Puberty Suppressants Trial

Emily Darlington Excerpts

Wednesday 17th December 2025 Commons Chamber

[Wes Streeting]

I am grateful to the hon. Member for the way that she asks her question, as a critic of some of the decisions that I have taken in this space. The reassurance that I can offer is that the study will look at the holistic care that this group of children and young people receives, and ensure that wider evidence-led therapeutic support, including mental health support, is available, so that regardless of whether a young person receives puberty blockers, they will certainly receive that wider range of support.

[Emily Darlington (Milton Keynes Central) (Lab)]

I appreciate the science-based approach taken by the Secretary of State. We use puberty blockers for many different conditions, so will the trial look at the data that has been amassed from the use of puberty blockers for other conditions? I wish to state on the record that puberty blockers are reversible. The evidence shows that when people stop taking them, they stop working—that is the science behind them. Finally, young people in my constituency are more likely to age out of gender services than to get their first appointment, so what are we doing to shorten the waiting time, not just for puberty blockers but for the whole range of services provided to trans children by the NHS?

Transgender People: Provision of Healthcare

Emily Darlington Excerpts

Tuesday 16th December 2025 Westminster Hall

[Rachel Taylor (North Warwickshire and Bedworth) (Lab)]

I beg to move,

That this House has considered the provision of healthcare for transgender people.

It is a pleasure to serve under your chairmanship, Mr Turner. This debate is about healthcare for trans adults. I know that a lot has been said in this House in recent weeks about care for young people questioning their gender identity, and particularly about the recent announcement of a trial of puberty blockers. I do not wish to repeat that debate here, other than to say that I welcome the fact that the trial is going ahead to ensure we can get the evidence that we need.

I want to begin with the experience of one of my constituents, because this debate must be about real people, not headlines in The Times or the Daily Mail, not culture war soundbites, not the opinions of Donald Trump or J. K. Rowling, and certainly not whatever bile is being pushed out by transphobic trolls on social media. This is about real people’s lives.

Earlier this year, my constituent, a trans woman, came to my surgery to share her experience of accessing healthcare locally. At her GP practice, she was told that she could not use the women’s toilets and must use the men’s instead, and she was repeatedly misgendered by staff. She faced difficulties simply getting her preferred name recorded correctly. On one occasion she was even told that she could not wait in the waiting room because she “scared other patients.”

My constituent is also struggling to access the gender-affirming care that she needs. There are no adult gender services in Birmingham, let alone in my constituency of North Warwickshire and Bedworth, meaning that she would have to travel to Nottingham for treatment. She is stuck on a waiting list with no idea when she will finally receive care. Because she cannot get NHS support, she is taking hormone replacement therapy on a private prescription and is understandably anxious about dosage and the lack of monitoring or regulation. She is not alone.

[Emily Darlington (Milton Keynes Central) (Lab)]

My hon. Friend is making a powerful speech and bringing the debate back to people, which is where it needs to be. I want to highlight a case in my constituency of a young transgender person who spent two years on the under-18s waiting list for an initial appointment. They have now aged out of that waiting list and potentially have a six-year wait, meaning that when they are able to speak to a doctor or a health professional it will have been eight years. Their parents approached me to tell me how much that is damaging their young one.

[Karl Turner (in the Chair)]

Order. I remind Members that interventions need to be very short. Lots of Members want to take part in this debate and long interventions eat into the time for speeches.

Breast Cancer Screening: Bassetlaw

Emily Darlington Excerpts

Monday 9th June 2025 Commons Chamber

[Jo White (Bassetlaw) (Lab)]

The first known descriptions of breast cancer date back to beyond 3,000 BC. Hippocrates described the progressive stages of breast cancer in 400 BC, when he outlined his theory for its cause. Although breast cancer mortality rates have been decreasing since the 1970s, approximately 11,400 women and 85 men die of breast cancer every year. That is 32 deaths from breast cancer every single day of the week.

We all know someone who has been impacted by breast cancer—a mother, a sister, a granny, a daughter, a colleague or a friend. For me that was my nan, the matriarch of the family, a character, fit and healthy, who went out daily to clean other people’s houses. We lost her when I was 19 years old. She was too embarrassed to show her breast to her doctor, and explained away her lump as an injury caused by falling off a window ledge when cleaning windows. By the time she finally went to the doctor, it was too late, and she died months later. We lost her too soon. Perhaps it was also fear that kept her away; two of her sisters were also taken by breast cancer.

