The Parliamentary Under-Secretary of State for Women and Equalities (Caroline Dinenage)
It is a great pleasure to take part in this incredibly important debate on transgender equality—indeed, it is the first debate on transgender equality—and I thank my right hon. Friend the Member for Basingstoke (Mrs Miller) for securing it. I put on record my welcome for the passionate and thoughtful contributions of hon. Members from across the House and add my voice to the praise for the Women and Equalities Committee report, which was a really important milestone in Parliament’s consideration of trans rights. I thank the Committee for its thorough and groundbreaking review, and we welcome its recommendations on how we can further tackle trans inequality.
The Prime Minister has made it clear that the Government’s mission is to make Britain a country that works for everyone. We want a society where everyone has a fair chance to go as far as their talent and their hard work will allow. That, of course, includes members of the trans population. We want them to be safe, healthy and free from discrimination, and we want a Britain that works for trans citizens.
I am proud of the UK’s strong legislative framework that protects trans people, but I am aware that progress in the acceptance and recognition of trans people has not kept pace in any way, shape or form with that of the lesbian, gay and bisexual community. I am also aware that transgender people suffer particularly high levels of inequality—from mental health to hate crime, and from bullying in schools to discrimination in employment—and we have heard many hon. Members speak passionately about all those things today. As the hon. Member for Lanark and Hamilton East (Angela Crawley) mentioned, mental health and suicide are big concerns. A young trans person in England today is nearly twice as likely to have attempted suicide, and nearly three times as likely to have self-harmed, as are their non-trans peers. That is utterly unacceptable. It has been said that trans issues are too difficult to tackle and too marginal to take notice of, and that it is too hard to implement change. We say that that is wrong. Trans people deserve dignity, respect and a life without discrimination.
I welcome the words of the hon. Member for Ogmore (Chris Elmore). As he says, we should take this opportunity to celebrate our trans community, especially the brave and inspiring individuals—from within the trans community and outside it—who do so much to fight against the prejudice, discrimination and disadvantage that we have heard about so movingly and passionately from so many hon. Members.
Tackling transgender inequality is a not a new initiative for us, and we continue to be recognised as one of the most progressive countries in Europe for LGBT rights by the International Lesbian, Gay, Bisexual, Trans and Intersex Association. In 2011 we issued the world’s first transgender action plan to address the real and everyday challenges faced by trans people, and the majority of the commitments in the action plan have been completed. We are in the process of collating progress updates, and we will publish a summary next year. Recently we invested £2.8 million to tackle homophobic, biphobic and transphobic bullying in schools that have no measures, or ineffective measures, in place to deal with it. We have also published practical and clear guidance for employers and service providers on how to deal fairly and sensitively with transgender employees and service users. We have absolutely no intention of ending our commitment to tackling transgender inequality.
In July we responded to the Women and Equalities Committee report and set out a further set of ambitious actions. One massive and key commitment was to review the Gender Recognition Act 2004. As my hon. Friend the Member for Bath (Ben Howlett) has said, it was a groundbreaking measure when it was introduced—I think we sometimes forget how groundbreaking it was—but the world has moved on incredibly since then, and it is right that we review how it is working now. We have begun a stakeholder engagement programme to look at how the gender recognition process can be improved, and at the legislative and non-legislative means that we would need to use to do that.
The Committee recommended that we move towards self-declaration of gender. We recognise that, as the hon. Member for Livingston (Hannah Bardell) rightly pointed out, the gender recognition process needs to be quicker, less bureaucratic and definitely less medicalised. However, we want to see more evidence on the case for change to a self-declaration model. A couple of other jurisdictions have just began to implement such a model. We will continue to monitor the implementation of the alternative gender recognition process in other countries, and we will analyse the very good evidence that the Committee published to inform our work.
Hannah Bardell
Briefly on gender recognition, will the Minister engage with those countries that are at the forefront of progressive policies, take evidence from them directly and work with them to see how we can implement their models?
