Puberty Blockers Clinical Trial

Tom Tugendhat Excerpts

Monday 23rd March 2026 Westminster Hall

[Tom Tugendhat (Tonbridge) (Con)]

It is a pleasure to serve under your chairship, Mr Mundell. We should start off by recognising that the life choices that adults make, in whatever way they make them, are to be respected and not criticised. This matter is not in any way a criticism of anybody who chooses a trans identity or who identifies as trans, or who chooses any other identify or identifies in any other way. It is simply about the experimentation on children.

Let us be clear: we would not tolerate any form of medical experimentation on children in such an uncertain category with any other treatment. We would, quite rightly, put forward the Hippocratic oath to do no harm. To change that, particularly for a group of children who are often already suffering from some other element of potential harm, including autism, as the hon. Member for Canterbury (Rosie Duffield) mentioned, would be to re-victimise children who are already vulnerable. This issue must be treated delicately and carefully, but the truth is that it is getting wrapped up in identity politics and being played with politically by those who wish to advertise their progressive credentials but who are forgetting that it is fundamentally about one thing: the protection of children.

[Tonia Antoniazzi]

Will the right hon. Gentleman give way?

[Tom Tugendhat]

I will not. Whatever the views of people in this room, there is a second element that this Government must consider. We are already seeing honourable individuals like Keira Bell who have raised the problem of detransitioning, and we are seeing the legal costs of their actions against the state. What money has the Government set aside for legal action for those who are too young to consent because they are not 18 years old and who will therefore able to bring legal action against the state for any experimentation that was done on them, as would have happened in this circumstance?

Meningitis Outbreak

Tom Tugendhat Excerpts

Tuesday 17th March 2026 Commons Chamber

[Wes Streeting]

We can be proud in the United Kingdom that this was the first country in the world to roll out the menB vaccine. As for who might be eligible in the future and on what basis, we always rely on the advice of the JCVI, which is independent and is based on the data and on scientific research. However, owing to the nature of this outbreak and the speed at which we have seen the disease spread, I am asking the JCVI to look again at the advice that it has provided, without prejudice to any decision that it might make. Given our most recent experience and what we have seen in recent days, I think it prudent for the JCVI to take those factors into consideration and issue fresh advice to the Government.

[Tom Tugendhat (Tonbridge) (Con)]

I thank the Secretary of State and the medical teams who have responded incredibly quickly, particularly UKHSA, which has done a phenomenal job in tracing and in making sure that we have preparations in place. There are lessons to be learned, but we will park that for a moment.

May I ask about the antibiotics? People from not just east Kent but Tonbridge were at Club Chem on the relevant days and, for very understandable reasons, they do not particularly want to go all the way back to Canterbury; many of them are feeling rather nervous about it. Is there a reason why the antibiotics are not available in Tonbridge, as I have been told by one of the medical groups in the town? Is there a possibility that the antibiotics will be spread, so that people can receive them in other locations?

[Wes Streeting]

Following the right hon. Member’s question, I will ask whether expansion to Tonbridge would be a sensible thing to do, given the number of people who may have been in Club Chemistry on the relevant dates. I take his point about some people not being willing or able to travel to the four sites that have been made available in Broadstairs and Canterbury. None the less, and not least because some students have left university for the Easter break, we are making sure that GPs are able to prescribe antibiotics through the NHS. I know he is talking about different cases—they will not be students—but we will make sure that people can get access to antibiotics via their GP. If I have not fully answered his question—he is shaking his head—I will catch him after this session to make sure that I do.

Puberty Suppressants Trial

Tom Tugendhat Excerpts

Wednesday 17th December 2025 Commons Chamber

[Wes Streeting]

My hon. Friend is absolutely right that we must engage with due care and sensitivity on this issue. I can share with the House that these exchanges, Government policy, what is said by me and others, are followed extremely closely by this group of children and young people, who are extremely online, and by the wider LGBT+ community. My hon. Friend is right that trans people are often at the wrong end of the statistics as victims of hate crime, discrimination and mental ill health. We must always tread carefully when talking about suicide in this context, and bear in mind the warnings of the Government’s adviser on suicide prevention, Professor Louis Appleby, and the way in which that issue has been deployed irresponsibly by critics of the ban on puberty blockers that was put in place—we bear all those things in mind. I do think we have a high-quality trial set up. I do have confidence in the clinicians. We have had a cross-party briefing from the clinical team. I am happy to repeat that exercise, to keep coming back to the House and to arrange briefings for MPs and peers on a cross-party basis so that we can follow this closely, as we should.

