Final Report Cass Review now published

[IwantToRetire]

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 services for children and young people.

Download from https://cass.independent-review.uk/home/publications/final-report/

From the interview with her I understood it as being that there's no long term studies on psych support rather than medication.

Ie no studies on not affirming.

Of course Scotland is going ahead with a conversion therapy ban because they are complete loons who think Cass doesn't apply to them.

Well said siri

thank you to all the women on mumsnet who kept on with this even through deletions and bannings…and numpty posters 💐

sara

Nope….nope, nope, nope

Transactual seems to be claiming that “evidence was discarded” (no, not by GIDS, sillies!), without specifying further. Not holding my breath.
https://transactual.org.uk/blog/2024/04/10/transactual-initial-response-to-the-cass-review-final-report/

Yes but predictably the article starts by finger pointing and blaming ‘both sides’ with their photo caption stating: "Dr Hilary Cass said care was made difficult to provide by the way in which opposing sides had ‘pointed to research to justify a position, regardless of the quality of the studies"

Throwing in for good measure a couple of references to the ‘polarised’ and ‘toxic’ public debate without acknowledging it was only ever toxic on one side of that #nodebate.

And of course the inevitable quote from the counter viewpoint, here of Dr Aidan Kelly who is quoted saying PBs are safe and effective according to a German study and that the UK is out of step with the rest of the fucked up world.

Breathtakingly irresponsible even for the Graun in light of the Cass Report having just been published to send the message no keep going ahead with destroying your physical health.

Ugh

It is disappointing that the Cass Review will not, overall, accomplish its stated goals of ensuring a high standard of care for young people who need gender identity support and instead pulls the UK further from international best practices.

Given that international best practices these days is basically WPATH I'm glad the NHS will be forced to pull further away from it.

And that's only the first paragraph!

Thank you Hilary Cass for bringing sense and sunlight. I can’t believe there was no holistic approach in the treatment of gender-questioning children. I’m not a doctor but even I know that you have to treat the patient as a whole person, not just look at one issue they may have. It’s devastating that so many children have been let down due to the silencing tactics and culture of fear created by trans rights activists.

I hope David Tennant’s “leave trans kids alone you absolute freaks” T-shirt emerges from the back of his wardrobe to haunt him. Yes, you freaks, leave kids alone, because only a fully grown, mature adult is equipped to make life-changing decisions and opt for irreversible surgery and hormone treatments. Children cannot make that decision and it is shameful that this ideology has been pushed so hard in schools and focused so heavily on the young and impressionable.

What’s the difference between a transboy and a tomboy anyway? How do we define that? I was a tomboy, and as a pre-pubescent child I wished I was a boy. Was I trans? No, just a gender non-conforming female. Thank the lord nobody ever tried to “affirm” me.

They don't. It is upto the patient and/or clinician to remember/create a system. And of course, if you've had a mastectomy/hysterectomy, then screening may not be appropriate so it is very individual.

More importantly, your blood reference parameters will be wrong, so a borderline anaemic (trans)woman (who could simply be a bit anaemic because of menstruation, if they were biologically female) is a VERY anaemic male (a very worrying picture which requires urgent investigation). Sorry, that is a bit confused - hope you follow that. Just one example.

I have seen a PSA done on a transman. And recording presence of prostate in transwomen (as it is never removed) is vital - prostate cancer can present with backache for example, and can be missed if the clinician is unaware that the patient is male. IT IS A NIGHTMARE.

I concur.

Cass mentions this I believe

I’ve said this from the beginning.

I wonder how these medics who fell for it all hook line and sinker in their quest to be virtuous will ever backtrack on the disgustingness that they have inflicted on thousands of children. They don’t tend to be known for their humility these types of people.

The report is welcome but I’m interested to see what happens next. The reaction from IW is interesting because it is digging heels in further, playing on the victimised status, and that line will be helpful for the butcher medics who can’t come to terms with what they’ve done.

Next step:

The school's guidance needs completely updating to reflect observations.

It needs to be statutory

It needs to be embedded in "keeping children safe in education," the statutory framework for safeguarding children in education, citing online influences, porn, sexual abuse etc

Currently there's a whimsical phrase that says being lgbtq isn't a safeguarding issue in itself. This was used by TRAs at the neu to pass those ridiculous motions.

Cass means a divorce of the T from LGB in kcsie.

It means no more concept of a "trans child."

It means that indications by children of trans identity is flagged as a safeguarding issue

And everyone is welcome to join discussion here. We don't dox or issue threats of rape and other violence to posters who disagree.

