The long awaited Cass report has been published looking at gender affirming care in the NHS.

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    17 months ago

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    Addressing children and young people in the foreword to her report, she wrote: “I have been disappointed by the lack of evidence on the long-term impact of taking hormones from an early age; research has let us all down, most importantly you.”

    It also says representatives from the regional centres should form a national group to oversee ethics, training and to ensure everyone receives “the same high standards of evidence-based care”.

    “There are few other areas of healthcare where professionals are so afraid to openly discuss their views, where people are vilified on social media, and where name-calling echoes the worst bullying behaviour.”

    Dr Cass’ report warns that this should only be done with “extreme caution” and there should be a “clear clinical rationale for providing hormones at this stage rather than waiting until an individual reaches 18”.

    The report also warns that younger children should be treated with a “more cautious approach” than adolescents when considering whether to allow them to change their names, pronouns or clothing - known as socially transitioning.

    It says those who have not yet reached puberty should be “prioritised for early discussion with a professional with relevant experience” and they should be put on a separate care pathway than older, adolescent patients.


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