Gender Incongruence: Puberty Suppressing Hormones
Tim Roca Excerpts(2 weeks, 1 day ago)
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Tim Roca (Macclesfield) (Lab)
It is a pleasure to serve under your chairship, Ms Lewell. I wanted to speak today because, as has already been said, this is a really important debate—one that must be had in a respectful and open manner. I am particularly grateful to the hon. Member for Reigate (Rebecca Paul) for opening the debate in precisely that way.
There needs to be a space to debate these topics openly and to engage with each other constructively because ultimately this issue is about the safety and wellbeing of young people. These are some of the most vulnerable, and often frightened, people in our schools and medical settings. They deserve a debate based on fact, open to new ideas and evidence, and respectful of their choices and identities.
The Cass review—an important review—did not find that puberty blockers cause harm in young people. Dr Cass made it clear that puberty blockers could, in the right circumstances, be effective and valuable in helping young people. That is absolutely why we need a rigorous, safe and scientific trial to determine, once and for all, the efficacy of puberty blockers in treating gender dysphoria.
I am grateful that the review also made clear that gender dysphoria is a diagnosable, recognisable and treatable condition. It is not about boys and girls being confused, nor is it caused by the media or by playing with the “wrong” toys; it is something that has been studied, proven and diagnosed. Ultimately, we are also talking about the trans community, which I think we all agree deserves dignity and respect.
I have to say that I am not a scientist, doctor or expert, and I expect that many other hon. Members are not either. It is therefore incumbent on us all to listen to experts of all kinds who have welcomed the call for a substantial clinical trial into puberty blockers. That would not be the first trial, as many in the UK and internationally have found favourable evidence. However, I will never not be in favour of more evidence and in particular of a rigorous UK trial.
An outcome of the review was that a trial into the use of puberty blockers for those with gender dysphoria was welcomed, as I say, and that that trial
“should be part of a programme of research which also evaluates outcomes of psychosocial interventions and masculinising/feminising hormones.”
I am proud that the Government support a holistic approach to the treatment of gender dysphoria, with proper psychological and physical support as well as treatment. I urge all hon. Members to listen to that call for more evidence. The Cass review made that point strongly and expressed regret that a controlled study was not delivered in 2011, specifying:
“There are many reports that puberty blockers are beneficial in reducing mental distress and improving the wellbeing of children and young people with gender dysphoria”.
It went on to say:
“Importantly some children within this group who remain gender incongruent into puberty may benefit from puberty blockers and will be able to enter the specialist component of the service and access the puberty blocker trial in a timely way”.
The review did not rule puberty blockers out of hand completely, but wanted to ensure that there was a decent evidence base, because ultimately we are talking about young people. As we debate this issue, we should agree that more facts and evidence help, whereas conjecture, opinion and speculation only muddy the waters. I am very keen to see the framework for the trial as soon as possible—I think the hon. Member for Reigate makes some good points—so that we see the results as quickly as possible in a safe way. If they demonstrate that puberty blockers are beneficial for young people with gender incongruence, I hope all those who claim to want to protect and support young people accept that fact.
Income Tax (Charge)
Tim Roca Excerpts(6 months, 1 week ago)
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Tim Roca (Macclesfield) (Lab)
The first Labour Budget in 14 years needs us to take a clear-eyed view of what has been inherited. Looking at the Conservative legacy for our country, we see: terrible, almost non-existent, average earnings growth; lower productivity per worker hour than in every G7 country besides Italy; GDP per capita growth stalling for the longest time since the end of the war; record debt; high taxes; and poor public services. The lack of growth in real wages is unprecedented in the last 200 years of British economic history. That is the Conservatives’ record, and that is what they have to face up to.
Particularly savage, as hon. Members have pointed out, were the cuts to public investment. The Conservative Government inherited a debt-to-GDP ratio in 2010 of 65%. Ten years later, pre-covid, it was 83%. The Conservative Government promised to eliminate the deficit in 2010; then they promised to eliminate it in the 2015 and 2017 elections; and then they gave up the ghost entirely in the 2019 election. After that dazzling record, we were treated to the Liz Truss magic—Liz, a prophet currently not recognised in her own land. She presented a mini-Budget with £45 billion of unfunded tax cuts. There were no forecasts—the Conservatives like the Office for Budget Responsibility today, but they did not like OBR then—and we know what happened. We saw Tory chaos, and we can never go back to that.
