Puberty Blockers
22 Jun 2026 · Commons Chamber · 100 speeches · Official record
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I frankly cannot believe that we are here again. When the Pathways clinical trial was paused earlier this year, I felt that there had finally been- [ Interruption. ] Full speech
I thank the hon. Lady for giving way; I am listening to her very intently. Does she know what a measure of success would be in this puberty blocker trial? If 80% of the children on it were happy with the outcome, would that be a success? What are the ultimate measurements of success? Full speech
As another member of the liberal working class, I wonder whether the right hon. Member has the experience that many of us in this place have of talking to constituents, friends and family who have children who have struggled with their gender identity and have benefited from puberty blockers. While he says that there is no evidence, many of us have direct experience of seeing the benefits in action. Full speech
I can assure the hon. Lady that I have given this an enormous amount of consideration. I understand what she is saying, but my argument is that we already have a set of data on children who have gone through some of these experiences, and that needs to be looked at. Having spoken to some of them, I do not want to see others experience it. Full speech
I am slightly concerned by the idea that trans acceptance is part of the problem. Does the hon. Member agree that trans acceptance is completely reasonable and that trans people have always been here? Full speech
This has been an interesting debate so far and I am grateful to follow the hon. Member for Canterbury (Rosie Duffield), who has worked so much in this area. We should all acknowledge that this is not an easy issue. The reason why I wanted to speak in the debate is that back when I was trying to get elected in 2024, I met the mother of a young trans woman. She told me about how her daughter really started to come to terms with who she was when she was entering puberty, but that led her to stop ea... Full speech
I thank my hon. Friend for giving way, and for making such a passionate speech. I think we all agree, across the House, that we are here not to politicise or to demonise, but to try to make the right decisions for the safety of children. I think that all Members here share that intention. It was said earlier that these drugs are already used to treat different conditions, such as prostate cancer, endometriosis and precocious puberty. For the first two conditions they are taken by adults for a ve... Full speech
I will not. We must never lose sight of the fact that at the core of the debate is young people’s wellbeing and health. It is not about ideology; it is about what is best for young people. The Government must always prioritise clinical evidence and put the interests of patients at the heart of care. Full speech
Well, one of the things with doctors is that if you ask two doctors, you might get two different opinions. I completely respect Baroness Cass. She has been president of the Royal College of Paediatrics and Child Health, of which I am a member, and she has done great work on the report that we commissioned in the last Parliament. I know she is concerned that people may obtain these drugs illegally if they are not provided, but I do not share that concern. Personally, I think the important thing i... Full speech
Not enough to give way. If we cannot trust Dr Hilary Cass, the author of a report that the Conservative party itself has endorsed, when she says she is “absolutely convinced that more children will be harmed if we don’t do the trial than if we do,” who exactly are we prepared to trust? Do we follow the evidence, the clinicians and the science, or do we retreat into denial, burying our heads in the sand and pretending that trans people do not exist and have never existed? The process the Governme... Full speech
I thank the hon. Lady, but I point out that that is not what I said. I said that we were leaving children without an option. I also point out that if we are going to be responsible, we should not accuse people of being homophobic because they are trying to support the transgender community. Many of those people who support the transgender community are lesbians or gay. I know this because I am the honorary president of the LGBTQ+ community within the Liberal Democrats, and there is a great feeli... Full speech
I support an individual’s freedom to choose to live their life in whichever manner they want, subject only to the law. That includes someone’s right to want to live a life in a different gender identity to that which they were born with. But this debate is not about that; it is about administering powerful drugs to children. Although I have no direct experience of what it is like to want to live a life as somebody with a different gender identity, I have represented parents in the family court d... Full speech
