How are you feeling today if you work in healthcare or a captured organisation?

Thanks, but I'm still a bit hmmm. Transitioned at home - friends come over to play, or for older kids, going out to town etc, different 'degree of transition' seems very confusing. It seems like an unworkable fudge.

I like a protocol, me!

Partial transition “may be a way of ensuring flexibility”, the review said, adding that appropriately-trained clinical staff should advise on the risks and benefits of social transition “referencing best available evidence”. It warns parents must be careful not to unconsciously influence the child's gender expression.

Daily Mail uses same definition as others and doesn't involve archive links: https://www.dailymail.co.uk/health/article-13288717/Everything-need-know-sweeping-400-page-Cass-report-including-set-four-years-ago-happened-since.html

According to Shropshire Star she also says this:

On the suggestion of partial transition for young children and what this means, she suggested in some cases someone might be transitioned at home and not at school.

It also recommends, as a maximum, 'partial transition' but i can't find a definition if this. Am I being thick? Any ideas? What implications would this have in a general medical environment or in schools?

RethinkingLife my NHS paediatric dept has just been sent back a new batch of name badgers because they didn’t have preferred pronouns on them so they can be put on. I’ve decided to continue using my old name badge minus pronouns and see if anyone comments quite looking forward to quoting Cass if they do

Staff at NICE, NIHR, HEE, MHRA, HDR UK, and NHS need to stop the use of pronouns in their signatures. They need to stop "people with ovaries" and other such usages.

Until they do, they've picked a side in the support of, or opposition to, evidence-based medicine.

Me too.
Nothing....

@HelenHywater the social transition secton is chapter 12 of the report - not too long so worth looking at.

Key messages include a benefit for children of using preferred name.

Limited good evidence of benefit or of harm of social transition where parents are involved.

Evidence of increased stress and anxiety in children who are living 'full stealth' and in my interpretation this is worst when the children do this full transition before puberty- they end up in fear of being 'found out'.

In general, children thrive when their families are involved and social transition without parental inclusion is not recommended.

I think it's very important not to overstate what the report says. Advocates will leap on any attempt to use it for an agenda it doesn't support.

Went on our NHS trust’s intranet today to see if any comment on the Cass report as usually something when a significant review is published. Nope nothing, still awaiting my new name badge declaring my preferred pronouns, ffs can someone just stop this sh*t

@HelenHywater as a first pass on social transition, https://segm.org/Final-Cass-Report-2024-NHS-Response-Summary this link from SEGM summarises. I'll go back and re-read the sections and will post the pages later.

So if we wanted to write to our children's schools about this, can you point to the part in the Cass report that talks about social transition? My kids' schools (both of them) buy heavily into the ideology. One reason I didn't send my dd to my ds's school is that they let boys (who say they are girls) into the girls loos.

My dd's school (which is a girls school) is full of pronouned girls, and a friend of a friend had a dd who said she was a boy without her knowing (because the school didn't think they should tell the mother - she found out in an awful way).

fwiw, my sector is still the same as it was pre-cass - completely captured.

When i get a minute to think about it, the way people seem sincere in their beliefs baffles me....
But we don't have a minute.
School is back on Monday.
Maybe the kids are going to maintain the omerta, but I can't see it holding. If we grownups don't set the agenda, and the tone, what the kids say will be unpredictable.
I'm hoping for some guidance at 8.30 staff meeting, and a whole school assembly.
Heads in sand is more realistic tbh.

We have sex differentiated ‘red books’ because boys and girls have different growth trajectories from the get go! It’s as if some people have completely forgotten reality.

Considering all the safeguarding training the NHS makes its staff do and all the while some of the biggest cases of child abuse was happening in expensive publicly funded NHS clinics in plain sight. It beggars belief.

@DameMaud

Yes, they’re both on my “acceptable sharing within the NHS list”. (I have a different list for other sharing.) There was also the useful summary of CASS that someone shared, for those who won’t read the full report.

Yes, Swashbuckled.
I remember that info about Ehrensaft from years ago. It's good to see it highlighted, as its one of those facts that works in of 'a picture tells a thousand words' kind of way.

I think the SEGM response and the BMJ piece are an excellent summarising combo for sharing, where you know most won't read the whole report.

