Chemical castration has been used on sex offenders in several countries over many years, with some success – but it remains controversial.
The principle of treatment, when used on men, is to inhibit the action of the sex hormone testosterone.
The expectation is that the offender will have fewer sexual fantasies and a lower sex drive.
Many of the drugs are more widely used to treat prostate cancer, where they reduce the growth of hormone-sensitive tumours. But they vary in how effective they are at treating sex offenders – and how swiftly they act.
Sky News was given exclusive access to a clinical trial in Stockholm, Sweden, of a drug called degarelix.
Results showed that just two weeks after the first injection, men – who were living in the community – had a significantly reduced risk of committing child sexual abuse.
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But like other clinical trials, it was relatively small with only 52 men taking part. The evidence base for chemical castration is limited.
The drugs can also have side effects, including the development of breast tissue in men, depression and hot flushes.
And some criminologists question whether lower reoffending rates really are as a result of treatment.
It’s possible that men offered a shorter prison sentence in exchange for taking a drug to suppress testosterone may simply be motivated to stay out of prison when they are released.
That hasn’t stopped many countries using chemical castration. Germany, Denmark and the UK have used it on men who volunteer for treatment.
In England, a trial has been running in prisons in the South West since 2022 – and is now being cited by the Home Office as a reason to expand a treatment programme to 20 regions around the country.
But the drugs have been used in the UK far longer.
In 2012, it was revealed that around 100 sex offenders were being treated at HMP Whatton in Nottinghamshire, either with chemical castration or with drugs such as Prozac, which can alter patterns of thinking.
Justice Secretary Shabana Mahmood is reported to be considering making treatment compulsory for serious sex offenders.
That would be deeply controversial with the medical profession in the UK. Consent is a long-standing principle of treatment with any procedure.
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Is the government ‘prepared to be unpopular’ over prisons?
But in the US, chemical castration is mandatory for some men in several states.
California was the first, amending its penal code in 1996 to include it as a punishment for those convicted of sexual abuse of minors. Florida, Texas, Louisiana are among those that followed suit.
Poland, Russia, Moldova, and Estonia have also introduced compulsory treatment for paedophiles.
But in the UK, without strong evidence on the risks and benefits of using the drugs, there will be professional unease about forcing men to undergo castration – even if they are convicted of the most heinous sexual offences against children.
The UK has signed a long-awaited deal to hand control of the Chagos Islands to Mauritius.
It means Britain will give up sovereignty of the Indian Ocean territory and lease back the vital UK-US Diego Garcia military base – at a cost of billions of pounds to the taxpayer.
In a news conference, Prime Minister Sir Keir Starmer said the base is of the “utmost significance to Britain”, having been used to deploy aircraft to “defeat terrorists in Iraq and Afghanistan”, and “anticipate threats in the Red Sea and the Indo-Pacific”.
He said the base was under threat because of Mauritius’s legal claim on the Chagos Islands, which has been recognised by multiple international courts.
“If we did not agree this deal, the legal situation would mean that we would not be able to prevent China or any other nation setting up their own bases on the outer islands, or carrying out joint exercises near our base,” Sir Keir said.
“We would have to explain to you, the British people and to our allies, that we’d lost control of this vital asset.
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“No responsible government could let that happen, so there’s no alternative but to act in Britain’s national interest by agreeing to this deal.
“We will never gamble with national security.”
Image: Aerial view of Diego Garcia in the Chagos Island group. Pic: AP
The deal means the UK will lease the base from the Mauritian government over 99 years.
Confusion over costs
Sir Keir said the average cost per year is £101m but the net overall cost is £3.4bn, not £10bn, and all public sector projects are measured in net costs.
However, there is confusion over the government’s calculations as the full agreement between the UK and Mauritius reveals the UK will pay:
• £165m a year for the first three years; • £120m for years four to 13; • £120m plus inflation for every year after to year 99; • £40m as a one-off to a fund for Chagossians; • £45m a year for 25 years for Mauritian development.
If inflation were to remain zero for the next century, this would work out to around £10bn over 99 years.
Assuming an average of 2% inflation, Sky News analysis suggests costs could rise as high as £30bn.
Downing Street stood by its figures, saying government accounting principles were applied to adjust for long-term costs and the value of the pound today is worth more than the pound in the future.
Officials denied suggestions from journalists that was financial sophistry, insisting it was “standard practice”.
Sir Keir said that had he not struck the deal today, Mauritius would have taken the UK to international courts and probably won, with extra penalties implemented.
The Chagos Archipelago was separated from Mauritius by the UK in 1965, when Mauritius was a British colony.
Mauritius gained independence from the UK in 1968 and since then has been trying to claim the archipelago as Mauritian.
In the late 1960s, the US asked the UK to expel everyone from the archipelago so they could build a naval support facility on the largest island, Diego Garcia. It is leased to the US but operates as a joint UK-US base.
The UK has been under pressure to hand back control of the territory, after the UN and the International Court of Justice sided with Mauritius.
The treaty said the deal would “complete the process of decolonisation of Mauritius”.
Tory leader Kemi Badenoch said that “surrendering” the Chagos Islands to Mauritius “is an act of national self-harm”.
“It leaves us more exposed to China, and ignores the will of the Chagossian people. And we’re paying billions to do so,” she said.
Reform UK leader Nigel Farage echoed those comments, accusing Sir Keir of caring more about foreign courts “than Britain’s national interest”.
Image: The location of the Chagos Islands
‘Deal inherited from Tories’
However, Sir Keir said he “inherited a negotiation in which the principle of giving up UK sovereignty had already been conceded” by the Tories.