Recently, the Government announced that they will legislate to prevent under-16s from viewing social media. We already ban under-16s from drinking alcohol and smoking, because we believe that they should be protected from doing things now that may have negative impacts on them later in life, particularly to their health. Does my hon. Friend think that this should sit in that category of protections for children? Full speech
I will make a little progress, and then I will be open to more interventions. We need to be clear about who we are talking about. As Dr Cass said, the vast majority of children and young people who question their gender will resolve it without needing any support other than their friends and family. For many young people, questioning their identity, on many different fronts, is a normal part of growing up, and we should simply let them be. A small number of those young people, however, need grea... Full speech
I will not; I am going to make some progress, as I have been duly told to do. The treatment of premature sexual maturity, or precocious puberty, in children-this is for children-uses puberty blockers now. The professors reported to our Committee that puberty blockers are “recognised as a reversible treatment.” Professor Butler added that we know “from follow-up studies with children who have received it for precocious puberty that there are no ill health effects in the long term nor are there an... Full speech
I have responsibility for NHS England as Secretary of State for Health and Social Care, and I am setting out the protocol agreed in relation to this trial, as it is a subject that is arousing a lot of questions in the Chamber, which is fair. [ Interruption. ] I will come back to that point, if the hon. Member for Gordon and Buchan (Harriet Cross) allows me to make a little progress. Full speech
For clarity, are Scottish children going to be included in the trial, either by being able to travel south of the border or via NHS Scotland directly? Full speech
Yesterday, even the Secretary of State for Health and Social Care conceded-the second one to do so-that he is “uneasy” and even “uncomfortable”. I suggest that his discomfort is nothing next to the lifelong damage that the trial will potentially do to an extremely vulnerable cohort of children, whom we should be protecting. That funny feeling in his stomach- [ Interruption. ] Oh, he has left. That feeling is his good judgment trying to be heard-he will not hear this if he has left-and it is not ... Full speech
My doubts come from why, for example, we are not allowing the data linkage study to be fully completed before proceeding with the new trial. That study would find out what has happened to all the children who have already taken puberty blockers. I wanted to ask the Liberal Democrat spokesperson, the hon. Member for Mid Sussex (Alison Bennett), that question, but I was not able to make that intervention; I do not know whether that had anything to do with the £1.5 million donation from Ferring Pha... Full speech
As the right hon. Lady will know, a lot of this is about the distress and the tremendous mental health pressure that young people going through gender incongruence feel. Clearly, one of the outcomes that we will look for from the trials is an alleviation and an amelioration of those significant mental health issues and distress. Those are the kind of outcomes we want to see to help some of those young people who often end up in awful situations, leading to self-harm and other terrible situations... Full speech
I welcome that fantastic point. Until I was unexpectedly elected, I was an academic, and what I learned was never to focus on a single study when doing research, because a single study is basically an anecdote. We have to look at the breadth of the research. If I may say so, we see exactly the same in the climate change debate-the broad spectrum of science supports the argument for climate change, but there are always one or two contrary views. Those views are welcome, but we do not base our vie... Full speech
Order. The hon. Member for Luton North (Sarah Owen) is making an important speech, but before she gets back to her feet, I must tell her that I need to get 12 more Members in to speak. Full speech
I thank my hon. Friend for his powerful intervention; absolutely, information and scientific evidence are key, and this trial will be conducted by experts with patients’ best interests at heart. We have heard from the Opposition spokesperson, the hon. Member for Sleaford and North Hykeham (Dr Johnson), and I am sure that, as a doctor, she cares about her patients as much as all the doctors and clinical specialists that will be involved in these trials. Last year, the Women and Equalities Committ... Full speech
It is a great shame that this debate has been broken up along party lines. It should have been had as the debate on assisted dying was, where people from across the House could stand up and make their own case. Indeed, many Members from across the House have been supportive of what I am about to say. Following the publication of the Cass review in 2024, the use of puberty blockers for gender dysphoria in children and young people was restricted by the then Secretary of State for Health due to an... Full speech
I inform the House that Mr Speaker has not selected the amendment. I call the Opposition spokesperson. Full speech
