Puberty Suppressants Trial

Jacob Collier Excerpts

Wednesday 17th December 2025 Commons Chamber

[Wes Streeting]

I thank the right hon. Gentleman for his question and for how he puts his criticism, too. As I said earlier, and for the avoidance of doubt, I know what my responsibilities are. I understand the decisions that I take in this office and that I am accountable for those decisions. I do not resile from that. I am following clinical advice; I think that is the right thing to do in this area.

On the question of sex, the right hon. Gentleman is right: sex is immutable. Even if there has been treatment with hormones or surgery, underlying biology none the less means that trans women, for example, would still need to be screened and treated bearing in mind their biological sex, and the opposite is true for trans men. We have to draw that distinction between biological sex and gender identity.

Whatever my discomfort and personal views about this particular trial or about the notion of young people using puberty blockers in this way, I cannot ignore, and should convey faithfully to the House, conversations that I have had with trans young people and adults. They have described in powerful and unforgettable terms not just the life changing, but the life enhancing experience that they have had. I am thinking particularly of the university student I met; if she walked into this Chamber now, we would assume that she was born female. She is living her best life and described in very powerful and unforgettable terms the impact that treatment has had for her and her quality of life. At the same time, I think of high-profile cases such as Keira Bell’s. That is why we have to tread extremely carefully in this area, to follow evidence and to build an evidence base. It is also why these are such finely balanced judgements and why I can be simultaneously uncomfortable with the permanent ban that I put in place and uncomfortable with the clinical trial. I hope that I have reassured people that I think very deeply about these issues before taking decisions.

[Jacob Collier (Burton and Uttoxeter) (Lab)]

As the Health Secretary has said, this is a deeply troubling time for the trans community; I have heard that loudly from my trans constituents who have come to surgeries and from my postbag, too. When suicide rates among trans people are much higher than among the general population, we know where denying that they exist or denying them life-saving healthcare lead. What reassurances can the Secretary of State give my trans constituents and the families who support them? They are extremely worried that they will not be able to access the healthcare that they need.

[Wes Streeting]

I am grateful to my hon. Friend for his question. The reassurance that we can provide trans people in our country is that we are committed to making sure that they have access to the highest quality, evidence-based healthcare. That does not just apply in the case of children and young people; I also hope to report to the House before the Christmas recess the work undertaken in the learning disability mortality review into adult services. We are committed to making sure that we provide high-quality care to a particular vulnerable group of children and young people.

Oral Answers to Questions

Jacob Collier Excerpts

Tuesday 25th November 2025 Commons Chamber

[Jacob Collier (Burton and Uttoxeter) (Lab)]

T2.   It is great news that we are starting to see NHS dentists return to Burton upon Trent, but my constituents in Uttoxeter are still without an NHS dentist for adults. For a growing town of over 16,000 people, when can my constituents expect to put a smile on their face?

[The Minister for Care (Stephen Kinnock)]

I thank my hon. Friend, who is a tireless campaigner on this issue. We want to see more dentists in Burton and Uttoxeter, and across the country, which is why we are offering dentists £20,000 to work in underserved areas. We are making it a requirement for new dentists to practice in the NHS through our tie-in policy. We are also making additional urgent appointments available across the country, including for my hon. Friend’s constituents in Burton and Uttoxeter.

Suicide Prevention

Jacob Collier Excerpts

Thursday 11th September 2025 Commons Chamber

[Jacob Collier (Burton and Uttoxeter) (Lab)]

I thank my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher), and I congratulate my constituency neighbour, my hon. Friend the Member for South Derbyshire (Samantha Niblett), on her powerful speech.

I welcome the conversation that we, as a country, are having about mental health, because every community has a story where lives have been lost, and my constituency is no different. Helena Markey went to my school, de Ferrers, and was in the year below me. I still remember her smile, which would light up any room. On 10 September 2015, she passed away after jumping into the path of a vehicle. She was just 17. It shocked our school community. It shocked our local community. A young life with so much potential and so much to give to the world was taken away from us. Weeks before Helena died, she received her exam feedback and was considering her options for year 13. She became very distressed about the results and would later go on to take her own life. Helena’s parents were completely unaware of just how upset she had become.