Caroline Dinenage
Yes. Some of the legislation is very new, including that of our friends in the Republic of Ireland. We will keep it under review and we are determined to learn all the lessons of best practice from around the world, as indeed we always have.
Angela Crawley
On that specific point, will the Minister meet Angela Constance, the Cabinet Secretary for Communities, Social Security and Equalities in the Scottish Government, to have that discussion, given that Scotland is now embarking on that process? Perhaps there could be a shared learning experience to ensure that we take matters forward for trans equality.
Caroline Dinenage
Yes, I am more than happy to do that and I am keen to collaborate in any way with those from whose experience we can learn.
My right hon. Friend the Member for Basingstoke presented her Bill today. We have not yet heard a convincing case for introducing gender identity as a protected characteristic. The Equality Act, and criminal, hate crime and employment legislation all offer protection for trans people. However, we will continue to keep an open mind, listen to testimony and monitor evidence to find ways to improve the lives of trans people.
My opposite number, the hon. Member for Rotherham (Sarah Champion), asked about hate crime. We have improved the recording of hate crimes against LGBT people to support more effective prevention and action. Police forces are now required to collect those data, and the first set of data was published as official statistics in 2013. We have committed to review legislation on hate crimes and we are currently considering the options. The Crown Prosecution Service also recently launched a consultation on draft guidance on prosecuting cases of offences involving transphobic hostility.
The hon. Member for Lanark and Hamilton East spoke about gender markings and gender X on passports. As she pointed out, UK passports currently recognise only male and female genders. Legal recognition is more broad than just changing passports and would need to be considered across Government. Introducing a third category, such as that denoted by an X in a passport, would require a change in UK primary legislation. However, on gender markings, as set out in the response to the Select Committee report, the UK has agreed with the International Civil Aviation Organisation to lead on a survey of member states on gender and passport markings. The gender questionnaire was circulated in October and member states had until the end of November to provide their views. We will review the responses, compile a report and submit it to the working group early in 2017.
Sir Peter Bottomley (Worthing West) (Con)
Recognising that it is only 51 years since “transgender” was first used, I think the Government’s words on page 23 of their response to the ICAO are important because, as they rightly point out, we are now identified more by facial recognition and other things rather than by asking, “Is this person wearing trousers or a skirt?”
Caroline Dinenage
My hon. Friend never ceases to amaze me with his encyclopaedic knowledge of all manner of important issues, and this is no exception. He is right that we must keep pace with modern technology and always keep it in mind when we make Government policy and change legislation.
Several hon. Members, not least my hon. Friend the Member for Bath, who has campaigned hard on the issue, talked about managing offenders. When I was a Justice Minister, my hon. Friend and I worked closely on a number of particular incidents that he raised. Managing transgender offenders has been a major concern and we have taken action. A number of events involving transgender prisoners in autumn 2015 highlighted the need for the policy on their treatment to be given a more fundamental reappraisal. When I was in the Ministry of Justice, I led on that work and last month the Government published their review and confirmed the position. That is why we will, from now on, manage anyone received into services run by the National Offender Management Service in the gender with which they identify rather than the sex assigned to them at birth.
Sarah Champion
Will the Minister confirm whether that includes immigration detention centres?
Caroline Dinenage
I will come to that. Detailed guidance has been provided to staff on how to implement the changes. An advisory board has been set up to inform policy and establish best practice on the treatment and care of transgender and non-binary offenders in prison custody and under the supervision of the national probation service. I will write to the hon. Lady about immigration detention services. I know that the advisory board had its first meeting on 25 November.