I thank the hon. Member for his intervention and his kind words at the beginning; that is the right tone, which we need to set, and information is key. People need to be able to make informed decisions-whether it is the child or a parent-and there needs to be independent information so that people can make fully informed decisions. Full speech
We come to the wind-ups; I invite the shadow Secretary of State. Full speech
I call the Chair of the Women and Equalities Committee. Full speech
I just say this to the hon. Lady and, perhaps more importantly, to the Secretary of State, who is very genuine, personable and easy to speak to. In Northern Ireland, the Assembly and the Minister there have taken a decision not to pursue this. Would the hon. Lady agree that, when the Government pursue something here that may set a precedent for somewhere that has not agreed to it at the time, there could be an influence, with an adverse impact on the regional Administrations-the Northern Ireland... Full speech
The hon. Gentleman raises an important question around how the clinical trial is designed. In this case, the young people involved in the trial, of whom there will be around 226, will be split into two groups; one half will have the puberty blockers from the start, the other half will receive them after a year. My understanding of this matter, having interrogated the detail carefully, is that a placebo would not be appropriate for this trial because the subject will be able to know the impacts o... Full speech
I have been listening to the debate and have not yet heard what the Government will deem to be a measure of success of this puberty blocker trial before it goes ahead. What are the criteria, the measurements, the percentages and the numbers, and what are the timelines over which they will be measured? Can the Minister explain what those are? If someone is unhappy, can they sue the Government? Full speech
I am slightly confused because we know that the young people in this trial will already have all those other things in place. The Minister has been clear about the talking therapies, for example, and about the time period. It takes two years in the gender system before anyone can access this trial. I am worried that it is slightly disingenuous to suggest that these children are going to be popped straight on to a trial without everything else being in place. Could the right hon. Gentleman just c... Full speech
It is a pleasure to follow the hon. Member for Mid Sussex (Alison Bennett). I wholeheartedly agree with her points about the importance of talking therapies. Those are incredibly important tools for children who are in gender distress. We need to see greater access to talking therapies for all children in a timely fashion. May I first say that there is far too much debate about trans people without them? We would not tolerate this in any other debate. Yet somehow, whether in the media or in poli... Full speech
This is a debate about hormones for suppressing puberty, and is related to the matter that the hon. Lady raises, but it is important that we get the sequencing right. Let us look at the trial and the evidence. That is part of the process of understanding the milestones and the forks in the road faced by children who are experiencing gender incongruence. Let us do this one step at a time. We are proceeding carefully, cautiously and under the mantra that the safety and wellbeing of children are no... Full speech
I beg to move, That this House calls on the Government to take steps to prevent the PATHWAYS clinical trial into the effect of puberty suppressing hormones on children with gender incongruence. Before I start, I declare an interest as an NHS consultant paediatrician, a member of the Royal College of Paediatrics and Child Health, and a member of the British Medical Association. It is also important for us to recognise at the beginning of this debate that we are talking about the protection of chi... Full speech
My hon. Friend raises a very good point, and I will come to the data linkage study shortly. What we do know from the Cass review is that the vast majority of children who went on to puberty blockers in adolescence went on to receive cross-sex hormones, which are known to have permanent effects. One fact that is crucially important is that it is not possible for clinicians to confidently determine which children with gender incongruence will persist with the trans identity into adulthood, and whi... Full speech
I would like to start by declaring an interest, because my son Milo, of whom I am extremely proud, is a trans man. I have listened to colleagues very carefully over the course of our proceedings. There have been some truly heartfelt speeches, and this strength of feeling is certainly warranted wherever children are concerned. The Government welcome this scrutiny, and I want to thank Members from all sides of the House for the constructive tone and substance of this debate. I am not the Minister ... Full speech
I commend the Minister on an excellent and brave speech. When the Cass report came out, I was criticised for not accepting it in full, and now the very same people who said that to me are not accepting the Cass report in full. Does he agree that that is hypocrisy, and that those people should stick to their word? Full speech