That is such a familiar story. So many women being treated for breast cancer tell of family members—aunts, sisters, mothers, grandmothers—who have been through the same experiences. My nan was of Jewish descent. It is now known that Jewish people of Ashkenazi heritage have a one in 40 chance of carrying the BRCA gene mutation, which means a much higher chance of developing breast cancer—a one in two chance before the age of 70. For the sake of my family, I am currently having genetic screening to check that, if it was the familial cause, it has not been passed down. I urge every woman of Jewish heritage to do the same. Screening is provided free by the NHS and can be done in the home.

[Emily Darlington (Milton Keynes Central) (Lab)]

Medical testing of the BRCA1 gene is effective, but polygenic risk factors mean that if someone has a combination of genes, they might be more at risk of breast cancer. Does my hon. Friend think we should be rolling out polygenic risk testing so that, with a better understanding of their genes, women know how often they should have their breasts checked?

[Jo White]

My hon. Friend makes a valuable point, and I hope that the Minister has taken heed of it.

Hospitals

Emily Darlington Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Emily Darlington (Milton Keynes Central) (Lab)]

I thank the hon. Member for North Shropshire (Helen Morgan) for introducing the debate. We will be talking a lot about Milton Keynes, because if you wait for a speech about its hospital, you get two at once.

For me, the story about Milton Keynes hospital is really personal, as it involves my family and my in-laws. Unfortunately, I lost both my in-laws in the years leading up to my being elected to this place. What I would like to say about the care my family, my in-laws and my children have had is that the team at Milton Keynes hospital—the staff from the chief executive to the consultants, the doctors, the nurses and the porters—are all so professional. I am sure everyone in this House would want to join me in thanking them for their absolute persistence in the work they have had to do just to keep the NHS going over the last 14 years.

I worked closely with the hospital in my constituency for many years as deputy leader of Milton Keynes council, and the council had to step in when the Government did not. It was with funding from the council that we were able to build the new cancer centre and the new radiotherapy unit that will open very soon. It is because of the close working relationship with the council that the hospital has some of the lowest bed blocking waits in the country. With our teams integrated into the hospital, we make sure that the people who are able to go home go home with a care package as soon as possible, because it is our belief in Milton Keynes, and it was my belief as deputy leader, that people want to be in their homes.

Despite all that work, Milton Keynes hospital has had some of the longest waiting lists in the country. That is partly due to the 14 years of underfunding of Milton Keynes. When there are over 30,000 people waiting for non-urgent elective operations, with 1,762 of them having been waiting for more than a year, these do not feel like non-urgent cases, because those people are not allowed to live a proper life, to play with their grandchildren or to go back to work as fast as they should. There is both a social cost and an economic cost. I am pleased to say that, with the investment by this Government to reduce waiting times, we have seen waiting times go down, but they are still too long.

Unlike a lot of other hospitals we will talk about today, much of the issue for Milton Keynes is that it serves the fastest growing area in our region. In fact, it is growing at double the rate of anywhere else in the greater south-east. That means that our population is set to double to 410,000 people by 2050. On average, 11 people move to Milton Keynes every single day. That is not new in Milton Keynes, because we have been developing communities, homes and businesses for quite some time under the leadership of the Labour council. What has failed time and again in Milton Keynes is the investment that we need in our local hospitals, but this Government and these Milton Keynes MPs will actually deliver what was promised over and over again but never delivered by the Conservative party.

New Hospital Programme Review

Emily Darlington Excerpts

Monday 20th January 2025 Commons Chamber

[Wes Streeting]

It is truly extraordinary that we have a Conservative Member standing up and criticising a Labour Government for delivering the Hillingdon hospital project, which will begin construction—not pre-works, but delivering—in 2027-28, as I promised the people of Hillingdon. That is what we are delivering, and people should judge the contrast between a Labour Government who are delivering and not just Conservative Members, but a Conservative Prime Minister, who made promises on the 40 hospitals, did not follow through and walked away, leaving us to pick up the pieces.

[Emily Darlington (Milton Keynes Central) (Lab)]

First, I say happy birthday to the Secretary of State for tomorrow. I cannot think of a better birthday present than to give the people of Milton Keynes a new women’s and children’s hospital. We are a growing city, and nowhere is it more needed in terms of population per bed. Will he reassure my constituents that the money has been found and allocated, because they feel they were taken for mugs after the scheme was announced by the previous Government and the previous MPs more than four times, but was never funded and never delivered?