[Tom Tugendhat (Tonbridge) (Con)]

I welcome the care with which the right hon. Member has approached much of this, and I appreciate that he has before him some very difficult decisions, especially because of the way the report was written. But I must come back to the simple truth that these are very young children, and decisions will be made for them—I appreciate by parents, taking that element of consent—that are genuinely irreversible. Whatever happens, we will see eight, nine, 10-year-olds grow up to be 18, 20, 25-year-olds—at least we hope we will—who have effectively been experimented on. Some of those children will resent greatly not just the system and their parents, but those who allowed this to happen, and here I identify the Department for Health and Social Care, not necessarily the Secretary of State himself. What provision is he putting in place to ensure that should those children wish to bring legal action against the Department, against those who took these decisions at a time when they were not able to give any form of informed consent, they will be able to have redress and their day in court?

[Wes Streeting]

I first thank the right hon. Member for the way in which he puts his concerns. I know he is concerned about this trial and that he has stated publicly his opposition to it, and I enormously respect the way in which he has done that. These are finely balanced judgments, and I acknowledge that.

The Cass review found that puberty blockers have been prescribed routinely without good evidence for their safety or effectiveness, and that is why a clinical trial was proposed. They are licensed and used safely in much younger children for precocious puberty or in older adults for certain cancers. For adolescents, the interaction with all the different processes of puberty may be very significant, which is why more evidence and a better understanding of their impact is needed in this patient group. Anyone on the trial can choose to stop taking puberty-suppressing hormones and leave the trial at any time; they do not need to give a reason. If a young person decides to stop taking puberty-suppressing hormones, their care in the NHS, including the gender service, will not change in any other way, and their doctors will explain to them and their parents or guardians what treatment options are available.

I know that there are concerns about the longer-term impacts on fertility. Prospective participants will be given comprehensive information on the advantages and potential risks of the hormones, including details about preserving fertility. Doctors will explain the possible long-term consequences and available options. Young people will also be offered consultation with a fertility specialist. The young person and their parent or guardian must clearly demonstrate a full understanding of all these issues—only then, after that, would a clinician sign off on admission to the trial.

Income Tax (Charge)

Tom Tugendhat Excerpts

Tuesday 5th November 2024 Commons Chamber

[Tom Tugendhat (Tonbridge) (Con)]

I pay tribute to the hon. Member for Stourbridge (Cat Eccles), who gave a very full description of the constituency that she is privileged to represent. Her predecessor, Suzanne Webb, was a great friend of mine. The hon. Lady has taken over from a fine individual, who is now contributing in many other ways to our national life. I also pay tribute to the hon. Member for Yeovil (Adam Dance), who has the great good fortune of representing my godson, a farmer in his constituency, who will no doubt be contacting the hon. Gentleman shortly about some of the issues that have arisen in recent days.

I myself want to speak about those issues. Today, we are rightly speaking about public services—the NHS, on which we all rely, and those important elements in our lives that keep us together, underpin our economy and really hold us strong. But we are not just speaking about the product, the outcome—the output of those doctors, that money or those services. We are also speaking about the input, because we simply cannot have the one without the other. That is what I want to address.

What we have seen in this Budget is not just the largest tax rise in decades, the highest tax take since the war and greater indebtedness, effectively burdening our children with what we are spending today. When it comes to the fundamental challenge, the Budget is failing to understand how an economy works and why the relationship between generations matters so much. The story that the Budget tells is about a Government who do not understand what a family, generation or business is and do not understand why businesses investing today need the ability to plan long-term and not just be taxed halfway through.

The point is seen most obviously in the tax on farming and on the inheritability of farming property. The truth is that farms are unlike many businesses; they cannot simply be salami-sliced in the hope that they will survive. That just does not work. Individuals end up being forced to decide not just to pay the 20% that the Government ask for but to sell the 100% to liquidate the assets required. That is injecting a dangerous short-termism into the economy.