A little later, I will go through all the different work that is going on. This is absolutely not happening in isolation; we are taking into account a range of other studies. Some colleagues have raised the work of the MHRA in strengthening the safeguards for young people involved in the trial. The MHRA has been engaged in a scientific dialogue with the trial sponsors, and it was the outcome of that process that led the MHRA, as an independent body, to publish the updated protocol last week. We ... Full speech
I know what a sensitive, emotive and difficult issue this is. As I said in the House yesterday, I have myself struggled with the profound challenges this subject raises. We all, as adults, owe a duty of care to every child and young person in this country. That is a responsibility I bear, both as a citizen and as Health Secretary, with the utmost seriousness and sincerity. It is why, in all my deliberations on this matter, my consideration is to protect the safety and wellbeing of children and y... Full speech
This debate is on a subject that, it goes without saying, is emotive and complex. We must therefore as always endeavour to have this conversation with compassion and empathy. The Liberal Democrats’ position is clear and simple, as reflected in our amendment to the motion: any medical treatment and the approval of any clinical trial, including the one we are discussing, must be led by expert medical advice. It should not be led by personal belief, no matter how sincerely and passionately that bel... Full speech
I know that the Secretary of State has agonised over this matter-he made that clear in his statement to the House last night and again today-but what is not in doubt is the harm that these drugs do. It is an established medical fact. He is determined to be driven by the evidence. That is evidential. We know that the drugs have harmful effects, so in essence what he is saying is that we are prepared to wear those harmful effects on the off-chance that the drugs may have a beneficial set of effect... Full speech
I will, because I know the hon. Gentleman is keen to speak. Full speech
I must confess that Opposition days are beginning to feel a little bit like groundhog day. A party that largely sat on its hands during some of the most significant and difficult challenges is now returning to tell us where this Government are going wrong, and doing so with all the fervour of a party that has never held power, let alone governed for 14 years. Just to warn everyone, I will not be taking interventions. This is a deeply emotional issue, and I recognise that it provokes strong and d... Full speech
By giving way a second time, the hon. Lady shows why she is my favourite Tory. Does Baroness Cass not say that she has met young people who have been self-medicating with testosterone, which is irreversible? That is one of the problems that we are trying to address through this trial. It is about protecting young people so that they are not going down their own medical pathway, but are listening to medical advice and are well supported in a coherent framework. Full speech
I thank the right hon. Gentleman for the tone he took in asking an important question, which I am pleased to be able to respond to. The bar for getting on to this trial is set extremely high, with strict eligibility criteria: parental consent, alongside the young person themselves consenting or assenting; a diagnosis of gender incongruence for at least two years; and consent from both the NHS care team and a national multidisciplinary team, including a wide range of disciplines, to understand al... Full speech
I thank the hon. Gentleman for his intervention on devolution, and I am sure the Secretary of State was listening and considering what he has said. To go back to the age of the young people, I am reminded of the judgment in Bell v . Tavistock, which says: “We do not think that the answer to this case is simply to give the child more, and more detailed, information. The issue in our view is that in many cases, however much information the child is given as to long-term consequences, s/he will not... Full speech
I thank the hon. Member for that excellent question. I obviously always respect and listen to different clinicians, but what is happening with this debate is that one set of clinicians with one view is being listened to. Let me remind everyone about lobotomies. Lots of very respected people came out for lobotomies; in fact, the person behind the idea won a Nobel prize. I think we would all agree that those clinicians got that wrong, so it is incumbent upon us in this House to always question. It... Full speech
The hon. Gentleman is exactly right, and he expresses my point succinctly. Why is the Secretary of State going ahead with a trial-experimenting on more children unnecessarily-when he has the data to analyse already? Why has he chosen to fund this trial? Is he worried about the children who will be put on a medical pathway that may lead to cross-sex hormones and a lifetime of medicalisation when they would have got better by themselves anyway? I want to talk about the age of these young people. T... Full speech
