Dr Hilary Cass made 32 recommendations a her near-400 page report.
The findings of a major review that concluded that medical treatment in children’s gender care has been based on weak evidence has shone a spotlight on the need to “exercise extreme caution” in this area, the Prime Minister has said.
Dr Cass had, among her 32 recommendations, called for a “follow-through” service for 17 to 25-year-olds rather than this “vulnerable” group going straight into adult clinics, saying teenagers are “falling off a cliff edge” in their care when they reach 17. The Children’s Society has called for the report to “mark a watershed moment” in fostering an environment “which places the wellbeing and safety of all children at its heart”, while the Royal College of Psychiatrists said all gender-questioning children must get “timely access to services that are holistic and respond to their individual needs”.
Dr Cass said: “I think it’s definitely the case that ideology on all sides has directed care, rather than care being directed by normal principles of paediatrics and mental health. Research by the University of York carried out alongside the report found evidence to be severely lacking on the impact of puberty blockers and hormone treatments, while the majority of clinical guidelines were found not to have followed international standards.
Welcoming the review, Prime Minister Rishi Sunak told LBC Radio the conclusions “shine a spotlight” on the need to “exercise extreme caution” when it comes to gender care for children.He said: “We care above all about the wellbeing of children and it’s clear that these things are not neutral acts, whether that’s social transitioning, any kind of medical intervention, we simply do not know the long-term effects of these things.
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