Sit back, and imagine you are at the Select Committee Inquiry into the Review of Breastfeeding in England, conducted by one Graham Breastman - a self-professed expert in female lactation. After a Milk Minister announced, amidst a media frenzy, that some breastfed babies might be being fed by alcoholic or anorexic mothers, or forced to latch on against their will, Graham Breastman was invited to lead the review. He was
to do so.
Chairman: Graham, I shall ask you, the Minister and Penny T. Dictator to say a couple of words, if you wish, about where we are at the moment. Who would like to start?
Ms Diana T. Obsfucator: Thank you, Mr. Chairman, and members of the Committee. I am pleased to be here this afternoon. I would first like to set out the Government's position in a basic, plain way. It remains that it is a fundamental right that mothers should be free to breastfeed their child, if they wish to do so. We acknowledge that views on breastfeeding are polarised, with breastfeeders feeling that health professionals do not understand the range of approaches that they can take, and breastfeeders unwilling to accept that in a minority of cases breastfeeding may not be up to scratch...
...In 2007, the Government published non-statutory guidance on monitoring breastfeeding which set out the legal requirements, and the approaches that we expected health professionals and breastfeeders to take in working together to ensure that breastfed children receive good nutrition. However, it became clear during 2008 that neither breastfeeders nor health professionals felt that the guidance was working, and that is the reason for the review.
Graham's recommendations fall into three broad categories: first, registration and monitoring; secondly, providing far greater support to breastfeeders; and, thirdly, mechanisms for breastfeeders' needs to be considered explicitly in healthcare strategies.
I need to say at this point that I am not able to go into very much detail about the proposals on monitoring and registration today. As you know, they are out for public consultation, which ends on 19 October. We will have to consider carefully the consultation responses before proceeding. I would like to emphasise that no firm decisions have yet been taken.
Breastfeeders have repeatedly asked for additional support, and I am pleased to say that we have listened to them. I hope that members of the Committee had an opportunity on Friday to see the response from the Secretary of State to the recommendations in the report....
...If we proceed to legislate, we intend to require healthcare providers to broker arrangements so that breastfeeders who wish to make use of supplementary feeding devices or breast pumps can access this equipment from centres reasonably close to where they live and at no cost. We will also put arrangements in place for authorities to consider breastfeeders' needs strategically, so that they are systematically considered and appropriate service is provided.
Finally, if and when the recommendations of Graham's review are fully implemented, breastfeeders will still have a considerable degree of freedom. They will not be operating outside the law, as is the case in the Netherlands and Germany where breastfeeding is illegal. They will not have their children tested for nutritional deficiency, as in Finland and Norway, nor follow a prescribed diet, as in Denmark. England will still be one of the most liberal countries in the developed world in its approach to breastfeeding, reflecting the careful balance we have to strike between a child's right to nutrition and a parent's right to feed their child in conformity with their beliefs and philosophies. I very much look forward to the report that you will produce after you have taken evidence.
Chairman: Thank you for that, Minister; it got us off to a good start. Is there anything you would like to add, Graham?
Graham Breastman: My thanks for this opportunity. I have not actually said anything about my report since I submitted it to the Secretary of State, and there are some good reasons for that. There were lots of invitations to talk about it, but I chose not to because I thought it would be prejudicial to an open process of consultation. To echo the Minister's comments, if all the recommendations are implemented, there is nothing to stop breastfeeders, many of whom I have met who do a thoroughly good job for their children, continuing. They would be subject to registration and to what I regard as light touch monitoring, but as the Minister as pointed out, in one of the most liberal regimes in terms of a developed nutrition system, we now have greater access to a range of feeding methods. I stated in my report that it seems perverse for any Government to express concerns about this group of people, yet not offer any resources to them.
If I were before you, Chairman, as a Director of Children's Services and you asked me, "What do you know about alll of the breastfed children in your care?" and I replied, "I'm awfully sorry, but I can't tell you very much about them," I suspect that I would not remain in the post for very long. That, frankly, is the situation in relation to breastfeeding. That doesn't mean to say that it is bad; it means to say that we don't know.
Children have a moral right to be nourished; I place great emphasis on that. My report, I hope, sets out to balance the rights of the child with the rights of parents. It seems timely on the 20th anniversary of the UN convention that we seek to examine whether or not this sector of the community actually honours children as expressed in the UN convention. I spent some time in my report discussing that and placed the recommendations in that context.
All that being said, if anything, the report is most critical of health providers. If implemented, it will hold them to account through an audit regime for their systems of monitoring breastfed babies. I think it raises real questions about the support they have given and should give to children with additional feeding needs; about their training, or the absence of it, of staff...