Transgender People: Provision of Healthcare

Stella Creasy Excerpts

Tuesday 16th December 2025 Westminster Hall

[Ms Stella Creasy (Walthamstow) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship, Mr Turner. I think I speak for everyone in this Chamber when I say that it is a privilege to be in the room with my hon. Friend the Member for North Warwickshire and Bedworth (Rachel Taylor), and to hear her passion for this subject and her honesty about the impact. Too often, that voice is missing in our politics. Wherever we stand, I think people can recognise that.

I am so grateful for this debate, because in the time available to me, I want to highlight what we have been doing in Walthamstow on this issue. We were worried that we would never find allies for our work, and today is a reminder that we will, because the majority of people in this country understand a simple and decent point: trans people pay for the NHS too, and they should be entitled to services that suit their needs. The reality for that very vulnerable and small group within our society is that they are not getting the services they need. This is not just about gender-affirming healthcare; it is about healthcare across the piece. That is the challenge that we have been dealing with in Walthamstow.

I pay tribute to the members of my local trans community who have had the bravery to come forward and speak about their experiences. I will not name them because, sadly, we live in a world where people would demonise them simply for speaking up about the fact that, because they cannot access their local GP—particularly in shared care agreements, which many others have mentioned—they cannot access healthcare at all, even for other conditions. They might also have physical disabilities or attention deficit hyperactivity disorder, but they struggle to access services accordingly. No one can think that it is acceptable for a patient group in the NHS to be systematically excluded. I pay tribute to the North East London integrated care board, which has risen to the challenge and recognised the problem, and is now looking at how to resolve it.

I think we all recognise that shared care agreements are complicated, but the reality is that not every shared care agreement is refused. Not every person in my constituency with a referral from an NHS provider, let alone a private one, gets a doctor who says, “We do not cover that agreement”. Some in our local trans community are self-prescribing hormones and not getting the blood tests and monitoring that they need, and they face a delay in getting support. I want to put on the record that there have also been some very positive responses from my local GPs, but it is patchy.

In the time available to me, I make one simple plea to the Minister. It is great that we have the David Levy review, but I ask for the Minister’s help and support for my local clinicians. They are cutting through the heat in this debate and asking a simple question: how can we serve this local community better? How can we make services work better for them? I will stand up for the right of every single one of my constituents to get decent healthcare, but I ask the Minister to work with us to get it right on the ground.