I've lost count of the number of TRAs who feel confident enough to start a thread without having understood a single thing we've been talking about on other threads. How inclusive is that, that they feel able to do that?

We don't turn up in trans spaces to threaten rape and violence and drown out their speaking. We don't mobilise thugs to prevent gatherings of trans people.

I think the problem is that we disagree. We argue, debate, cite evidence and quite often swear. We don't automatically defer to men. This space, ironically, is gender non conforming and TRAs don't like that. We're supposed to stay in our gender box, because to do otherwise undermines their argument.

If we're going to reflect on this report honestly and objectively, we also need to own that this branch of Mumsnet has played a part in that polarisation of public debate.

Very rarely on here have I seen anything other than robust, clearly stated, evidenced based argument, mostly in response to untruths expressed elsewhere and unevidenced, aggressive and poorly expressed opinion on here. That’s not polarisation. It’s the debate that wasn’t allowed to happen elsewhere.

Cass did disregard evidence, on the basis that it was poor quality.

Trans activists have obviously interpreted this as her disregarding evidence which did not support the conclusion she wanted to reach, i.e. it was a stitch up.

I think the "we will not debate our existence" line is not just hyperbolic, but deeply hypocritical.

Ultimately, there are two opposing views on what a woman is.

If your position is "trans women are women, no debate, trans people will not debate their existence", what you are simultaneously saying is, "female people do not exist as a discrete category and what is more female people are not allowed to debate whether they exist as a discrete category".

So who is denying whose existence, exactly?

It's annoying how so many 'voice of reason' journalists and politicians are now 'both sides'-ing this. No, one side has been batshit and dangerous, the other side has been dedicated and determined despite being defamed, threatened and punished for their knowledge. If it hadn't been for 'terfs' then the media and the government would still be parroting the idea that 'gender-affirmative care' was a universally good and life-saving treatment.

I found myself on the feminism board when searching for help with my young teen daughter. She's now 19 and diagnosed with Autism. Back then she had been saying she felt she didn't want to be a girl, she didn't want to grow up, was self harming, having anxiety attacks. She spoke of many labels - pansexual, Non Binary, Arorace. All terms I was unaware of and had to search for. I naively thought it was the latest teenage fad but could see how unhappy she was and we were fortunate she was referred to CAMHS and eventually received her diagnosis. From there I was able to get her support and better understand her needs. I ignorantly had not linked her experience to the Feminism aspect and it was through searching I found myself here. I had been a mumsnet member going back to the baby stage but rarely entered the feminism topics. It was through reading the measured and informative posts from so many wonderful women here that I began to understand. It was thanks in part to Mumsnet that we didn't go along with her requests to change pronouns or supply her with binders. She hated periods and often said she wanted to remove her uterus and breasts. She was crying out to tell me it was the unwanted attention from boys and men that she was afraid of and was not ready to grow up. Even now at 19 she is very socially immature. She has online friends/relationships but has never been close to anyone in the real world. She is still finding herself but now accepts her biological sex. It's still a subject that I have to tiptoe around her as she sees any criticism of gender ideology as an attack on the trans community. She has many online friends who are unhappy and confused. I was very pleased to read the recommendation in the report to raise the age to 25. Certainly with my daughter I would say her emotional and social maturity is that of a 14 year old. She's at Uni loving her course but living at home with us. My hope for her is that she will eventually live her life happy and independent. Whether this is as a contented single woman or in a loving relationship gay or straight we can only wait. I'm just so so glad we didn't go along with her wishes years back and I hope she can see this now too. Mumsnet has played a massive role in supporting us and today seeing the CASS report published is such a huge step towards really understanding the harms that this toxic ideology has caused to children and young people.

Agreed.

Despite her diplomatic language, Cass has come down firmly on one side.

So let's stop "both sidesing" this and demonising the people who have been saying for years what Dr Cass has now said officially.

So we are entering the 'its not what you said, it's the way you said it" stages now?

Yes, you may have been right but you were so extreme about it.

Yes. 'If you hadn't been so strident I might have listened to you. So, really, when you think about it, it's all your fault.'

Oh no you don't. Mumsnet deserves praise for being one of the few sites that did not completely censor concerns about the care being given to gender distressed children.

You don't get to blame those that had the courage to point out that the emperor has no clothes.

Let's be honest.

By the end of this year Labour will be in power.

If women had been less forceful about this the UK's attitudes to this would not have diverged from the rest of the English speaking world to the extent that they have before the next election.

And we still have a few months to go during which more stuff will probably come out.