourhood health centres and family hubs in its response to this report. The new neighbourhood health service will bring together integrated neighbourhood teams of professionals and partners closer to people’s home - nurses, doctors, social care workers, pharmacists, health visitors, employment support, children’s services, and more - to work together to support people and places to improve their health and wellbeing. As we roll out the reforms of the 10 Year Health Plan and Best Start in Life strategy, Best Start Family Hubs and Healthy Babies services will support the transition to a neighbourhood health service by strengthening the delivery and integration of services within the local community, with a focus on prevention and early intervention. Best Start Family Hubs should be positioned as a core component of emerging neighbourhood health architecture, alongside neighbourhood health centres. They will provide a physical space for health services, including Healthy Babies services, to be delivered within the community. It will be important for Best Start Family Hubs to establish strong links with neighbourhood health centres, which, subject to local decision-making, may deliver specific services for babies, children and their families. When planning where to deliver Healthy Babies services, local leaders should consider the full range of community assets available, including Best Start Family Hubs, neighbourhood health centres and other trusted community venues, to improve access and integration. Neighbourhood health is a new and evolving policy area. As local areas develop their neighbourhood health plans, they will have the opportunity to shape what it means for them, considering the unique needs of their community as well as the shape of their workforce locally. Aligning Best Start local plans with neighbourhood health plans will support local areas to commission services and utilise their community assets in a way that ensures seamless provision of services for families with young children. Health visiting
Addressee Bodies
Department of Health and Social Care
Timeline
Recommendation age 0.5 yr
Report published 22 Jan 2026