LGBT History Month

Debate between Stewart Malcolm McDonald and Caroline Dinenage

Tuesday 28th February 2017 Westminster Hall

[Stewart Malcolm McDonald]

The Minister mentions health barriers. I am keen to hear what her thinking is about provision of pre-exposure prophylaxis, which I am sure she is aware of. It strikes me and many in the LGBT community that if it were a drug for heterosexual people—of course it is also for heterosexual people; but if the issue of HIV were as big an issue in the heterosexual community as it is in the gay community—we would not even be having the debate and PrEP would be available already. Can she update us on the Government’s exact position? I think there is a pilot, and it would be helpful if she could update us.

[Caroline Dinenage]

The hon. Gentleman is right to raise that important issue. PrEP is potentially a life-saving development. We are aware that it could make a difference to the health outcomes of people living with HIV and AIDS. The Court of Appeal recently ruled that NHS England has the legal power to commission PrEP. That means that it has to consider providing it on the NHS. It has committed to consulting on enabling it to be assessed as part of the annual prioritisation round for specialised commissioning. That consultation is expected to start shortly.

I have outlined how we want to focus on issues such as health, safety and education for LGTB people, but other hon. Members have also spoken about the importance of showcasing our work internationally, to ensure that we bring other countries with us in our efforts for equality. We are a founder member of the Equal Rights Coalition, which has an important role.

A couple of Members mentioned the disturbing reports about an Afghan asylum seeker. We remain committed to improving the asylum process for those claiming asylum on the basis of their sexual orientation and gender identity. Decision makers and caseworkers are provided with dedicated guidance and training on the management of such claims, but they consider every case individually. The asylum claims made in the UK, including those made on the ground of sexuality, are carefully considered in accordance with our international obligations under the 1951 refugee convention and the European convention on human rights. However, no one who is found to be at risk of persecution or serious harm in their country of origin, because of their sexuality or gender identity, will be returned.

We recognise that our progress in achieving acceptance and recognition of trans people has not kept pace with that in respect of the LGB population, and that transgender people, as many hon. Members have mentioned, continue to suffer from high levels of inequality. We want Britain to be a place that works for transgender citizens. We recognise that there is a long way to go on trans equality. Last week I met with trans ambassadors from the youth charity Fixers to hear what they think can be done in healthcare and education to improve services that they receive. I was very touched when the hon. Member for Dumfries and Galloway said that no one would choose to be trans. It is not a fashion statement. It takes enormous strength of character and awe-inspiring courage to make that change in one’s life. In some cases it is a very long and particularly tricky journey. A young trans person in England today is nearly twice as likely to have attempted suicide, and nearly three times as likely to have self-harmed, as their non-trans peers. Moreover, the number of police-recorded transgender hate crimes in England and Wales rose by more than 41% in the past two years. Those are unacceptable figures.

From mental health to hate crime, and from bullying in schools to discrimination in the workplace, there is more to do. That is why, in 2015, the Government published guidance for employers and service providers that gave a clear explanation of the Equality Act 2010 and how it should be interpreted when supporting and recruiting transgender people. We have also increased sentences for transgender hate crimes, bringing them into line with those for other hate crimes. In addition, we recently issued instructions to offender management services to improve the treatment and management of transgender offenders. The new guidelines state that all transgender prisoners must be allowed to express the gender with which they identify.

Last year, we received the thoughtful, thorough and wide-ranging report on trans equality from the Select Committee on Women and Equalities. We are taking a number of the recommendations forward. We have committed to a range of actions, including reviewing the Gender Recognition Act 2004 with a view to demedicalising and streamlining the process of changing legal gender. As the hon. Member for Lanark and Hamilton East pointed out, that Act was ahead of its time, but the world has moved on quickly and we need to review it. We have committed to conducting a review to find ways to reduce unnecessary demands for gender markers in official documents. We are writing to all relevant heads of public sector bodies and professions to highlight the need for introducing and monitoring the effectiveness of training on transgender issues. We are also committed to improving training for NHS staff, as well as the service specification for gender identity and children and young people’s services.