Several hon. Members spoke passionately about health, particularly the hon. Member for West Ham (Lyn Brown). As she said, ensuring accessible and prompt health services for trans people is of continued concern. I am pleased that good, collaborative, progress is being made. Discrimination against trans people in the NHS is not allowed and is unacceptable. NHS England has convened a number of multi-agency symposiums to begin to address this issue. The hon. Member for Brentford and Isleworth (Ruth Cadbury) will be pleased to know that NHS England and the General Medical Council have acted on the Select Committee’s recommendations by publishing new guidance on GPs’ responsibilities in treating trans people. We are also tackling the very long waits to access gender identity services, and we are beginning to see results: the average waiting time for patients to receive reconstruction surgery at Imperial College Healthcare NHS Trust has dropped from 94 weeks to 61 weeks, and is getting better.
Lyn Brown
The Minister is doing a remarkable job on the Front Bench at the moment, so I thank her. May I ask her to push her colleagues in the Health team on a root-and-branch review of transgender and LGBT health, as the Select Committee requested? That is fundamental, rather than having small working groups working on small bits of the matter.
Caroline Dinenage
I will of course pass that sentiment on to my colleagues in the Department of Health.
NHS England has increased financial investment in gender identity services from £26 million to £32 million this financial year. In addition to funding, we need to increase capacity in this specialism. That is why a joint initiative between NHS England and Health Education England was launched on 20 October to develop a programme of work to address national workforce and training constraints in that specialty. The planned outcomes will be recommendations for the future workforce, and will include curriculum development, continuing professional development and general awareness training among NHS staff.
The GMC and NHS England are also currently considering piloting a formal process for accrediting competencies in gender identity. To provide a better service nationwide, we will revolutionise service provision. We are seeking new providers to host gender identity clinics, and we will tender for them via national procurement in 2017. We will ensure that they can deliver the requirements of the updated service specifications for adult services. That means not only clinics offering better services, but ensuring better geographical spread.
Deidre Brock
Will the Minister confirm that she will review spousal consent, which puts a person’s right to have their true identity recognised in the hands of someone else? It does not happen in Scotland. Will the Minister look to the Marriage and Civil Partnership (Scotland) Act 2014 to see how the issue might be sorted out?
Caroline Dinenage
It sort of happens in Scotland, but it is a different legal process. We will continue to monitor cases whereby married trans people are victimised by spouses with malicious intent. However, it is important to say that marriage is a contract between two individuals and it is right that both partners should have an equal say in the future of their marriage when there is a fundamental change.
NHS England’s new service specification will reflect the standards of care and will be out for consultation in the new year. NHS England has already published a new service specification for children, and a clinical commissioning policy for prescribing cross-sex hormones to gender-variant young people. The new policy is consistent with international guidelines and best practice.
Having a positive experience of childhood is vital, especially for trans children as they come to realise who they truly are. A number of Members, including the hon. Member for Brentford and Isleworth, said that schools have an important role to play in ensuring a positive experience.
My Department is commissioning research to understand whether social work training has sufficient coverage of gender variance. The initial research will be concluded by the end of March 2017, and we will use the findings to decide whether additional training materials should be made available. Outstanding and remarkable work goes on in some of our schools to support our trans students, which I have seen myself. I personally intervened to make changes after visiting a school where a headteacher raised the issue of recording pupils’ desired gender on school records. New guidance was subsequently issued in April—pupils can now sit their exams and receive certificates in their correct gender, which not only reflects who they are, but reduces the risk of their being outed in later life.
Other work that was not in the Select Committee report is under way. We are funding questions in the British social attitude survey on public attitudes towards trans people; issuing guidance on the provision of gender neutral toilets; and publishing guidance in the civil service on how to survey trans staff within Government Departments.
I hear the comments that the Government have not gone far enough or fast enough on trans equality. My response is to watch us as we deliver sustained and embedded change. We have shown that we can achieve major social reform—after all, we are the Government who introduced same-sex marriage, a defining milestone in equality. We will achieve the same milestone for our trans community by revising the Gender Recognition Act, and through other major initiatives.
I thank the Women and Equalities Committee for its report. We will continue to listen to all the voices on this important matter and deliver positive change for the trans community.