The final report of the independent review of gender identity services for children and young people makes 32 recommendations.
NHS adult gender services in England will undergo a major review after the doctor behind a long-awaited report on children’s services said teenagers are “falling off a cliff edge” in their care when they reach 17.
Responding to the report, NHS England said it had written to local NHS leaders to pause first appointment offers at adult gender clinics to young people before their 18th birthday, and is “bringing forward its systemic review of adult gender services”. She said: “We are worried particularly about the vulnerable group around 17 who are falling off a cliff edge really between services.”
Her report urged a review of the current policy on giving children masculinising or feminising hormones in the form of testosterone or oestrogen from the age of 16, urging “extreme caution”.Dr Cass, a retired consultant paediatrician, said there “should be a clear clinical rationale” for giving hormones before someone turns 18.
She said she believes the review has “certainly brought forward an international conversation, which is so important, because one of the real problems in this area is the difficulty in trying to get a conversation that’s not toxic and that’s not very polarised”. While focused on healthcare rather than issues in schools, Dr Cass acknowledged the area is “very difficult and very stressful for school staff, and for families”, adding: “So I do hope that the Government will find a way through that gives more reassurance to both.”
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What has happened since the Cass Review was launched nearly four years ago?The review was led by Dr Hilary Cass, former president of the Royal College of Paediatrics and Child Health.
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What has happened since the Cass Review was launched nearly four years ago?The review was led by Dr Hilary Cass, former president of the Royal College of Paediatrics and Child Health.
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Cass Review ‘should mark a watershed moment’The independent review into gender identity services for children and young people was commissioned four years ago.
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Cass Review ‘should mark a watershed moment’The independent review into gender identity services for children and young people was commissioned four years ago.
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‘Most clinical guidelines on gender care did not follow international standards’Research by the University of York was commissioned to inform the Cass Review’s final report.
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‘Most clinical guidelines on gender care did not follow international standards’Research by the University of York was commissioned to inform the Cass Review’s final report.
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