Everyone should have the right of access to high-quality, evidence-based healthcare, whatever their age. At the heart of this debate are young people experiencing profound gender-related distress, and the families who support them. Too often they have found themselves caught in the middle of a political argument while facing long waits, uncertainty, and a lack of clear treatment options. Every young person deserves compassionate, evidence-based care, and that includes transgender young people an... Full speech
Order. Obviously, I have not said anything, so I am not repeating anything. No “yous” and “yours”. Full speech
I thank the hon. Lady for giving an eloquent speech. It is really important that we are very responsible in the way we talk about suicide, and I would like to point out that Professor Louis Appleby did a study on exactly this issue following the ban of puberty blockers. His conclusion was that we were not seeing an increase in suicides as a consequence. He also made the point that it is important not to suggest that denying young people puberty blockers causes them to commit suicide. That is a n... Full speech
My hon. Friend is making a powerful and moving speech. Further to her point, does she not agree that the Opposition’s motion to prevent a clinical trial would not give people information, options and choices? It would cut down information, options and choices. She mentioned a constituent in her 80s who clearly did not grow out of her gender dysphoria, and this motion would close off lifesaving and life-changing treatment for the 7% of people who do not grow out of gender dysphoria. Full speech
Absolutely. I thank my hon. Friend for his commitment to the LGBT+ community and for his work, including with his constituents. We have heard a lot today about throwing children into wild experiments, but that is not what we are talking about. We are talking about something done in collaboration with parents-parents who love their children and want the best for them, and with medical professionals who want the same. The rhetoric around the trial really needs to change. No child will be able to t... Full speech
I will in a moment, when I have made an attack on the liberal bourgeoisie, which the hon. Gentleman might want to hear. When the Tavistock clinic was opened, it was seen as an emblem of progress by the liberal bourgeoisie. Now, of course, we know that it was the embodiment of wickedness. On that note, I give way to him. Full speech
This is not a form of gene therapy. It is a medication that is a GnRH analogue, and what it essentially does is delay puberty. It was designed as a drug to treat children who go into puberty much earlier than they would be expected to, and to delay it until, as it were, the right time. The effects of the use of puberty blockers in older children and for a much longer period, at an age when they ought to have started puberty, are not fully understood. Full speech
I know the constituent my hon. Friend has spoken about. My hon. Friend also makes a valuable point about the need to speak with people who have lived a life, given that these things have been done in ignorance. Her point about parents is key. I have a constituent who is trans whose parents have engaged with me and explained the difficulties of learning to deal with and manage the situation. Their voices, alongside those of clinicians, are really important in understanding the issues. Does my hon... Full speech
Will my hon. Friend give way on that point? Full speech
I will give way one more time, and then I will make some progress. Full speech
If a child is looked after under a care order, the local authority has parental responsibility, so it would need to be part of the consent process as the corporate parent. I turn to the points raised by the right hon. Member for Salisbury (John Glen) about young people becoming involved in the trial and the checks that are in place to enable that to happen. As I set out earlier, as the trial involves children, it comes with a responsibility to interrogate and understand its design. As Health Sec... Full speech
I completely agree with my hon. Friend; a child of this age cannot possibly consent to the life-changing, irreversible changes that come from puberty blockers. We need to remember that almost all children who start puberty blockers go on to cross-sex hormones, and there is no going back from that. We need to remember that we have already had a trial in the UK. When we started using puberty blockers in the UK after 2011, the preliminary results came out in 2015-16 and did not demonstrate psycholo... Full speech
The hon. Gentleman’s question allows me to address that matter directly. The data-linkage study will not provide clear evidence of the risks and benefits of puberty-suppressing hormones, which is needed to guide future clinical practice for this cohort. The type of information that would be available in a linkage study is much more limited than the detailed information that the research team will collect about the relative benefits and harms of puberty-suppressing hormones when accessed alongsid... Full speech
