Transgender People: Provision of Healthcare Debate
Full Debate: Read Full DebateDepartment: Department of Health and Social Care
Graeme Downie
Main Page: Graeme Downie (Labour - Dunfermline and Dollar)Department Debates - View all Graeme Downie's debates with the Department of Health and Social Care
(1 day, 10 hours ago)
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Rachel Taylor
As I welcome services for trans people, I also welcome services for those people who do not feel happy in the gender that they have acquired. That is only right, but we have to get all those services right.
Trans people are now seeing their health outcomes worsen. Waiting times for gender-affirming healthcare are nothing short of a national scandal. Across the UK as of March 2025, more than 48,000 trans adults remained on waiting lists for that care. We rightly debate NHS waiting lists in this place: a year for a hip replacement; months for cancer screening. Nobody finds those waits acceptable, but freedom of information requests reveal that the average wait for gender services is 12 years in England, two years in Wales, 41 years in Northern Ireland and a staggering 58 years in Scotland. At one Scottish clinic, the wait was three times longer than the average British life expectancy.
Graeme Downie (Dunfermline and Dollar) (Lab)
I thank my hon. Friend for highlighting the waits that transgender people face in Scotland, which are far too long. I recently met a group from the transgender community in Dunfermline who are concerned about their safety when they are out on the streets, whether going out on a Saturday night or doing anything else that they would like to. Does my hon. Friend agree that we must work with the police across the UK to make sure that transgender people feel safe on the streets?
Rachel Taylor
My hon. Friend is absolutely right. Trans people are fearing for their lives in my constituency, in his constituency and in many others up and down this country.
Let us imagine being told that the wait for a hip replacement or a cancer check was 224 years—it just would not happen. Some Members in this House might not want to hear it, but the reason that the NHS provides gender-affirming treatments—hormones, surgeries, and mental health and social support—is because they are proven to improve mental health, reduce gender dysphoria and significantly reduce depression, anxiety and suicidal thoughts.
Doing nothing is not a neutral act—doing nothing allows suffering to grow. The Women and Equalities Committee heard that directly earlier this year. To echo the findings of the Trevor Project’s 2024 report, LGBTQ+ young people’s suicides are preventable. Prevention means tackling discrimination, hostility and unaccepting environments. Safe, supportive, affirming care saves lives. One trans adult told the LGBT Foundation:
“The only effective treatment for gender dysphoria is transition and leaving this untreated is killing people.”