Nadia Whittome

It is a pleasure to serve under your chairship, Mr Turner. I thank my hon. Friend the Member for North Warwickshire and Bedworth (Rachel Taylor) for securing this important debate and for all her work to champion trans rights in this place. First, I want to speak about the delivery of general medical care to trans people and the discrimination they experience. Constituents have told me how unrelated health problems have been attributed to them being trans. One person described this as “exhausting and frightening”, stating that it discourages them from seeking help. Meanwhile, 14% of respondents to a survey by TransActual reported that they had been refused GP care on account of being trans. One trans man told the Nottingham Pastel Project that he had been turned away for a cervical smear and treatment for a urinary tract infection. The second issue I want to raise is the difficulty of accessing gender-affirming care. Trans people will be the first to say that the delivery of gender-affirming care in this country is deeply flawed and in need of serious reform. Instead of taking their experiences as the starting point, discussions about trans healthcare have been rooted in transphobia, misinformation and moral panic. Meanwhile, waiting times for gender-affirming care stretch into years. One Nottingham resident said that they waited seven years for a diagnosis. Another has been waiting for an appointment with a gender identity clinic for five and a half years. Someone who joined the waiting list two years ago has been told to expect to wait a further four years. Faced with an eight-year wait for gender-affirming surgery on the NHS, one trans person in my city worked two full-time jobs, sold their car and held fundraising events to cobble together £20,000 so they could have that surgery abroad. They are emphatic that it saved their life, but they should never have been forced to go through that ordeal just to access healthcare. Reports of GPs denying gender-affirming care have increased dramatically. One constituent told me they had huge problems finding a private gender clinic with which their GP would do shared care, and that delayed their treatment by six months. Another Nottingham resident who was on testosterone for more than a decade has not received a single dose in 16 months because their GP has refused to prescribe it. I could go on and on with examples just from my city, and I have not even spoken about the appalling situation that trans people under 18 face. It is clear that the Government must act, from increasing funding for gender-affirming healthcare to improving training for GPs, modernising assessment and treatment pathways and ensuring co-production of services with trans patients, because this is an emergency. Inadequate healthcare is ruining trans people’s physical health, their mental health and their lives. It cannot be allowed to continue.