I am not going to take any more interventions, as I have been told that I need to crack on. These puberty blockers are the same drugs, prescribed in the same way, but instead of treating gender distress, they are treating prostate cancer, endometriosis and premature sexual maturity in children. Yet we have heard no call from scientists, campaigners or the medical community to stop the use of puberty blockers for those treatments. Some have been critical of the trial going ahead, but what happens... Full speech
I am absolutely appalled by the Government’s decision to press ahead with the Pathways puberty blockers trial. When I look at the decision, I genuinely find myself asking: what lessons have this Government learnt from the last number of years? Parents have raised concerns, families have raised concerns, clinicians have raised concerns, campaigners have raised concerns, and many in this House have raised concerns. This is not a concern that has appeared overnight. The petition on this issue, whic... Full speech
I am part of the liberal working class. This debate is not about the Tavistock clinic. The right hon. Gentleman has just quoted Baroness Cass, but one thing he has not said is that she recommended that the clinical trial go ahead. She said recently that she supports the trial because she thinks there will be real benefits to it. Rather than talking about Tavistock, will he address what Baroness Cass, who he quotes extensively, thinks about this trial that we are debating? Full speech
I acknowledge the serious way that the Secretary of State is approaching this. I think many people will be concerned that, as the shadow Minister has said, there is no objective blood marker for these individuals; I think they will be concerned that a group of people will be taken forward in this trial when a whole range of influences could have governed how they have got to that point, given that the implications of taking these drugs are quite profound for their life and further development. H... Full speech
It is a pleasure to follow the hon. Member for Edinburgh West (Christine Jardine), and I agree wholeheartedly with her comments about homophobia. I remind the House that I am a former biomedical scientist, and I have probably read lots more medical publications than many in this Chamber. I have also volunteered many times for medical research, either as a healthy patient in my younger years or as a patient now in my slightly older years, so I know the process from both sides. I think it is reall... Full speech
I am sorry, but I just do not support that. We would not give children cocaine on the basis that they wanted it and would get it illegally otherwise. These are not sweeties; they are powerful drugs and need to be treated with respect. Even if we accept the premise that a very small number of people might benefit from treatment, how could clinicians decide which children to treat? On what ethical or moral code would we want to inject powerful drugs into children who are likely to have a self-limi... Full speech
The Cass review also suggested a clinical trial for cross-sex hormones. On that basis, will the Government launch a clinical trial on cross-sex hormones as well? Full speech
That experience clearly contradicts the Cass review’s findings, but it is for the hon. Lady to have that debate, no doubt, with Dr Cass. What is certain is that we have no indication from the Government about what success in the trial will look like. When challenged on that subject, answer came there none. How will we gauge whether the trial is a success or a failure? Are these children really guinea pigs to be used to provide the evidence that the hon. Lady says is already freely available in h... Full speech
The MHRA has introduced additional safeguards. As a result of its dialogue with the trial sponsors, the amended protocol published last week increases the level of safeguards. That means that if the regular monitoring, which will happen at least every three months-it can be more regular during the trial-shows any sign of increased risk of harm, that will lead to increased monitoring, clinical review and, when considered against objective criteria, automatic withdrawal from the trial. It is a que... Full speech
Baroness Cass certainly wanted to gather more evidence. The evidence we have shows the damage that puberty blockers can do. We know that the substantial science suggests that they affect bone maturation, cerebral capacity and, of course, fertility. It is certain that there is no compelling evidence that puberty blockers have a beneficial effect. That is why she sought more evidence, as she concluded that there was no compelling evidence that they have a beneficial effect. Full speech
As a consultant paediatrician, my hon. Friend will be able to give a definitive view on this matter. Some who campaign for this treatment and therapy argue that the effects of gene therapy are reversible. To what extent are they reversible? Should we be treating this as a reversible treatment? My hon. Friend has referred to permanent damage. Can we try to agree across the House at least on this matter: that gene therapy applied to children is not reversible? Full speech
