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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 7 August 2025
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Displaying 1329 contributions

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Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

On the BMA’s view about the process of a critical review, the ultimate test of the robustness of scientific research is normally a peer review process. Apart from the University of York, which I think was a partner rather than a peer reviewer, are you aware of that having happened before the publication of the Cass review? Normally, there would be a peer review before someone published a paper in, for example, Nature.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Do you have any thoughts on why there appears to be a difference in this case? As you have said, this evidence exists—it was produced by other people—and it has, in the Cass review, been distilled in a particular way and used in coming to the review’s conclusions. I have no medical training so I will not question that at all. However, it appears that people with similar qualifications and medical experience in other countries have come to very different conclusions. Do you have any thoughts on that? It is never black and white, is it?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That is really helpful.

You mentioned treatment, so I will home in on one area of treatment about which there is concern, namely, hormone treatments. Prior to the assessment of the Cass review, of the significant numbers of people who came for support, a relatively small number were receiving hormone treatment. That has been suspended.

What are your thoughts on what that means for those young people? I am aware of constituents who, even under the previous system, were accessing hormone treatment by legal private means, with all the risks that go with being unable to get support with on-going assessment of their hormone levels. What will be the implications of the current restriction for young people?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That is really helpful in distinguishing between puberty blockers and other hormonal treatments. Have other hormonal treatments been restricted as well?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

I totally understand that you will conduct a clinical trial to examine the effects of treatment. However, most of us will have come across trans people who did not manage to receive support. I can remember one man who knew that he was a man when he was at the pre-teenager stage, but went through his whole life until he retired before being able to take affirmative action on that. That is someone whose life has not been as full as it might have been, had he had affirmative treatment sooner. Will you also be looking at the issue of not treating people?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Joe FitzPatrick

Is the data on what is spent not in the outturn accounts that the finance secretary puts out every year?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Joe FitzPatrick

I will pick up on the idea of preventative spend, preventative work and monitoring what is and is not working. This Parliament is responsible for outcomes around health and care, but we do not have control of all the inputs. Decisions that are made in another place—such as the decision to have 14 years of austerity and the decision that is likely to be made today on the winter fuel payment—have an impact on the health of vulnerable people in Scotland. How do we know that the outcomes that we see mean that our preventative work has not worked? Perhaps it has worked, because, due to the actions of Westminster Governments over a number of years, the situation would have been much worse if we had not done that work, even though the outcomes make it look as though it has not worked.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Joe FitzPatrick

Briefly, on the point about tracking the spend to ensure that we get the outcomes that we hope for, should we look to any international examples to see whether other places do this better? There will be differences, but can we learn something from them that will help Scotland to do this better?

Standards, Procedures and Public Appointments Committee

Scottish Elections (Representation and Reform) Bill: Stage 1

Meeting date: 5 September 2024

Joe FitzPatrick

No, I am fine, convener.

Standards, Procedures and Public Appointments Committee

Scottish Elections (Representation and Reform) Bill: Stage 1

Meeting date: 5 September 2024

Joe FitzPatrick

On that last point, we know that, in the Westminster election that we have just had, a number of people did not manage to cast their vote because they did not have proof of identification. Is there an opportunity to consider whether the UK Government might work with you on a digital polling card, which might help folk who do not have a passport or driving licence and who are too late to apply for something else? Might something come out of that?