He said “all of the UK’s allies” support the deal, including the US, NATO, Five Eyes and India, and that those who are against it include “Russia, China, Iran…and surprisingly, the leader of the opposition, and Nigel Farage”.
Defence Secretary John Healey, who was also at the news conference, added that the last government failed to strike a deal despite 11 rounds of talks, leaving Labour to “pick up the challenge”.
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He said ministers “toughened the terms and the protections and the control that Britain can exercise through this treaty”.
Under the deal’s terms, a 24-nautical mile buffer zone will be put in place around the island where nothing can be built or placed without UK consent.
The UK will retain full operational control of Diego Garcia, including the electromagnetic spectrum satellite used for communications which counters hostile interference.
Marco Rubio, the US Secretary of State, said he welcomed the “historic agreement”, saying it “secures the long-term, stable and effective operation of the joint US-UK military facility at Diego Garcia, which is critical to regional and global security”.
“We value both parties’ dedication. The US looks forward to our continued joint work to ensure the success of our shared operations,” he said.
More than a dozen people have been injured after a train hit an agricultural trailer on a level crossing in Herefordshire, according to emergency services.
British Transport Police (BTP) said officers were called to the site north of Leominster at 10.40am on Thursday.
A man has been airlifted to hospital and a woman has also been taken to hospital.
A further 15 people, who were passengers on the train, were assessed by paramedics but discharged at the scene, West Midlands Ambulance Service said.
A spokesperson confirmed that nobody from the tractor-trailer required assessment.
Police have confirmed that a 32-year-old man from Bromyard has been arrested on suspicion of endangering safety on the railway.
Firefighters and officers from West Mercia Police also attended the scene.
A spokesperson for Transport for Wales (TfW) confirmed its 8.30am service between Manchester Piccadilly and Cardiff Central hit an “obstruction” at a crossing between Ludlow and Leominster.
All lines between the Hereford and Craven Arms stations are blocked and trains will not run between the two.
Replacement road transport is being put in place and TfW tickets are currently being accepted by Northern, Avanti, GWR and CrossCountry, it said.
Disruption is expected to last until the end of the day and a spokesperson for the company advised anyone travelling on Thursday to check before they travel.
A spokesperson for West Midlands Ambulance Service said it was “called to an incident on the railway track at Nordan Farm, Leominster, at 10.46am”.
“On arrival crews found a man who was a passenger on the train, they treated him for non-life threatening injuries before conveying him by air ambulance to Hereford County Hospital,” they added.
“A woman was also treated for injuries not believed to be serious and conveyed by land ambulance to Hereford County Hospital.”
The Rail Accident Investigation Branch (RAIB) said it had sent a team of inspectors to Leominster “between a passenger train and an agricultural trailer at a user worked level crossing”, which require people to operate the crossing themselves.
“Our inspectors will gather evidence as part of the process of conducting a preliminary examination and a decision on whether an investigation will be launched will be taken in the coming days,” the spokesperson added.
British Transport Police said its enquiries were ongoing into the full circumstances of the incident.
The economy will have to be “strong enough” for the government to U-turn on winter fuel payment cuts, the business secretary has said.
Jonathan Reynolds, talking to Beth Rigby on the Electoral Dysfunction podcast, also said the public would have to “wait for the actual budget” to make an announcement on it.
You can listen to the full interview on tomorrow’s Electoral Dysfunction podcast.
He and his ministers had insisted they would stick to their guns on the policy, even just hours before Sir Keir revealed his change of heart at Prime Minister’s Questions.
But Mr Reynolds revealed there is more at play to be able to change the policy.
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1:01
Winter fuel payment cuts to be reversed
“The economy has got to be strong enough to give you the capacity to make the kind of decisions people want us to see,” he said.
“We want people to know we’re listening.
“All the prime minister has said is ‘look, he’s listening, he’s aware of it.
“He wants a strong economy to be able to deliver for people.
“You’d have to wait for the actual budget to do that.”
The Institute for Fiscal Studies has looked into the government’s options after Sir Keir Starmer said he is considering changes to the cut to winter fuel payment (WFP).
The government could make a complete U-turn on removing the payment from pensioners not claiming pension credit so they all receive it again.
There could be a higher eligibility threshold. Households not claiming pension credit could apply directly for the winter fuel payment, reporting their income and other circumstances.
Or, all pensioner households could claim it but those above a certain income level could do a self-assessment tax return to pay some of it back as a higher income tax charge. This could be like child benefit, where the repayment is based on the higher income member of the household.
Instead of reducing pension credit by £1 for every £1 of income, it could be withdrawn more slowly to entitle more households to it, and therefore WFP.
At the moment, WFP is paid to households but if it was paid to individuals the government could means-test each pensioner, rather than their household. This could be based on an individual’s income, which the government already records for tax purposes. Individuals who have a low income could get the payment, even if their spouse is high income. This would mean low income couples getting twice as much, whereas each eligible house currently gets the same.
Instead of just those receiving pension credit getting WFP, the government could extend it to pensioners who claim means-tested welfare for housing or council tax support. A total of 430,000 renting households would be eligible at a cost of about £100m a year.
Pensioners not on pension credit but receiving disability credits could get WFP, extending eligibility to 1.8m households in England and Scotland at a cost of about £500m a year.
Pensioners living in a band A-C property could be automatically entitled to WFP, affected just over half (6.3m).
Chancellor Rachel Reeves has committed to just one major fiscal event a year, meaning just one annual budget in the autumn.
Autumn budgets normally take place in October, with the last one at the end of the month.
If this year’s budget is around the same date it will leave little time for the extra winter fuel payments to be made as they are paid between November and December.