I have been working with Helena’s incredible parents, Glen and Sharron Markey, since my election, and have been supporting them on their Smile4Helena campaign, which aims to change the Department for Education’s guidance to schools to ensure that they notify parents if a pupil becomes distressed during their results feedback. Glen and Sharron believe that just a simple phone call to them about Helena’s distress would have meant that they could have gone and picked her up from school, and that would have saved her life; they could have talked her through that situation and got through it together. We are seeking a meeting with the new Schools Minister to ensure that what happened to Helena does not happen to any other young person. I would be grateful if the Minister could use his good offices to assist with that.

The key to mental health support is talking and being open with each other about the challenges that we all face. It is about not just the investment that we need in mental health crisis services, but front-loading that into preventive support. That is why I believe that the Government’s plan for mental health hubs, and the increase in the number of mental health counsellors, are so important.

Locally, there are so many people who support others to open up about their mental health, including the Sexual Abuse Rape Advice Centre or Sarac, Burton YMCA, Burton and District Mind, BAC O’Connor and those, like Andy’s Man Club, that are looking to set up in Burton and Uttoxeter. I pay tribute to all those organisations; they save lives every single day, even if they do not know it.

We owe it to Helena, her family and every young person in this country to do better—to create a culture where no one suffers in silence, where families are kept informed and where the right support is there at the right time. I ask the Minister to reaffirm our shared commitment to building a system that catches young people before they fall, because behind every statistic is a life, a family and a future. If by making changes we can prevent just one more family from experiencing the heartbreak that happened to the Markeys, then it will be worth it.

Oral Answers to Questions

Jacob Collier Excerpts

Tuesday 19th November 2024 Commons Chamber

[Stephen Kinnock]

NHS England currently accepts ICBs holding leases only as a last resort or by exception due to the significant capital required. While we know that is not the most effective use of ICB resources, it is an important safeguard. We are committed to fixing the front door of the NHS by supporting GPs and ICBs through, for example, the £100 million of capital funding announced at the Budget for GP estate upgrades.

[Jacob Collier (Burton and Uttoxeter) (Lab)]

My constituent Ollie Horobin’s life has been completely transformed after contracting covid, leaving him wheelchair-bound with a feeding tube and battling debilitating symptoms every single day. His story is a stark reminder of the devastating impact that long covid can have. Will the Minister commit to meeting Ollie and me to hear about his experience at first hand, and prioritise further research into the causes, treatments and long-term impacts of extreme long covid?

[Andrew Gwynne]

As somebody who still suffers from long covid, I know how debilitating and complex it can be, and I am committed to improving support for people affected by it. There are now more than 100 long covid services across England, and £57 million is being invested in long covid research. I recently co-chaired a roundtable on strategies to stimulate further research into treatments. I am more than happy to meet my hon. Friend and Ollie for further discussion.

NHS: Independent Investigation

Jacob Collier Excerpts

Thursday 12th September 2024 Commons Chamber

[Wes Streeting]

Absolutely. I thank the hon. Member for the way she put her question. I send my deepest condolences to Sophie’s family on what will inevitably be a difficult day—I suspect just the latest of many difficult days—on the imaginable pain, grief and loss that they have suffered. I thank the hon. Member for her work over many years campaigning on children’s cancer in this House on behalf of her constituents and so many other families affected by young cancer.

The pause is because we are looking at the breadth of the work of the Department to make sure that we have the right vehicles to deliver the outcomes that we want. That is why we have paused rather than cancelled, slammed or criticised the work that she was doing. I would be delighted to meet her to talk about the genesis of the taskforce and how we can take forward the outcomes that she wants to see. What we are trying to avoid is a plethora of taskforces, and the risk that there has sometimes been—this is not a party political point, because this spans successive Governments—of taskforces being an alternative for action. I know that she wants action, so let us meet and see what we can do together.

[Jacob Collier (Burton and Uttoxeter) (Lab)]

When I grew up in Stretton under the last Labour Government, I could get an appointment with my family doctor the next day. After 14 years of the Conservatives, Stretton residents now often have to travel more than six miles to a GP surgery in another village just to get an appointment for which they have already waited weeks. Does the Secretary of State share my view that this is unacceptable, and that it falls to this Government to fix the Conservatives’ mess?

[Wes Streeting]

My hon. Friend is absolutely right. We need to make sure that we have the right staff in the right place and an equitable distribution of access to NHS services right across the country. We also want to shift from the hospital-centred NHS that we see today to a neighbourhood-centred service. That is why we have acted immediately to put 1,000 more GPs on the frontline before the end of this year. I am looking forward to working with GPs to expand access to primary care right across the country, especially in communities that are particularly under-served.