Thanks so much for this; I hadn’t seen your original posting of it. I’ve added it to my pile of links to share with colleagues. (I’m in a NHS adult psychology team.)

I was struck by the implications of this, which I didn’t know, and remember the referrals when this was a thing:
“ Ehrensaft was also a notable figure in the epidemic of "repressed memories" of satanic abuse, and published on the subject.”

Sports coach working in a secondary school.
There does seem to be a genuine (mistaken) belief that before puberty, boys and girls are equals in sport.

It feels genuinely harmful that people who think same sex sports is a violation of human rights are allowed to teach girls.

I think this answers your question.

segm.org/Final-Cass-Report-2024-NHS-Response-Summary

"SEGM Take-Aways
The single most salient take-away is that the so-called "gender-affirming" model of care, which treats young people's declarations of transgender identity as an indication that any physical body modification desired by the young person is medically necessary, is over in England. So is the era of the "gender-clinic model of care," which exists to operationalize the highly medicalized "gender-affirming" care model.
We end our take-away by pointing the readers to a powerful editorial by the BMJ Editor in Chief. The entirety of this short editorial is worth reading, but we will highlight the more salient quotes below:
"Offering treatments without an adequate understanding of benefits and harms is unethical. All of this matters even more when the treatments are not trivial; puberty blockers and hormone therapies are major, life altering interventions"
"Without doubt, the advocacy and clinical practice for medical treatment of gender dysphoria had moved ahead of the evidence—a recipe for harm."
"...Families, carers, advocates, and clinicians—acting in the best interests of children and adolescents—face a clear choice whether to allow the Cass review to deepen division or use it as a driver of better care."
This analysis, published by the Editor-in-Chief of one of the most prestigious medical journals in the world, signals that the implications of the Cass Report will likely reverberate worldwide. It now appears inevitable that the arc of history has bent in the direction of reversal of gender-affirming care worldwide, although in some countries it will take considerably longer to change medical practice.
The Cass Report is a historic document the significance of which cannot be overstated. It is also multi-faceted, and no single analysis can do it justice. We have done our best to synthesize the most salient aspects of the review after a single reading. We have no doubt that we missed other important aspects and we trust that others will point them out"

I'm a primary school teacher.

No trans-identify children in my school so all discussions have been theoretical so far. I emailed my Head last term to raise my concerns about some EEDI training we had had and she called me into her office a couple of weeks later to talk about it.
She had read the email and the links, respects my views but still wanted to be able to follow some kind of middle ground but there really isn't one with this.

I have said that if we did have a trans identifying child at the school, I wouldn't socially transition them (eg use preferred pronouns) because I wouldn't collude with something that could put a child on a medical pathway that would lead to irreversible damage.

I feel that the Cass report gives me a strong foundation if I was put in that situation.
I'm interested to see if there's any response from the Head or from other teachers when I get back after the Easter break. We don't have anyone strongly pushing gender ideology but neither do we have any other openly GC teachers. Everyone's vaguely "be kind" and not looking too deeply into it. I'm pessimistically assuming that most teachers and TAs won't have followed the latest developments.

My union is a totally different story. I left the NEU because it is captured by gender ideology. I'm standing up against it in other areas of my life. I don't have the time or energy to fight my union as well.

I've put this on one of the main (and many!) Cass threads- but adding here too as it's appropriate.
A very thoughtful and healthcare specific response to Cass from SEGM (Society for Evidence Based Gender Medicine)
On of the best and most explanatory I've seen yet:
https://segm.org/Final-Cass-Report-2024-NHS-Response-Summary

Please excuse my ignorance as I ask this question. I don’t live in the UK so I’m out of the loop.

So the laws haven’t changed? Is the Cass report just something that can be referred to as a recommendation? Or does it have more power and influence than that?

I'm also in MH in a very captured Trust. I have no hope. I very quietly managed to get sex and gender identity if different onto our referral forms after sex was removed but this was through a faux casual conversation with admin. I absolutely hate my pronouns are name badge but when our menopause awareness sessions were basically trans focused, I was too scared to say anything. I'm thinking of working privately just to get away from all this.

That was for this. Oops! It's late...

Do you think this could be worth it's own thread?
It's key, and not everyone would read the full report?