Major Review of NHS Adult Gender Services in England

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.”

Source: Healthcare Press (healthcarepress.net)

NHS Adult Gender Services Review Doctor Teenagers Care Children Medical Interventions Gender Care Toxic Debate

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