Cass Review Slams NHS Gender Care for Young People as 'Built on Shaky Foundations'
Dr. Hilary Cass, a former president of the Royal College of Paediatrics and Child Health, has completed a significant review commissioned by NHS England in 2020. The report, known as the Cass Review, examines the medical care provided to young people questioning their gender identity, following a sharp rise in referrals to the NHS.
In 2011-12, there were fewer than 250 referrals, but this figure surged to over 5,000 in 2021-22. Dr. Cass found that the 'toxicity' of the public debate around gender led professionals to avoid open discussions, even as evidence of harm accumulated. The report highlights the 'wholly inadequate' evidence supporting the current medical pathway and recommends more holistic treatment approaches.
Dr. Cass raised concerns about social transitioning for young children, suggesting therapy should be provided before allowing such transitions. She also advised against giving puberty blockers and hormone drugs until a child is at least 18, as there's no evidence these treatments 'buy time to think' or 'reduce suicide risk'.
The final report is a stark critique of the current gender care offered to young people, describing it as 'built on shaky foundations' and 'remarkably weak' in terms of evidence for medical interventions. Dr. Cass's findings underscore the urgent need for improved care and support for vulnerable young people navigating questions of gender identity.
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