NHS gender treatment for children based on 'remarkably weak evidence'

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NHS gender treatment for children based on 'remarkably weak evidence'
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NHS gender identity services for children and young people have been based on 'remarkably weak evidence', the independent review warned.

Children given NHS transgender treatment have been set on a path of irreversible change despite scant medical data, a report has concluded.

The former president of the Royal College of Paediatrics and Child Health was appointed to lead the review in 2020 ■ Long NHS waiting lists were said to have driven trans children into the arms of private clinics, with GPs 'pressurised to prescribe'; Dr Cass said: 'Despite the best intentions of everyone with a stake in this complex issue, the toxicity of the debate is exceptional.

'Polarisation and stifling of debate do nothing to help the young people caught in the middle of a stormy social discourse, and in the long run will also hamper the research that is essential to finding the best way of supporting them to thrive.' Dr Cass described having come into contact with some 'very aggressive people' during meetings as part of her work. The report found evidence for the use of puberty blockers and hormone treatments relied heavily on 'shaky foundations' and guidelines not backed by science.The report found those who socially transition at an earlier age or before seeing a medical professional were 'more likely to proceed to a medical pathway'.

It said no GP should be expected to 'enter into a shared care arrangement with a private provider', especially one acting outside NHS guidance. Mr Sunak said the report emphasised the need for caution over treatment.

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