[Wes Streeting]

I am grateful to my hon. Friend for her birthday wishes, even after I announced the timetable that I know she and her constituents wanted. On a serious note, I think people will see the contrast between sending Conservative Members from Milton Keynes, with inaction and broken promises, and sending Labour Members from Milton Keynes who are delivering. I am delighted with the work and improvements we will be able to deliver for her constituents. I hope Members right across the House, whichever wave their hospital is in, know that this Government have set out a timetable that is credible and deliverable, and a funding package that will be delivered for as long as there is a Labour Government.

Puberty-suppressing Hormones

Emily Darlington Excerpts

Wednesday 11th December 2024 Commons Chamber

[Wes Streeting]

I thank the hon. Member for her question. In case she worries that she is going soft on the Government—or, worse still, in case I worry that I agree with her—we should just remind each other that even a stopped clock is right twice a day. For those watching our proceedings this afternoon, it is true to say that politics in our country has been quite divided on a wide range of issues, certainly in the nine and a half years that I have been in this House. However, that is not to say that, on a wide range issues, we do not have consensus or work together to build it. I actually think that is a good thing in our politics. There are plenty of things we can disagree about in this House and contest elections on, but especially in an area such as this that involves vulnerable children and young people, the more we can try to build consensus and create an environment in our country where these children and young people and their families feel safe, the more we will be doing a really good job.

Far and away the hardest part in this process for me personally has been spending time with these children and young people and their parents, many of whom have spoken in genuinely heartfelt terms about the fear they feel living in our country. Some are looking to live in other countries, and doing so quite sincerely. It breaks my heart, actually, because I want this country to be one where everyone, whatever their background, feels safe, included and respected, and there is much we can do across this House to build that kind of country.

[Emily Darlington (Milton Keynes Central) (Lab)]

I thank the Secretary of State for his recognition of how difficult it will be for many young trans people and their families to hear the news today, and for his comments about the wider environment in which the trans community is threatened every day in the UK.

My significant concern about the announcement is that it will lead to more people getting drugs from unknown sources online without prescription, and God knows what is actually in some of those drugs. I also have significant concerns about access for both young and older trans people to the services they need. We know that there is currently a six-year waiting list, and it is estimated that those joining the list today, if things are not improved, will have to wait 15 to 20 years before actually accessing any specialist services or starting any treatments. Can the Secretary of State reassure trans people across this country, both young and older, that we are committed to making sure they get the health services they need as quickly as possible?

[Wes Streeting]

I can certainly give my hon. Friend that assurance. We want all trans people, in fact all people in our country, to receive timely access to safe and effective healthcare. We want to improve services for trans people specifically, because we recognise the extent to which they have been let down. I emphasise that young people who have been in receipt of puberty blockers with a valid prescription for the six months prior to 3 June and 27 August respectively can seek continuation of their prescriptions. There are risks that would be associated with an interruption of those prescriptions, which is why we have taken that approach. I know that I speak for the Government as a whole in saying that whether it is access to healthcare as in my case, access to a wide range of public services, or indeed safety on our streets, this Government are committed to improving the lives of trans people so that they can live with the freedom, dignity and respect that any of us in our country would expect for ourselves.

NHS: Independent Investigation

Emily Darlington Excerpts

Thursday 12th September 2024 Commons Chamber

[Madam Deputy Speaker]

Order. I ask Members to help each other with one or two-sentence questions.

[Emily Darlington (Milton Keynes Central) (Lab)]

To return to a subject close to the Secretary of State’s heart, does he agree that people’s actual experience is how we will measure whether the NHS has been improved? One of my children’s grandparents, who was diagnosed under a Labour Government, had 12 great years of cutting-edge treatments and 12 years with their grandchildren. Their grandfather, who was diagnosed under a Conservative Government, had 12 weeks.

[Wes Streeting]

I am grateful to my hon. Friend for the work she does championing Milton Keynes. Therein lies the challenge: it cannot be right that delays in diagnosis lead to the difference between life and death. I am very lucky that my cancer was caught early. It was diagnosed quickly and treated quickly. Not everyone is fortunate, and I am so sorry that my hon. Friend’s family is bearing the consequences of what happens when things go wrong.