Health Bill

Kate Osborne Excerpts

Report stage & 3rd reading
Tuesday 8th September 2026 Commons Chamber

[Madam Deputy Speaker]

Order. I call Kate Osborne.

[Kate Osborne (Jarrow and Gateshead East) (Lab)]

If I may begin on a personal note, just three weeks ago I had a second operation on my back, and I wish to put on record my sincere thanks to the staff who cared for me, from the clinicians who treated me to everyone involved in my care and recovery. [Hon. Members: “Hear, hear.]

Too often our access to healthcare depends on our postcode. That postcode lottery is stark in a number of areas, but nowhere more so than with IVF. As chair of the APPG on fertility, I have raised this issue repeatedly with Ministers. I again invite Ministers to attend our fertility roundtable tomorrow and to commit to ensuring that every ICB follows, at the very least, the NICE guidelines on access to IVF and fertility treatment.

We must strengthen the role of voluntary, community and social enterprise organisations in neighbourhood health planning and NHS commissioning. Voluntary organisations understand the barriers to care for hard-to-reach communities and often have trusted relationships with communities that statutory services struggle to reach. We see that particularly clearly in HIV and AIDS provision. Voluntary organisations have been fundamental to the UK’s response for decades, through prevention, testing, peer support, tackling stigma and supporting people living with HIV. I am extremely grateful to the National AIDS Trust for working with me on the new clauses, and I thank Ministers for their constructive engagement. Members of the LGBT+ community must have trust in healthcare providers, and community groups bridge that gap when needed.

New clauses 142 and 143 would actively harm vitally needed healthcare. The provision in new clause 142 has already been rejected in Committee, and we see it for what it is: an opportunity to attack some of the most vulnerable in our society. Access to much-needed healthcare has already been paused in the UK, and if access to treatment for gender dysphoria is now to be dependent upon additional research, the pathways trial must go ahead without further delay.

The provisions in new clause 143 were also rejected in Committee and are another attempt to vilify. The amendment fails to recognise the framework already in place to ensure that single-sex services are provided where they meet the requirements of the Equality Act. Neither the code nor the Supreme Court judgment mandate the provision of single-sex facilities. Providers must still consider whether the service falls within an exception within the Equality Act, whether single-sex provision is proportionate, what the impact might be on trans people, and what mitigation might be necessary.

I welcome the 10-year health plan. We have made great strides in repairing the damage done to our NHS—

[Madam Deputy Speaker (Caroline Nokes)]

Order. I call Sir Bernard Jenkin.

Puberty-suppressing Hormones

Kate Osborne Excerpts

Wednesday 11th December 2024 Commons Chamber

[Wes Streeting]

It is important, particularly with this group of children and young people, that clinicians ask a range of questions to identify the nature of a child’s needs, and respond appropriately by providing holistic and evidence-based healthcare. That is the best way of turning around the horrendous statistics on the effects of gender dysphoria on children and young people, and it is how we will achieve better, healthier and happier outcomes for that cohort of patients.

[Kate Osborne (Jarrow and Gateshead East) (Lab)]

I wrote to the Secretary of State this morning, before his statement was announced, to highlight that a Council of Europe report notes that gender-affirming hormone therapy for trans minors in the UK is almost impossible to access, and that the total withdrawal of access to healthcare outside of a research trial may breach the

“fundamental ethical principles governing research”.

The restrictions on puberty blockers remove the clinical expertise from medical decision making, which significantly impacts on young trans people and their families, and I am hugely disappointed by the content of the statement. Will he read that Council of Europe report, and will he agree to meet me, as a UK delegate, to discuss it?

[Wes Streeting]

I am certainly happy to continue meeting my hon. Friend on this issue. With great respect to the Council of Europe and the authors of the report that she mentions, I have to take decisions about the welfare, wellbeing and safety of children in this country based on clinical evidence. When our own Commission on Human Medicines says that there is an “unacceptable safety risk” and an unsafe prescribing environment, I have to take that seriously. When one of our country’s leading paediatricians says that there is insufficient evidence about the long-term effects of the use of this particular drug for this particular purpose for this particular cohort of children and young people, I have to take that seriously.

I know there are people who will be deeply disappointed by this decision, including many trans people and their families. Thinking about some of the young people I have met in recent weeks and months, I have taken to heart what they have said, and I know this will be deeply upsetting to them. I do not take that lightly, but to anyone challenging me to do something else, I ask them quite sincerely whether if they were standing in my shoes as the Secretary of State for Health and Social Care, looking at recommendations from clinicians in our country—including the Commission on Human Medicines—saying that there is insufficient evidence for the use of medication in children and young people for this purpose and an unacceptable safety risk arising from the current prescribing environment, they would really take a different position.

Income Tax (Charge)

Kate Osborne Excerpts

Tuesday 5th November 2024 Commons Chamber

[Kate Osborne (Jarrow and Gateshead East) (Lab)]

I congratulate all hon. Members making their maiden speeches today, especially my regional colleague, my hon. Friend the Member for Sunderland Central (Lewis Atkinson).

I am proud that, while making history as the first ever woman to deliver a Budget, our Chancellor honoured a true hero of my constituency: Jarrow’s “Red Ellen” Wilkinson. Ellen was a remarkable politician and trailblazer for women everywhere. It is about time that we had some recognition of women in this place, and I am pleased that the Chancellor has made a start on the artwork, with the fabulous picture of Ellen on the wall in 11 Downing Street. We need many more pictures of women trailblazers across Parliament.

The Budget shows that we are a Government who will work for the people. There is a lot to celebrate, including the largest ever increase in carer’s allowance, closing inheritance tax loopholes, additional funding for further education, increasing the national minimum wage, investing in breakfast clubs, record investment in the NHS, ensuring that former mineworkers get the money that was kept from their pensions, which is hugely important to my constituents, and setting aside funding for the contaminated blood scandal, as well as for the victims of the Horizon scandal, for which I have long campaigned with my constituent Chris Head.

I will continue to push for people to be held to account for their role in the Horizon scandal, and for a speedy resolution so that outstanding claims are paid in full. Nothing should stand in the way of victims finally getting justice. They should not have been left waiting decades by the Conservatives. Someone might think from the contributions of Conservative Members that the last 14 years had never happened, but our public services are at the point of collapse, no youth centres are left, school buildings are crumbling, the NHS is in crisis and the economy was crashed because of the Conservatives’ gross incompetence and deliberate mismanagement, as they put their cronies over the people of this country. Finally, we can move on from 14 years of Conservative destruction of our communities. In this Budget, the poorest households gain the most and the wealthiest pay the most. That shows the difference that a Labour Government can and will make.

Of course, I wish we could have done much more. I wish the Budget had been able to lift the two-child benefit cap. I wish we had been able to right the injustice for women from the Women Against State Pension Inequality Campaign. I wish we could have increased the pension credit threshold. I wish we could have invested more in our local authorities. However, let us be very clear: the fact that we cannot do any of that is entirely down to the Conservative party.

As chair of the north-east all-party parliamentary group, I know that transport is one of our most important challenges, alongside employment opportunities and investment. Although I will celebrate the clear wins, I will continue to work with Government Front Benchers to ask for more investment to improve the lives of people in the north-east, particularly my Jarrow and Gateshead East constituents.