Does the hon. Lady agree that unblocking the reasons why the data is not being made available should be the top priority, and that analysis of that data should be done before any further experiments on children are done? Full speech
Last autumn, on the announcement of the trial of puberty blockers on children, a cross-party coalition of Members and peers assembled who have serious concerns and are campaigning together for the Government to reverse this terrible decision. These are Members from across the political spectrum-as diverse as the independent group, the Lib Dems, the DUP, Tories, Reform, Labour and Restore, who are not usually in agreement on most political issues-working together on something that we believe is a... Full speech
I am not saying that it is a negative thing; I am trying to explain why we have seen an increase in the numbers of young people with gender dysphoria. I am stating facts; we were just talking about the importance of doing so. In 2009, only 51 patients were referred to the NHS Gender Identity Development Service for children, of whom two thirds were male. In 2016, there were 1,766 referrals and two thirds of them were female. That is quite the change. There has been an overall surge in the number... Full speech
Will the Minister at least commit to looking again at the experience of Finland and Denmark, whose evidence has led them to now emphasise counselling rather than medical intervention? Full speech
I am afraid that I will not. Liberal Democrats have been arguing for many years that improved access to better specialist healthcare services for children and young people struggling with their gender identity is extremely important. Those young people have been badly let down by low care standards and extremely long waiting lists. The closure of the Gender Identity Development Service made it clear beyond doubt that change was needed. We have consistently campaigned for real action to tackle th... Full speech
This has been an important debate. It has been a difficult debate, but a necessary one none the less. There are some subjects in public life where the easiest course is silence, where every word is weighed, where motives are questioned and where hon. Members may be tempted to step back rather than step forward, but when the subject is the safety of children, silence is not an option. Children and young people are at the centre of the debate. They are not slogans or political symbols to be used b... Full speech
On that point, in normal clinical trials, the active substance and a placebo would be used, and the impact, changes or benefits that each cohort experienced would be checked. If children have a psychological leaning and are emotionally feeling that they are in the wrong body, is there not value in having a cohort that takes a placebo and seeing if that improves their mental health? Full speech
I am going to continue because I want to give the Minister the opportunity to respond. The Secretary of State says that this trial will help settle the evidence, but a trial that follows children for a limited period cannot by itself settle questions that may only become clear in adulthood. It cannot fully answer the questions of what a child will think at 25, 35 or 45 about decisions that were made at 11 or 12. When I was in my teens, struggling with my sexuality, it was complex enough. It was ... Full speech
There is a third option, which is to get NHS England to motor ahead with the data-linkage study, so that we can use the data that has already been collected to find out the answers to the questions that the Secretary of State is posing. Only then, if the information is not there, should the trial go ahead. Why is he not pushing that third way? Full speech
The hon. Lady knows that she is one of my favourite Tories-I think I have said that before. She has quoted Baroness Cass many times. Of course, Baroness Cass thinks this trial should go ahead, because the benefits outweigh the costs. Why is Baroness Cass wrong and the hon. Lady right? Full speech
I am grateful to the Secretary of State for giving way. He mentioned parental consent-what would happen in a situation where the child was in the care of the state? Would they be included or excluded from this trial? Full speech
I thank the hon. Member, my constituency neighbour, for giving way on that point. There is a lot of “what about” in her remarks; will she reflect on Dr Hilary Cass’s comments that the trial will lead to less harm than would otherwise be the case? Why does she believe that Dr Cass is saying that? Does she doubt her expertise in this instance? Full speech
My hon. Friend the Member for Reigate (Rebecca Paul) mentioned the recently published studies in Finland. Does the hon. Gentleman not think there is any merit in waiting to see what the Finnish tests and trials throw up? We could then see what we could learn from them, rather than replicating or duplicating them here. International science should surely be respected. Full speech
