Transgender People: Provision of Healthcare

Oliver Ryan Excerpts

Tuesday 16th December 2025 Westminster Hall

[Oliver Ryan (Burnley) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship, Mr Turner. I thank my hon. Friend the Member for North Warwickshire and Bedworth (Rachel Taylor) for securing this important debate. She is the champion we all deserve, and she almost brought me to tears with her passion in opening the debate. I commend her work and her advocacy. She is a modern-day LGBT icon, and I feel privileged to serve with her.

In a world that feels increasingly divided, debates like this matter because they force us to confront and test a simple but critical principle: the great, objective universality of our healthcare system—who gets access to healthcare, and who is treated? My gut, my politics and my experience as an LGBT person say everyone. I am sure that all Members present would agree that healthcare is not a privilege to be earned; it is a right grounded in dignity, compassion and evidence-based care. It is an inalienable right of every citizen of this country. To get to the nub of this debate, that means transgender people too, such as constituents who have come to see me in my surgeries. They are not asking for special treatment; they are asking for the same thing as any of us would expect: timely, safe and respectful healthcare, and dignity.

I am sorry to say, however, that healthcare falls short for them. Thousands of transgender people are waiting years for first NHS appointments. Those are not just statistics, as my hon. Friend the Member for North Warwickshire and Bedworth said, but people spending years of life in uncertainty and distress—years when people put their lives and careers on hold, delaying their education and questioning whether they will even survive long enough to be seen. Where care is delayed, it is denied, and 48,000 trans people are currently on waiting lists. Many are pushed towards unregulated overseas routes, not because they want to bypass safeguards but because the alternative feels unbearable. Families make decisions out of love and desperation, often fearing self-harm or suicide if they are left without support. That is not a failure of those families; it is a failure of an outdated system, which apparently is unfortunately questioning its duty to these individuals.

[Josh Newbury (Cannock Chase) (Lab)]

Something that I hear from concerned parents of trans children and young people, who are often such powerful advocates for them, is that they feel powerless to help their children, so does my hon. Friend agree that support and guidance for families and friends must absolutely be embedded in gender-affirming care, as we hopefully expand and invest in that?

[Oliver Ryan]

I thank my hon. Friend for that very relevant point. He took the words right out of my mouth, to quote Meat Loaf. We must also recognise that the wider picture, though, is that transgender people face questioning or even denial of their very existence as people. They face barriers not just in specialist gender and transitioning services, but across society as well as our healthcare system, including GP surgeries, maternity care, cancer screenings and mental health support. Too many avoid seeking help altogether not because they are disengaged, but because they fear being misunderstood, judged and discriminated against, or turned away, as unfortunately they are, as the evidence tells us.

Taking this away from silly social media debates, evidence-led medicine, properly funded services and clear clinical guidance do not harm patients; they protect patients. In a world where there is still so much hostility, we have a responsibility and a duty to work harder to ensure that everyone has a place. I know that this Labour Government, at their core, believe that. This House has a responsibility to speak up for those individuals who are too often drowned out by fear and misinformation and by the madness of the online space because we owe it to the sort of country we want to be, where we consider everyone in a mature, dignified and rational way to be worthy of healthcare.

I am not transgender, but I believe in fairness and the principle of good, timely, effective, universal access to healthcare, which applies to transgender people as much as anyone else, because at its core, this is about whether we meet people at their most vulnerable moments with care or with closed doors, and I know which side of that choice I stand on. I hope to hear the Minister take up the points my hon. Friend has made, and I hope to see a more dignified approach to this debate from all concerned in future.