Puberty Blockers

Debate between Rebecca Paul and Nusrat Ghani

Tuesday 23rd June 2026 Commons Chamber

[Rebecca Paul (Reigate) (Con)]

I frankly cannot believe that we are here again. When the Pathways clinical trial was paused earlier this year, I felt that there had finally been—[Interruption.]

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. Forgive me—there is a five-minute time limit, which is the only way that I can incorporate all the Back Benchers who wish to contribute.

[Rebecca Paul]

Yesterday, even the Secretary of State for Health and Social Care conceded—the second one to do so—that he is “uneasy” and even “uncomfortable”. I suggest that his discomfort is nothing next to the lifelong damage that the trial will potentially do to an extremely vulnerable cohort of children, whom we should be protecting. That funny feeling in his stomach—[Interruption.] Oh, he has left. That feeling is his good judgment trying to be heard—he will not hear this if he has left—and it is not too late for him to listen to it. I agree with what one of my hon. Friends said yesterday: he is a good man who is being placed under intolerable pressure on this issue. But he needs to find his courage.

The number of children and young people presenting to the NHS with gender distress increased dramatically in the years after 2009, with an exponential rise from around 2014. What is behind the increase among Gen Z is unclear, but the reasons are likely to be multifaceted. It is speculated that the factors may include 24/7 internet access, the increased acceptance of trans identities, or even peer social and cultural influences. Over the past 20 years, groups such as Stonewall and Mermaids have called for better access to treatment and more rights for trans people. Large corporates have gone big on diversity and inclusion to boost their brands.

--- Later in debate ---

[Rebecca Paul]

I thank the hon. Member for that excellent question. I obviously always respect and listen to different clinicians, but what is happening with this debate is that one set of clinicians with one view is being listened to. Let me remind everyone about lobotomies. Lots of very respected people came out for lobotomies; in fact, the person behind the idea won a Nobel prize. I think we would all agree that those clinicians got that wrong, so it is incumbent upon us in this House to always question. It is absolutely right that we listen to clinicians, but unfortunately we are seeing only one set of clinicians with one set of opinions being listened to here.

A Finnish study was published in April that looked at more than 2,000 adolescents and young adults who had been referred to gender services. It found that medical interventions did not reduce psychiatric problems and may even be associated with worsening mental health. How many times have we heard it said that puberty blockers offer a pathway towards improved mental health and reduced psychiatric distress for those struggling with gender identity? I have lost count. But there is hard evidence that not only says different; it says the opposite. I would be keen to understand from the Minister and the Secretary of State whether that study was taken into account before deciding to go ahead with the trial.

I want to point out that children and young people who grow up to be same-sex attracted are over-represented in this cohort, and that is something we need to think about. If we look at the case of Keira Bell, she was a lesbian struggling with her sexuality, and instead of people saying, “It’s okay to find other women attractive—there’s nothing wrong with that. You do not need to change your body,” they said, “Ah! You’ve got gender dysphoria.” They put her on puberty blockers, and then she went on to testosterone shots. She then had her breasts removed in a double mastectomy, and then she detransitioned. This is a deeply homophobic approach to healthcare. Those on the other side of the argument think they have the progressive position. I am sorry, but you are repeating mistakes that have been made historically—

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. Obviously, I have not said anything, so I am not repeating anything. No “yous” and “yours”.

Crime and Policing Bill

Debate between Rebecca Paul and Nusrat Ghani

Report stage
Tuesday 17th June 2025 Commons Chamber

[Rebecca Paul (Reigate) (Con)]

I rise to speak against new clauses 1 and 20, and in support of new clause 106, tabled by my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson). First, it is important for me to say that I fully support women’s reproductive rights. I think that we generally get the balance right here in the UK, and protecting that is a hill I would die on. However, I am disturbed by new clauses 1 and 20, which would decriminalise abortion up to birth. If they become law, fully developed babies up to term could be aborted by a woman with no consequences.

The reason we criminalise late-term abortion is not about punishment; it is about protection. By providing a deterrent to such actions, we protect women. We protect them from trying to perform an abortion at home that is unsafe for them, and from coercive partners and family members who may push them to end late-term pregnancies. I have great respect for the hon. Member for Gower (Tonia Antoniazzi), who has tabled new clause 1. We share many of the same objectives on other topics, but in this case I think she is trying to solve a very real issue—the increased number of prosecutions—with the wrong solution.

These amendments are driven by the case of Carla Foster, among others. Carla Foster is a mum who was prosecuted under UK law for carrying out an illegal abortion in May 2020, during the covid pandemic. She carried out the abortion at 32 to 34 weeks of pregnancy after receiving the relevant drugs through the pills-by-post scheme introduced during lockdown. This is a terrible case that harshly demonstrates the flaws with the current process, but the issue here is not the criminalisation of abortion after 24 weeks; it is the fact that Carla Foster was given the pills without checking how far along she was in the first place. She was failed by people here in Parliament who voted to allow those pills to be sent out by mail during lockdown without an in-person consultation. That was an irresponsible decision; and one that might have been forgiven in the light of a global pandemic if it had remained temporary. However, in March 2022 the scheme was made permanent.

If we want to protect women from knowingly or unknowingly acquiring abortion pills after 24 weeks of pregnancy and inducing an abortion at home, we must put an end to the situation in which those pills can be acquired without a face-to-face consultation at which gestational age verification by medical professionals can take place. These drugs are dangerous if not used in the right way, as we saw when Stuart Worby spiked a pregnant woman’s drink with them, resulting in the miscarriage of her 15-week-old baby. Make no mistake: the pills-by-post scheme enabled that evil man and his female accomplice to commit that crime.

It is also important to note that prior to the pills-by-post scheme, only three women had been convicted for an illegal abortion over the past 160 years, demonstrating the effectiveness of the safeguard. However, since that scheme was introduced—according to Jonathan Lord, who was medical director of Marie Stopes at the time—four women have appeared in court on similar charges within an eight-month period. Criminalisation of abortion after 24 weeks is not the problem; the pills-by-post scheme is.

If new clause 1 passes while the pills-by-post scheme remains in place, here is what will happen. More women will attempt late-term abortions at home using abortion pills acquired over the phone, and some of those women will be harmed. Many of them will not have realised that they are actually going to deliver something that looks like a baby, not just some blood clots—that is going to cause huge trauma for them. Many of those women genuinely will not have realised how far along they are, due to implantation bleeding being mistaken for their last period, and on top of all of this, some of the babies will be alive on delivery.

We in this place need to get away from this terrible habit of only considering issues through a middle-class lens. What about women who are being sexually exploited and trafficked? What about teenage girls who do not want their parents to find out that they are pregnant?

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. I call David Smith.