Dame Nia Griffith

I thank my hon. Friend for mentioning a very, very personal experience of the terrible losses we saw in the 1980s and 1990s. He is absolutely right. From those very first moments, when we were perhaps fearful to be the first person to wear the red ribbon on 1 December, we can now hopefully combat that stigma. But we know there is still a lot to do worldwide to combat stigma and ensure people get the treatments that are available. Last week, I had the privilege to visit Fast Track Cymru in Cardiff and hear about the innovative work it is doing to eradicate the transmission of HIV, including the test and post service now available in Wales. Before I move on to issues relating to trans and gender-questioning youth, I am sure I do not need to remind Members of my earlier words urging measured, considered and respectful debate. I am pleased to confirm that NHS England has opened three children and young people’s gender services, in the north-west, London and Bristol. The services operate under an innovative model and embed multidisciplinary teams in specialist children’s hospitals. The services have begun seeing patients from the national waiting list. A fourth service will open in the east of England in spring. NHS England remains on schedule to deliver a gender clinic in each region of England by 2026. On puberty blockers, I am aware of the views of many on the subject and how sensitive it can be. In March last year, NHS England took the decision not to commission the routine use of puberty blockers for the treatment of gender incongruence, informed by an evidence review conducted by the National Institute for Health and Care Excellence. The findings were echoed in the Cass review and in accompanying systematic reviews conducted by the University of York, which found insufficient evidence to support the safety or clinical effectiveness of puberty blockers for adolescents. There is a clear time for this order to be reviewed in 2027. Better-quality evidence is critical if the NHS is to provide reliable transparent information and advice to support children and young people, and their parents and carers, in making potentially life-changing decisions. That is why we are supporting NHS England to set up a study into the impacts of puberty-suppressing hormones as a treatment option for children and young people with gender incongruence. The trial aims to begin recruiting participants in spring 2025. On education, as many are aware, before venturing into politics I was, by profession, a comprehensive school teacher. Back in the ’80s, section 28, introduced into law by the then Conservative Government, banned the “promotion of homosexuality” or “the teaching in any maintained school of the acceptability of homosexuality as a pretended family relationship.” In the classroom, if a pupil was verbally being hateful or discriminatory towards one of their peers, I did not want it to go unchallenged but found myself just telling them not to use such language or risk upsetting someone. Anything more explicit could have been potentially promoting homosexuality and breaking the law, and risked me losing my job. I did not protect those pupils who were the object of such comments in the way that they should have been protected. I should have done more. Today, the notion that an LGBT+ family is pretend is absurd to most. Nowadays, it is not uncommon to find same-sex parents picking up their children from school.