Carla Lockhart

I am absolutely appalled by the Government’s decision to press ahead with the Pathways puberty blockers trial. When I look at the decision, I genuinely find myself asking: what lessons have this Government learnt from the last number of years? Parents have raised concerns, families have raised concerns, clinicians have raised concerns, campaigners have raised concerns, and many in this House have raised concerns. This is not a concern that has appeared overnight. The petition on this issue, which was debated some time ago, attracted significant support, and I must note that my constituency of Upper Bann was one of the leading constituencies in raising concerns about puberty blockers and their impact. Ministers have been warned time and again. We had the Cass review, the closure of the Tavistock clinic and the decision to stop the routine prescribing of puberty blockers to children. All those developments pointed in one direction: greater caution, greater scrutiny and greater protection for vulnerable children. Yet somehow this Labour Government have looked at all of that and reached the conclusion that will harm more children, not less. They have decided that the answer to this difficult issue is to recommence a trial using the very drugs that are considered unsuitable for routine use, the very drugs that children cannot routinely be prescribed, and the very drugs that Ministers themselves acknowledge raise serious unanswered questions. That is the contradiction at the heart of the announcement to recommence the puberty blockers trial. If these drugs are not considered sufficiently safe, sufficiently evidenced or sufficiently understood to be routinely prescribed to children, why are the Government prepared to recruit children into a trial involving the same drugs? What troubles me in particular is the age of the children involved: children as young as 11. When I think of an 11-year-old, I think of a child at the very beginning of secondary school, maybe even in primary school; I think of a child still trying to work out who they are; I think of a child whose views, interests and outlooks on life can change dramatically in the space of a few months—indeed, even in the space of a few days; I think of a child who still needs adults to guide them, protect them and make decisions in their best interests. I do not think of somebody who should be carrying the burden of unresolved questions about fertility, bone development, neurological development and long-term health outcomes. The Government tell us that more evidence is needed, but on whose shoulders are they placing that burden? The shoulders of children: children are being asked to participate because adults still do not have the answers. That cannot be right. I have had the honour of meeting Keira Bell—one of the bravest campaigners I have encountered in public life, because she has been willing to speak publicly about consequences that she will carry for the rest of her life. When people discuss the issue, they often hide behind clinical language and advice. Clinical advice can be wrong. I queried clinical negligence and malpractice in Northern Ireland through a recent freedom of information request; in one year, £9 million was paid out. That shows that clinicians can be wrong. Yes, we need them and we depend on them, and I have so much respect for them, but they are not always right. Keira Bell has spoken openly about the loss of her healthy breasts, concerns about her future fertility and the permanent changes that she lives with because of the pathway she was placed on as a vulnerable young person. Perhaps the most heartbreaking thing she has said is, “I was a vulnerable teenager who needed help”—not drugs, but help. She has also said, “I believe I should have been challenged on my views.” Let us think about that: a young woman looking back and saying that the adults around her should have asked harder questions, exercised greater caution and protected her. We are all called to this place to do the right thing. The right thing is to look at the data that is already there and the young people who have been on this pathway, and to stop the puberty blockers trial with immediate effect.