Puberty Suppressants Trial
Carla Denyer Excerpts(1 week, 6 days ago)
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Wes Streeting
My hon. Friend is absolutely right. Regardless of whether people are receiving this medication or not, we need to ensure that they receive the right therapeutic support to enable them to have healthy, happy childhoods and to understand themselves, the world they live in and how they relate to it in a way that does not cause them distress or harm. That is my objective in this process.
Carla Denyer (Bristol Central) (Green)
For young people questioning their gender, the pathways trial is currently the only route by which they are allowed to access puberty blockers, which are a treatment that can provide vital respite from the anguish of going through puberty in a body that does not match your gender, before long-term decisions may or may not be made as an adult. I therefore welcome the announcement of the trial, while recognising that significant barriers to entry remain. How will the Secretary of State ensure that as many young people as need to can access the trial, including those who need to access puberty blockers as part of support to improve their mental health?
Wes Streeting
I do not doubt the hon. Member’s sincerity and integrity on this issue, but I say to her respectfully that when she talks about barriers to entry, those “barriers” are safety and clinical oversight, as well as parental consent and the assent of the young person. I do not believe that those are barriers; I believe that those are necessary bars for participation in this trial.
Transgender People: Provision of Healthcare
Carla Denyer Excerpts(2 weeks ago)
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Carla Denyer (Bristol Central) (Green)
It is a pleasure to serve with you in the chair, Mr Turner.
It is a pleasure to represent a constituency with a thriving trans community. Too often, however, when I hear from trans people who live in Bristol Central or their loved ones, it is because they are struggling to access healthcare. Whether they are stuck on a waiting list to access a gender identity clinic or whether they are a parent looking for support for their child who is questioning their gender, again and again, trans people are refused healthcare that they are entitled to.
Despite the invaluable work of organisations such as TransActual and Stonewall nationally, and Trans Pride Bristol and Trans Aid Bristol in my home city, investment is not being made in public services; instead, trans people find that their rights are sacrificed to the same culture war that scapegoats migrants and people of colour.
When I speak to young trans and gender-questioning people and their families, a major concern is the ban on puberty blockers. Many were heartbroken when the Labour Government made the Conservatives’ temporary ban permanent, rather than rolling it back. That forces young people to go through puberty in a body that does not match their gender, as we have heard. I strongly urge the Department of Health and Social Care to think again on the puberty blocker ban.
I welcome the announcement of the pathways trial, which will give some young people a route to access puberty blockers. I asked the Secretary of State a year ago to clarify the size of the trial, and he assured me in the main Chamber that it would be uncapped. Yet it turns out that the trial will allow just 226 young people to take part. Please will the Minister explain why the numbers were capped, contradicting what I was told in the Chamber last year? Will she also respond to concerns that young people are being pressured to take part in the research because it is the only way to access the care they need?
Healthcare is no better for trans adults. As we have heard, waiting lists for gender identity clinics are unmanageable, with an eight-year wait in the south-west. Coroners have repeatedly referenced the length of such waits following trans people’s deaths. As a result, more than half of trans people have used private healthcare, creating a two-tier system for a community that already faces economic disadvantage. While I am pleased that a pilot wellbeing programme will be introduced for those on the waiting list, that is no replacement for getting trans people the timely healthcare that they need.
Trans people face more barriers to accessing healthcare than I have time to cover in this speech, but I want to highlight that I have had plenty of casework about shared care agreements that have suddenly been stopped, even for people who had accessed healthcare successfully for years through their NHS GP. The Levy review on adult gender dysphoria services might cover some of the issues, but I hope that it will cover all of them. I would like to hear from the Minister when that review will be published, if possible.
Puberty-suppressing Hormones
Carla Denyer Excerpts(1 year ago)
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Wes Streeting
The details of the trial are still being worked through. They will be and are subject to a robust ethical approvals process. Only once final ethical approval is granted is the final study design set in stone. As such, I cannot comment on the finer details at this time, but I just reassure the hon. and learned Member that the issues he raises are very much under consideration in the design of the trial.
Carla Denyer (Bristol Central) (Green)
I share the concerns expressed by experts at the Council of Europe that removing access to puberty blockers except through clinical trials may breach the fundamental ethical principles governing research, amounting to coercion and therefore a breach of young people’s human rights. Exactly how harmful that decision is, however, hinges on how easy or hard it is to get on the clinical trial. How many places will there be on the trial? If he cannot at this stage, can he please reassure me that he will take careful consideration of the fact that if the trial is limited in size, that will cause harm to more trans and gender-questioning young people.
Wes Streeting
The trial will be uncapped, and I reassure the hon. Member and the House that all NIHR-commissioned research must go through robust scientific and ethical approval processes, both of which can influence final study design. In terms of the design of this trial, ethics is an integral part of the trial’s approval.
NHS Dentistry: South-west
Carla Denyer Excerpts(1 year, 1 month ago)
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Richard Foord
My hon. Friend is right to draw attention to community campaigners, but frankly it should not require grassroots organisations to self-organise and mobilise; as representatives and as Government, we should be able to provide that in this, the sixth richest economy in the world.
Carla Denyer (Bristol Central) (Green)
I thank the hon. Member for arranging this debate and for his forbearance on the incredible number of interventions. Does he agree that to solve this problem once and for all, and not just deal with the emergency situations that have been mentioned, the Government need to move towards a model similar to that for GPs, in which dentists are reimbursed for their work and rewarded for caring for patients and taking a more preventive approach?
Richard Foord
Dentists need to be rewarded under an NHS dental contract that recognises that not everyone has the same ability to pay. Frankly, if a little money were invested early in preventive measures, some of our constituents would not cost the system nearly so much later.
At a Westminster roundtable on dentistry last year, it was made plain that the issue was about not so much a shortage of dentists, but a need to attract private practising dentists to NHS work. Many dentists, even those who would ideally prefer to work within the NHS, avoid NHS work or leave it, because the current system is not fit for purpose.
On Remembrance Sunday, I was talking to a couple near the war memorial in Sidmouth. They were both veterans. Between them, they had served for 62 years, and they were unable to get NHS dental appointments. They felt that they had dedicated their lives to public service and this was how the state was rewarding them.