Gender Self-identification

Debate between Polly Billington and Roz Savage

Monday 19th May 2025 Westminster Hall

[Dr Savage]

I am keenly aware of the distress that the Supreme Court ruling has caused. It seems to fly in the face of common sense when somebody who is clearly living life as a female would, under this ruling, have to go into male spaces. It beggars belief. The ruling hurts not only trans people, but any woman who does not conform to feminine norms, who may be challenged on entering a women’s space. This is not just a legal roll-back for trans rights, but a roll-back for women’s rights.

A recent survey response from a parent said:

“I’m primarily worried about my trans daughter’s safety as a result of the ruling. I’m also worried about my cis daughter’s future and the increasing pressure to conform to restrictive gender stereotypes.”

A trans person responding to the same survey said that they felt:

“Stress, anxiety and uncertainty for the future. More and more I feel like I am having to shrink my life for my own protection”.

[Ms Polly Billington (East Thanet) (Lab)]

It is a pleasure to serve under your chairship, Mr Mundell. I am struck by not only the Supreme Court ruling, but the interim guidance from the Equality and Human Rights Commission, which is causing extreme distress for a number of my constituents. I am having to rely on Margate Pride’s own advice to businesses to reassure them about things in the ruling and the guidance—they should be taking into account that it is not legally binding and does not change the law, and that businesses should not feel pressured to rewrite or roll back their trans-inclusive policies based on the draft guidance alone. This situation, in which interim guidance from the EHRC is causing more stress and anxiety than the initial ruling, is not acceptable for anyone. Anybody who thinks that the Supreme Court ruling is drawing a line or making things clear is greatly mistaken.

[Dr Savage]

I absolutely agree. This already vulnerable group, many of whom struggle with mental health issues, are struggling even more as a result of the confusion arising from the ruling.

I was quoting a trans person who responded to the survey. They continued:

“When discussions of safety have been in Parliament, there is a complete lack of empathy for the invalidation and fear trans individuals are experiencing.”

I say to that person and other people in the trans community that I hope they are witnessing the empathy that is being expressed in this Hall today.

The Government must modernise, simplify, clarify and reform the intrusive and outdated gender recognition law and bring in a new process, as they promised at the last general election. We are being told the current system is robust, but how can a system be robust when over 31,000 people are still waiting just for their first appointment at a gender identity clinic? Some will wait for more than seven years. Many will never make it through the process—not because they lack the seriousness, but because the bureaucracy is unbearable, as is the toll on their mental health. Public Health England said that over a third of trans people have attempted suicide at least once. A human tragedy is unfolding as a result of the lack of suitable support and enough resources to see trans people through the process.

National Insurance Contributions (Secondary Class 1 Contributions) Bill

Debate between Polly Billington and Roz Savage

2nd reading
Tuesday 3rd December 2024 Commons Chamber

[Ms Polly Billington (East Thanet) (Lab)]

The decision we are taking today to raise employer’s national insurance contributions is a difficult one, but ultimately, it is the right choice. The situation we inherited from the last Government was so dire that it means tough choices need to be made. Asking larger businesses to pay a little more so that we can fix our broken services is a fairer option than asking working people—who already face the highest tax burden since the second world war—to pay more.

My case today is not only a moral case, but an economic one. People who think public services are a drain on the economy fail to understand how those public services make our economy function. I am reminded of a 70-year-old woman I met on the doorstep in East Thanet who was told she would have to wait 16 weeks for an initial scan to find out whether she had cancer, or the mother who had to drive around east Kent in the dark before Christmas to get medical treatment for her child who was suspected of having meningitis, because she could not register her child at a GP practice. Healthcare in east Kent is on its knees. This year, East Kent hospitals trust, which runs the Queen Elizabeth The Queen Mother hospital in Margate, recorded the highest number of 12-hour waiting times in England. When polled, only 45% of its staff said that they would be happy for a loved one to be treated at that trust—what an indictment.

I am prepared to accept that problems like this have existed for longer than 14 years in coastal constituencies such as mine. The NHS crisis is particularly acute in coastal communities such as East Thanet, as highlighted by a 2021 report by Chris Whitty entitled “Health in Coastal Communities”. We have some of the worst healthcare outcomes in England, with a higher rate of major diseases and a lower life expectancy, so this funding is essential for healthcare outcomes in East Thanet and in coastal communities across the country. There is a real need for a coastal communities healthcare strategy, but I challenge the Opposition to say how they would fund our NHS and improve health outcomes in coastal communities. They want all the benefits of the Budget, but they will not back the measures to deliver those benefits. They need to take some responsibility for the situation we find ourselves in.

There are structural problems that we can put down to the last 14 years of Tory Government. Chronic mismanagement of the NHS and years of underfunding have left the health service crying out for help. Shifting public health responsibilities to local authorities makes sense and moving healthcare to where people live is an essential reform, but doing that while cutting real-terms funding for local authorities has been a disaster.

This is not just about making a moral argument for free healthcare at the point of use. I hope that argument has been won across most of society and in this place. This is an argument about people being able to contribute to the economy. We cannot have growth with a sick workforce and a failing healthcare system. This is about the people who are using savings to go private, or having to take time off work because they cannot afford to pay and are too sick to work. There are shift workers trying to earn money and waiting weeks for a doctor’s appointment, and small business owners working through healthcare issues when they should be getting treatment, because they cannot afford to take time off. Nobody says that this does not have an economic impact.

[Dr Roz Savage (South Cotswolds) (LD)]

I know that difficult decisions have had to be made, but I have been talking to small business owners. I am particularly thinking of the owner of a chain of convenience stores in Lechlade, and the difficult decision he is having to make of which of his part-time workers he is going to lay off in the run-up to Christmas. Should not the difficult decisions be those of the big tech companies about whether they actually pay their fair share of corporation tax? Should they not be the really tough—

[Madam Deputy Speaker (Caroline Nokes)]

Order. If the hon. Lady wishes to speak later in the debate, she is very welcome to do so, but interventions have to be short, and we have a lot of people to get in.