The Conservative Government commissioned the Cass review. In their 2024 manifesto, the Conservatives committed to implement the review in full, which would include a trial. However, as my hon. Friend is saying, they now propose in this motion to stop the trial. Is that not proof that we actually need to have a trial? We need to take the party politics out of this matter, stop politicians from being the lead commentators and put it in the hands of the families and the clinicians. Full speech
Speaking as a member of the political class and the medical class, may I ask the hon. Lady whether she would accept that it is better for politicians to accept advice from medical experts around medical issues? Full speech
My hon. Friend says that we do not know the effects, but a number of children have been put through this process via the now discredited Tavistock process. Why does she think that the NHS will not refer to the data linkage study and use the data that would have been gained from the children who were put through that process, in order to find out what the effects are before deciding to put a whole new cohort of children through what is clearly a damaging procedure? Full speech
My hon. Friend is making a powerful speech. I have huge respect for her and I completely agree that nobody here or outside should be looking to disrespect or harm any individual, whatever their age. Would she agree that parents should also be given all the information available around this condition, its treatments and the paths that children follow? Over 93% of children who experience gender dysphoria grow out of it and then are happy in their natural body. Does she agree that that and other in... Full speech
I know that further details will be coming from the Secretary of State as to what a marker of success is, but I think we have to ask ourselves what a marker of success is for the individuals and families. For some, staying in their sex from birth may look like success. For others, that will not be the case. This is very much on the individual. Full speech
It is a pleasure to follow the hon. Member for South Derbyshire (Samantha Niblett), who made a very effective and powerful speech. All of us here today are concerned about the safety and wellbeing of children, and we want to ensure that young people facing a crisis of identity get the support that they need and that is appropriate for them. In many cases, that will be talking therapies. We need to give children and their families time to figure out exactly what the issue is and whether they will... Full speech
Order. Forgive me-there is a five-minute time limit, which is the only way that I can incorporate all the Back Benchers who wish to contribute. Full speech
The journey from childhood to adulthood is challenging for many, difficult for some, and tortuous for a few. Through that journey, the support of older people, who are often parents, loved ones, people who care, is critically important. For those who suffer from gender dysphoria, that journey is all the more challenging. Many people-perhaps all of us in this Chamber-will have struggled with the emerging sexuality that is part of the journey to adulthood, but most people who suffer from dysphoria... Full speech
The reason I am in the Chamber today is the protection of children-that is why I care about banning social media, and it is why I am here to speak about puberty blockers. We protect young people under the age of consent from alcohol, heroin and sexual abuse, because they are children under the age of 18. This puberty blockers trial for 11-year-olds makes me ask whether we are putting sufficient safeguards in place for those young people, and whether they have the cognitive ability to understand ... Full speech
I call the Liberal Democrat spokesperson. Full speech
That is an excellent point. When I heard about those other uses for the drug, I thought that I would be interested to see more clinical trials for conditions such as endometriosis and cancer to establish its long-term effects. However, that is for adults. When it comes to protecting children, I want to ensure that this trial involves as much safeguarding as possible. We do not fully understand the long-term risk. We come to the House again and again to discuss what constitutes a child and what c... Full speech
Exactly. Baroness Cass is a respected expert in this field, and she made recommendations that were broadly accepted. We should be using science as a basis for decision making, not rejecting her findings purely on the basis of politics. Let me go back to what I said at the start: doing nothing will lead to our young people being harmed. That is an incredibly important point. We cannot rely on debates in this place to decide how and when puberty blockers should be used. Rather, we should be relyin... Full speech
I know that feelings on these matters are strong and heartfelt. If the Conservative party has changed its position and is putting forward its arguments with sincerity and honour, that is a perfectly acceptable position to take, but I simply remind the House of the journey that the party has been on. Full speech
I will not, I am afraid-I did warn you, although I do like the hon. Gentleman very much. Full speech