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Refusal of adult gender clinics to take part in study ‘shocking’ - David Bell

31 replies

IwantToRetire · 10/04/2024 01:11

Dr Hilary Cass had, through her Independent Review of Gender Identity Services for Children and Young People, commissioned research tracking the journeys of young people who were seen by the now-shut Gender Identity Development Service (Gids) at the Tavistock and Portman NHS Foundation Trust.

The research could have encompassed outcomes for approximately 9,000 young people who moved from Gids into NHS adult gender dysphoria clinics.

Dr Cass described it as a “world leading opportunity” to add to the evidence base – something her report makes clear is sorely lacking in the area of gender care.

But six of the seven adult clinics declined to support the study, with reasons for not doing so including ethical considerations and concerns about funder motivation and political interference, with fears the resulting “high-profile national report” could be misinterpreted or misrepresented.

In a letter to John Stewart, national director for specialised commissioning in NHS England and NHS Improvement, dated last month, Dr Cass said that despite his “welcomed efforts to obtain cooperation, most of the NHS gender clinics have refused to take part in this research”.

Dr Cass said it had “not been at all straightforward trying to get this research off the ground” and had “absorbed a considerable amount of time and attention” from the review and delayed its work.

Part of a longer article https://uk.news.yahoo.com/whistleblower-refusal-adult-gender-clinics-230100752.html

Whistleblower: Refusal of adult gender clinics to take part in study ‘shocking’

The research could have encompassed outcomes for approximately 9,000 young people who moved from Gids into NHS adult gender dysphoria clinics.

https://uk.news.yahoo.com/whistleblower-refusal-adult-gender-clinics-230100752.html

OP posts:
Original poster
IwantToRetire · 10/04/2024 02:14

Have started another thread (!) with the link to the Final Report which is now available on line. https://www.mumsnet.com/talk/womens_rights/5046923-final-report-cass-review-now-published

But thought it worth highlighting through this thread the shocking lack or cooperation (totaly unprofessionalism) of the adult clinic.

Is it that staf are still scared of speaking out publicly or what?

And worse still implies these adult clinics aren't having sucess because if they were surely they would their outcomes to be in the Final Report to show that children who "progressed" through the systme did flourish?

Final Report Cass Review now published | Mumsnet

^Dr Hilary Cass has submitted her final report and recommendations to NHS England in her role as Chair of the Independent Review of gender identity se...

https://www.mumsnet.com/talk/womens_rights/5046923-final-report-cass-review-now-published

OP posts:
KellieJaysLapdog · 10/04/2024 01:55

Copy and paste from the image text (so might be a bit ropey!)

“Evidence for letting children change gender built on shaky foundations, says Cass report
By Michael Searles, Laura Donnelly and Daniel Martin
THE NHS will review all trans treat-ment, as a landmark report says that the evidence for allowing children and young people to change gender is built on "shaky foundations"
Dr Hilary Cass, a paediatrician, today publishes her review into the support and treatment offered to children who believe they are transgender, and warns that extreme care should be taken before anyone under the age of 25 transitions.
It also calls for an end to the prescribing of any powerful hormone drugs to under-18s; warns that children who change gender may regret it; finds that many have experienced trauma, neglect and abuse; and says there is no good evidence" on the long-term outcomes of treatments given to children.
The review warns of pressures on families, with parents feeling forced to allow their children to transition so they are not labelled transphobic.
Dr Cass declares that "gender medicine for children and young people is built on shaky foundations".
In response, the NHS is to review all transgender treatment it provides, including for adults, and treatment for any new patients aged 16 and 17 at adult clinics will immediately be paused Rishi Sunak has welcomed the rec-ommendations, highlighting the sharp rise in recent years in chiktren, particularly girls, questioning their gender.
Backing Dr Cass's call for all cases to be treated with great care and compas-sion he said: "We simply do not know the long-term impacts of medical treatment or social transitioning on them (children), and we should therefore exercise extreme caution."
The 388-page report took four years to produce, amid mounting concern that children are being allowed to change gender in schools and by doctors without question.
Dr Cass, the former president of the Royal College of Paediatrics and Child Health, cautions against hasty decisions while children's brains are developing. calling for unhurried, holistic, therapeutic support " for those aged between 17 and 25 She adds that "life-changing" decisions must be properly considered in aulthood, noting that brain maturation continues into the mid-20s.
Dr Cass says that the regional centres recommended in her interim report, to provide mental health and other support to children who want to change gender, should care for people aged upto 25
Dr Cass says the "toxicity of the debate is exceptional" and that she had been "criticised" by all sides. 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. This must stop," she urges In a letter to Dr Cass seen by The Tel-egraph, the NHS has said it will under take an external review of all its adult gender clinics and has instructed them
*to implement a pause on offering first appointments to young people below their 18th birthday".
The letter, written by John Stewart, NHS England's national director of spe-cialised commissioning, said it would also review the use of gender affirming hormones. similar to the rigorous process that was followed to review the use of puberty suppressing hormones.
Children's clinics have been overwhelmed by referrals in the past decade, now receiving more than 1,600 referrals a year, compared with 50 in 2009.
An NIS spokesman said: *The NIIS has made significant progress towards establishing a fundamentally different gender service for children and young people - in line with earlier advice by Dr Cass... by stopping the routine use of puberty-suppressing hormones and opening the first of up to eight new regional centres... We will set out a full implementation plan following careful consideration of this report."
Full report: Page 6
Allison Pearson: Features, page 7”

KellieJaysLapdog · 10/04/2024 01:53

The Telegraph front page certainly says that adult services are now under scrutiny…

Refusal of adult gender clinics to take part in study ‘shocking’ - David Bell
Refusal of adult gender clinics to take part in study ‘shocking’ - David Bell
lonelywater · 10/04/2024 01:25

MrsTerryPratchett · 10/04/2024 01:20

Haven't read anything. But if they are NHS, surely they can be told to take part. It's a public body.

didn't you get the memo? Trans anything gets a free pass and can do what the fuck they like. Right up until they cannot. Starting tomorrow. This will be (or should be) the end of gender bollocks in the NHS and wider society.

MrsTerryPratchett · 10/04/2024 01:20

Haven't read anything. But if they are NHS, surely they can be told to take part. It's a public body.

Hoardasurass · 10/04/2024 01:18

They really don't want people to know what they're doing do they