Health Bill

Debate between Caroline Nokes and Kate Osborne

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.

Women and Equalities Committee

Debate between Caroline Nokes and Kate Osborne

Thursday 8th September 2022 Westminster Hall

[Caroline Nokes]

I thank the hon. Member for her question. She makes an important point. Not all women will experience the menopause in the same way, and not all cultures will address it in the same way. One of my biggest challenges as Chair of the Women and Equalities Committee is to make sure that we address the intersectional issues. Fifty-one per cent. of our population are women, and the Committee will always be champions for them, but we must also address the different ways in which people of different ethnicities and ages and those with different disabilities will encounter various challenges relating to not just the menopause but health and workplace issues. It is imperative that we keep emphasising that, and that we do not take a one-size-fits-all approach to the issue of equalities, because it is simply not appropriate.

[Kate Osborne (Jarrow) (Lab)]

As well as making up over 50% of the population, women are the fastest growing group in the workplace and are staying in work longer than ever before. Does the right hon. Lady therefore agree that it is vital that the Government appoint a menopause ambassador to champion good practice, and that they commence section 14 of the Equality Act 2010 to allow dual discrimination claims? And a fellow member of the Women and Equalities Committee, does she agree that, despite the fact that the word “women” has this week been dropped from departmental and ministerial titles relating to women and equalities, women, as well as equalities, will always remain at the top of the Committee’s agenda?

[Caroline Nokes]

I thank my fellow Committee member for her question. It is important that we have a menopause ambassador. The hon. Member is right to point out that the largest growing demographic in the workplace is women over 50. I would like to see much more effort go into championing—I hate to have to say this, but I declare an interest—women over 50. We potentially have ahead of us the best part of 20 years of further contribution to make to the workforce before hitting retirement age. It is imperative that we champion—I hate to use this word—older women, women with experience, and women who can act as role models. It is crucial that we do so. A menopause ambassador would be a good step, and I would like them to have a cross-cutting remit so that they can consider what can be done at DWP and the Department of Health and Social Care, and how menopausal issues can be championed in education and, of course, at BEIS. That would be a wide remit, and I am absolutely fixated on this. We should be looking at ways in which we can ensure that there are opportunities for women to retrain and to access finance to establish and grow their own businesses. There would be a massive boost to the economy if women were starting and scaling up businesses at the same rate as men.

The hon. Member makes an excellent point about dual discrimination, which the report covers in detail. The report does not call for menopause to instantly be made a protected characteristic, but we do say that the Government should consult on that, and I hope that they will have the courage to do so. We also say that section 14 of the Equality Act should be enacted immediately. I apologise for this very long answer, but that would give women the ability to bring a discrimination case on two protected characteristics—namely, age and sex. That would be a really important step forward, because we know that the menopause happens only to natal women and to those women who have transitioned to be legally men, so we must not exclude them and it is crucial that we do not forget about them.

We know that discrimination against LGBT+ people can be more severe than against others. A dual discrimination claim could be enacted swiftly and easily, and it would mean that women would not have to bring claims about the menopause under disability discrimination legislation. The menopause is many things—it is hideous, it is hot, it takes away your ability to concentrate and can leave you unable to sleep—but it is not a disability. Interestingly, many of the cases that have been brought under disability discrimination legislation have been found not proven, because it is not a disability.

The hon. Lady made a final point, one which is core to the work of my Committee, about the inclusion of the word “women” in women and equalities. I am absolutely determined that, in my time as Chair, the Committee will champion the rights of women and the inclusion of women, and will not see women erased.