Puberty Suppressants Trial

Debate between Iqbal Mohamed and Wes Streeting

Wednesday 17th December 2025 Commons Chamber

[Wes Streeting]

My hon. Friend is absolutely right. Given that I work for a former Crown prosecutor, I could not possibly disagree with her on evidence.

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

I thank the Secretary of State for his response to the urgent question. One thing we should all agree on is that the human rights of all, including trans people, must be protected and delivered by the Government and supported by us all. The reason we are here today is to discuss the risks and potential adverse consequences of the proposed pathways trial. The trial compares the timing of treatment initiation, rather than using a placebo. There is no arm that provides psychotherapy as a treatment option without puberty blockers, and there is no arm to assess children who do not receive any of those options. Will the Secretary of State consider ensuring that all the various arms and channels are tested as part of this trial to get a complete picture, rather than a partial picture, which may be misleading?

[Wes Streeting]

May I thank the hon. Member for the way in which he put his question? It is so important to emphasise that right across this House, there are many people who oppose this trial, but who do want to see trans people well supported and protected and to respect their identities. That is important for everyone to bear in mind.

The hon. Member talks about placebo. For obvious reasons in this case, a placebo would not be appropriate, because it would be very obvious whether a young person was receiving the real medication or the placebo, but the trial design has included a control group. The way in which the trial is established will help us to distinguish between the benefits of receiving or not receiving this particular medication, and there will be really close oversight of the impact on development, but he is right that we need to judge these things on the question of risk. That is what led Dr Cass to make her recommendation, and that is why I support it.

NHS 10-Year Plan

Debate between Iqbal Mohamed and Wes Streeting

Thursday 3rd July 2025 Commons Chamber

[Wes Streeting]

My hon. Friend is absolutely right and it is brilliant to have her expertise represented on the Government Benches. She is right about the importance of physiotherapy, not just for improved and better-quality recovery, but for admission avoidance. I want physios and other allied health professionals to be at the heart of the neighbourhood health service, and I know that she will hold us to account to ensure we deliver.

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

I also welcome the statement and the 10-year plan, and I offer my full support for most of the elements. Staying focused on the positive, I hope to be permitted to raise three points.

First, Dewsbury and Batley is unfortunately one of the many constituencies with dental deserts. Dewsbury West, a ward with over 20,000 residents, has no dentist, so how will the 10-year plan and the Government address that for my constituents?

Secondly, I fully support the plans to move healthcare into communities. In Dewsbury, we have a local hospital in the heart of the community that, with the right investment, could serve many more. Will the Secretary of State confirm that the Government will build on what we have, rather than fragment it?

Finally, Dewsbury and Batley is home to a wonderfully diverse community, but has some of the most deprived neighbourhoods, with the associated healthcare inequalities. Will the Secretary of State agree to visit my constituency so he can hear from my constituents and healthcare professionals, and ensure that their challenges are addressed?

[Wes Streeting]

In that constructive spirit, I can assure the hon. Gentleman that those things are contained in the 10-year plan for health. These changes are only possible because people voted Labour and because we have a Labour Government. In that spirit, he can be assured that in the run-up to the next general election, I will be pounding the streets of Dewsbury.

Mental Health Bill [Lords]

Debate between Iqbal Mohamed and Wes Streeting

2nd reading
Monday 19th May 2025 Commons Chamber

[Wes Streeting]

I am very grateful to the hon. Lady for that intervention. The Bill deals to an extent with cases that would fall under the category she describes, in particular through reforms to community treatment orders. However, it would not necessarily cover the full extent of the sorts of people who might find themselves in that position, which is where I think we can use technology—which is not the answer to every problem in the health service, by the way. However, through better use of data, patient records and analytics, we will be better able in the future to predict risk and prevent tragedies as in the case the hon. Lady describes, which are a tragedy not just for those whose lives are cut needlessly short, but for those who live their lives with that intolerable grief and loss for the many years that follow.

It is a shameful truth about our society that people with a learning disability or autism are detained, sometimes for years, with little or no therapeutic benefit. The Bill will put an end to that injustice, limiting detentions so that people with a learning disability and autistic people are no longer detained beyond 28 days unless they have a co-occurring mental health condition that would benefit from treatment in hospital. This will require the necessary community provision in place to support people with a learning disability or autism, and we are working to set out what strong community services look like and on the resources required to implement them, so that there are robust alternatives to hospital care.

To help to plug the flow of inappropriate admissions to hospital, the Bill places a duty on integrated care boards to improve monitoring and support for people with a learning disability or autism who may be at risk of future detention. The Bill will introduce statutory care, education and treatment reviews to ensure that patients are safe and receiving the right care and treatment when detained, and that a plan to discharge them to the community is being worked up. We will also remove prison and police cells from the definition of “places of safety”. Police cells are for criminals, not patients in desperate need of medical help.

Throughout the development of these reforms, we have maintained the central purpose of the Mental Health Act—to keep individuals and the wider public safe. The vast majority of people with mental illness, including severe mental illness, present no risk to themselves or others, and, for the majority of people, treatment can be provided without compulsion. However, there are some people whose illness, when acute, can make them a risk to themselves, and sometimes to others.

No one knows this better than the families of Ian Coates, Barnaby Webber and Grace O’Malley-Kumar, the victims of Valdo Calocane’s violent rampage in Nottingham, whose campaign for justice and accountability has been truly awe-inspiring, or indeed the family of Valdo Calocane, with whom I have also spent time, listening to their experience of feeling badly let down by health services. As the independent investigation into the murders found, both he and his victims were failed by the health service, and their families have been left to live with the consequences with a level of pain the rest of us can scarcely imagine. I would like to place on the record my thanks to all four families for meeting me as my team and I worked on the Bill.

Thanks to the amendments that we are making to the Mental Health Act, decision makers will have to consider the risk of serious harm when making decisions to detain. That will ensure that any risks to the public and patients are considered as part of the assessment process. We will also introduce a new requirement for the responsible clinician to consult another person when deciding whether to discharge a patient, putting in place robust safeguards against the release of potentially dangerous people.

Finally, as I have said, legislation alone will not fix the wider issues of increasing mental health needs and long waiting times. To do that, the Government are investing in earlier intervention to meet patients’ needs and prevent them from reaching crisis point.

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

Will the Secretary of State give way?

[Wes Streeting]

I am just coming to my conclusion, I am afraid.

In the past 10 months, we have met the mental health investment standard for 2025-26; invested an extra £680 million in mental health services this year, which is a real-terms increase; funded mental health support teams in schools for almost an extra 1 million pupils; invested an extra £26 million to build new mental health crisis centres; funded NHS talking therapies for an additional 380,000 patients; and begun recruiting the 8,500 mental health professionals we promised in our manifesto. That is all part of the additional £26 billion this Labour Government are investing in health and care services—investment that was opposed by every party on the Opposition Benches; investment that is happening only because we have a Labour Government.

Mental health reform is not just about changing laws; it is about changing lives. The action we are taking will provide support and care to people at their most vulnerable, modernise our mental health services to keep us all safe, and create a safety net that any of us might need one day. I commend the Bill to the House.