We are already making progress in relation to that commitment. NHS England has committed an additional £2.2 million to young people’s gender identity services to respond to an increased demand. It is working closely with the Tavistock and Portman NHS Foundation Trust, the only gender identity clinic specialising in young people, and with other organisations to develop a workforce and training plan for transgender identity services. The commitments given in our response to the Select Committee will mark a step forward in equality for trans people. We are committed to delivering positive change and will continue to work with transgender citizens to review and improve our policies as we move forward.

As other hon. Members have articulated, we are unfortunately all too aware that individuals perceived to be LGB or trans are disproportionately affected by bullying. In 2014, 86% of secondary school teachers and 45% of primary school teachers reported that pupils experienced homophobic bullying or name calling in their schools. That is totally unacceptable, which is why the Government have made £3 million available to tackle homophobic, biphobic and transphobic bullying in schools. We are funding six initiatives that have so far reached more than 1,200 primary and secondary schools in England, or will do in the next three years, building on the previous £2 million grant that the programme announced in October 2014.

The shadow Minister was right to point out that having the right sex and relationship education and PSHE is also really important to equipping young people with the tools they need to face the challenges of the modern world. As she knows, my colleague the Secretary of State for Education has committed to bringing forward her suggestions very shortly as part of the Children and Social Work Bill.

On youth services, improving mental health starts with ensuring that children and young people get the help and support that they need and deserve. That is why we are doing an enormous piece of work with the Department of Health to find suitable partners to deliver projects to extend training pilots for single points of contact in education and child and adolescent mental health services to up to 1,200 more schools and colleges. Through that work, we will also pilot a range of peer support programmes and approaches for schools, colleges, community groups and online, and launch a programme of randomised controlled trials of preventive programmes across three different approaches to mental health promotion and preservation.

In their 2015 manifestos, the Conservative and other parties committed to building on the posthumous pardon of the Enigma code breaker Alan Turing. I am delighted to say that only last month, we secured a tremendous achievement and another move forward for LGBT equality when our Policing and Crime Bill received Royal Assent. The so-called Turing’s law has become a reality. That allows posthumous pardons to be issued to people convicted of consensual same-sex activity and enables statutory pardons for the living. It is right that individuals should not have a criminal record because they had a sexual relationship with someone of the same sex.

The hon. Member for Glasgow South (Stewart Malcolm McDonald) mentioned the fear that some people—particularly some members of the LGBT community—have about Brexit. In these uncertain times, it is really important to stress that the Government are firmly committed to maintaining protection of LGBT people during and after the process of leaving the European Union. The hard-earned progress that we have made in so many areas must not be eroded. We are proud that the UK has some of the strongest equality legislation in the world and want to continue to address discrimination in all its forms.

Relevant EU directives and European Court of Justice judgments have already been incorporated into domestic law through the Equality Act 2010. We have begun to provide a strong framework to ensure that the UK is well positioned to continue to drive forward LGBT equality post-Brexit. On legislative protection, we aim to maintain stability and continuity for the LGBT community. The Government have made a clear commitment that all protections in equality legislation will continue to apply once the UK has left the EU, and there will be no going back on that commitment.

The individuals and achievements we celebrate during LGBT History Month remind us that we have made real progress in advancing the rights of LGBT people, but we should be inspired to maintain the momentum of recent years to bring about positive change, which for many felt almost inconceivable just decades ago. We recognise the importance of these issues and will continue to explore effective means to improve the lives of LGBT people. The Government are acting in education, health, safety, the workplace and other areas to ensure that no one is left behind. The work is complex and it sometimes takes time to see the benefits, but we are committed to ensuring equality for all and eradicating discrimination in all its forms because that is simply the right thing to do.

May I once again congratulate the hon. Member for Dumfries and Galloway on securing the space to consider these issues? I thank all Members who have taken part in this historic and important debate.