The truth is that the Government can really only do two things. The first, really important thing is to keep us safe. We all know that the first job of government is national defence and national security. But the second thing, often overlooked, is the ability to extend time horizons. It is very difficult for individuals to have time horizons beyond a certain point. In early human existence, the horizon was a harvest or a season; in the Anglo-Saxon period, people may have got it to a generation or possibly even a reign. But the genius of the industrial age and our democratic age has been to extend that time horizon over generations. We have done that through the rule of law and through understanding taxation and the predictability of an economy. We have done it because we have understood that if parents invest, children, grandchildren and great-grandchildren can reap the rewards.

What the Government have done, I am afraid, is to reverse that. They have shortened the time horizon and assumed that people—all our citizens—are not investors in the future, but employees of today. That fundamental misunderstanding of what it is to grow an economy is why this Budget is so bad.

[Paul Waugh (Rochdale) (Lab/Co-op)]

Will the right hon. Gentleman give way?

[Tom Tugendhat]

As the hon. Gentleman is an old friend, I will—for one minute.

[Paul Waugh]

I thank the right hon. Gentleman on the Tory Benches, which are singularly understaffed right now. But it is the almost criminal levels of understaffing in our NHS that affects most of our constituents. He is an honourable gentleman, so does he not feel a sense of shame that, every single day in our NHS, midwives, doctors and nurses cannot fill their staff rotas? They cannot do the job that they want to do and that we need them to do.

[Tom Tugendhat]

It is a pleasure to hear the hon. Gentleman, who has come off the fence and now has a seat; he can express his views freely. What fills me with sorrow is when I look at the future—when I look at the businesses that have invested so hard in places such as Tonbridge and now cannot pass that on over generations and over time. The investment timeline is being reduced and so is the growth. Do not just take my word for it—the Office for Budget Responsibility, the National Farmers Union and every business in this country have been clear on the point. The Government are not just taking the eggs from the golden goose; they are slaughtering the goose by trying to get the eggs out quicker. That simply does not work.

We all know what is going to happen next: the Government are going to have to come back for more. We just need to look at the predictions by various financial bodies over the last few days, which have been talking about our running out of the money raised in the Budget in the next two or three years. We know why that is going to happen. This Budget is not investing—worse than that, it is not encouraging investing. It is trying to exploit.

[Sarah Smith (Hyndburn) (Lab)]

As a member of the Government at the time of the disastrous mini-Budget, does the right hon. Gentleman seriously expect us to take lessons from him on how we grow the economy, return to economic stability and get the desperately needed investment into our public services that his Government failed to deliver for the past 14 years?

[Tom Tugendhat]

The hon. Lady can play politics if she likes; I am trying to think about the future of the country.

Dyson, who was not in any Government, is pointing out the problems being raised. Minette Batters, who was not in any Government, is pointing out the problems being raised.

[Mr Perkins]

Will the right hon. Gentleman give way?

[Tom Tugendhat]

No, not just now.

The truth is that what we are seeing is a level of short-termism. That is completely clear in agriculture and industry, but the tragedy is that it is also clear in education. A great privilege of being the MP for Tonbridge is that I represent some of the finest schools in this country—others may claim that title, but I know that I speak the truth when I say that. Many of those schools are grant-maintained in different ways; others are private. They are, in many ways, a web of education that works extremely well together in our community. Some, such as Hillview School for Girls—a fantastic school at which I was privileged to be on the governing board—are state schools, while others, such as the Judd school, are grammar schools, and one, Tonbridge school, is private.

The truth is that the 20% plus business rates—I think the extra cost that will now fall on private schools comes to about 40%—means that every single kid in my constituency will have to pay for the VAT in some way. Either they will have to pay for it because fees go up, or they will pay for it because class sizes are larger. I am afraid that the schools will not be able to swallow the costs, so we will see pressure all the way through.

[Lizzi Collinge]

Will the right hon. Gentleman give way?

[Tom Tugendhat]

I will not, because I have been asked to be quick.

That is not just a burden on those kids, but a rejection of the relationship between family members in their willingness and desire to invest in the future.

I know that the Labour Government claim that the only way for investment to be done is by the state, that the only thing that really matters is when that is done by a bureaucrat and a civil servant, that the only thing that really counts is when the Government pay for it. But we know that is simply not true. We know that business and the freedom to invest, plan and forecast are what make an economy grow. Sadly, the Government have tried to nationalise the future, shorten the time horizon and make us all pay for it. That is why growth is falling, taxes are rising and the future is made worse again and again under Labour.