When my right hon. Friend came to office as Chancellor of the Exchequer and looked under the hood, what did she find? More chaos: unfunded policy decisions; undisclosed pressures; and overspends. The OBR listed them. The previous Government promised but did not allocate a penny for the £10 billion infected blood compensation scheme. They promised but did not budget for the £2 billion Horizon Post Office scandal. I am glad to see stability and common sense finally return. There are fiscal rules that make sense and will be adhered to; we are bringing the current budget into balance, so that we do not borrow to fund day-to-day spending; and we are moving to a proper recognition of net financial debt that takes into account investment that delivers. Those sound, sensible decisions put us on a sustainable path. Compare that to a Conservative party that would rather we continued
“to founder under old habits, rotting institutions,”
and that is content for Britain’s hull to be “encrusted with nostalgia”, and for us to drift off into the 21st century.
NHS Dentistry: Rural Areas
Tim Roca Excerpts(6 months, 1 week ago)
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Stephen Kinnock
My hon. Friend points to a specific problem set against the backdrop of the general challenge that we face in dentistry, thanks to the legacy of 14 years of Tory incompetence and negligence. We will of course look into it, and if she would care to write to me, I would be happy to look into the issue.
The hon. Member for Chippenham is right to raise the problem of NHS dentistry in rural areas—a problem that will, sadly, be familiar to Members across the House. The truth is that we are very far from where we need to be. Lord Darzi’s review laid bare the true extent of the challenges facing our health service, including NHS dentistry, and even he, with all his years of experience, was shocked by what he discovered. His report was vital, because it gave us the frank assessment we need to face the problems honestly and properly. It will take lasting reform and a long-term health plan to save our NHS. Rescuing NHS dentistry will not happen overnight, but we will not wait to make improvements to the system, increase access and incentivise the workforce to deliver more NHS care.
The Government have committed to three seismic shifts: from hospital to community, from analogue to digital and from sickness to prevention. Our 10-year plan will set out how we will deliver those shifts to give the country an NHS that is fit for the future.
Tim Roca (Macclesfield) (Lab)
I share the astonishment of other Members that not a single Conservative Member is here, in a debate on NHS dentistry in rural areas. I am a bit old-fashioned and I want a functioning Opposition. It is sad that they are not here to take part in this debate. When I contacted surgeries in Macclesfield to find out the state of play, 15 said that they do not accept NHS patients at all. That is the legacy that the Conservatives have left us. Can the Minister confirm that the Government will move urgently and quickly on NHS dentistry reform?
Madam Deputy Speaker (Ms Nusrat Ghani)
Order. Interventions should be short, and the Minister must respond to the Member whose debate it is.
Oral Answers to Questions
Tim Roca Excerpts(9 months, 3 weeks ago)
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Mohammad Yasin (Bedford) (Lab)
Tim Roca (Macclesfield) (Lab)
The Minister for Care (Stephen Kinnock)
I congratulate my hon. Friend the Member for Bedford (Mohammad Yasin) on his re-election and my hon. Friend the Member for Macclesfield (Tim Roca) on his election. More than a million people with mental health issues are not getting the support they need. This Government will fix our broken NHS. That will include recruiting 8,500 mental health workers, including specialist mental health professionals in every school and rolling out young futures hubs in every community. As announced in the Gracious Speech, we are bringing forward legislation to modernise the Mental Health Act 1983, which is a hugely significant step that has been warmly welcomed by service users, campaigners and, indeed, the former Conservative Prime Minister Theresa May.
Stephen Kinnock
I know that my hon. Friend has been campaigning with great passion and conviction on this issue for some time, and I am in no doubt that his integrated care board will have listened carefully to every word that he has said today. I would be pleased to meet him so that we can discuss this matter in greater detail.
Tim Roca
The Prime Minister has been clear that the Government will make, unlike their predecessor, evidence-based policy. While the NHS has made some high-level progress, the figures for those waiting for mental health elective care remains unacceptably high, but the data is incomplete. Does the Minister agree that comprehensive data is crucial if we are to serve the patients we care about?
Stephen Kinnock
I welcome my hon. Friend warmly to his place. I hope he will not mind if I use this analogy, which is that you cannot make a prescription unless you have the diagnosis, and you cannot make policy on the hoof. We cannot have the chaos, neglect and failure that we have seen from the Conservatives for the past 14 years because they have not made policy based on evidence and data. I am absolutely on board with what my hon. Friend says, and I would be more than happy to discuss it with him further at his convenience.