Retired consultant paediatrician Dr Hilary Cass, author of the Cass report on transgender care in the UK, whose findings will have significant implications internationally. Photograph: Yui Mok/PA Wire
Dr Cass found the UK’s only NHS gender identity development service used puberty blockers, which prevent puberty from happening, and cross-sex hormones, which masculinise or feminise people’s appearances, despite “remarkably weak evidence” that they improve the wellbeing of young people. Fewer than 10 Irish children are currently receiving puberty blockers as part of their gender healthcare through Children’s Health Ireland.
But what does all of this mean for the children and young people in Ireland who are seeking transgender healthcare?is developing a new clinical programme for gender healthcare, and over the next two years will develop an updated clinical model of care for these services. The spokesman said the model of care will be developed in a “consultative way”, and will engage with stakeholders, healthcare professionals and patients, “who will be involved in the design of services and advise on the delivery and evaluation of services”.
According to Minister for Health Stephen Donnelly, this new system “has been badly needed for a long time”. But both activists and clinicians want the new way in which care is to be delivered to be markedly different from its current iteration. “The biggest thing the Cass review clarified, which was also clarified in the Swedish systematic review, is that the evidence isn’t clear. And so we are working somewhat in the dark, which means we have to prioritise being safe and careful,” he said.
Campaign groups and activists, however, said there needed to be a “clear pathway” to support trans children and young people to receive gender-affirming care. The World Health Organisation in 2019 ended the categorisation of trans-related conditions as mental and behavioural disorders, categorising it instead as sexual health. Ms Sugrue said in Ireland there was still a need to “depathologise” trans people.
Source: Healthcare Press (healthcarepress.net)
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