Can we stop crediting any Secretaries of State for Health for ‘commissioning’ the Cass report?
Doing that really inappropriately sites Cass report in a political and governmental realm that it isn’t in. Claiming it was commissioned by government allows a blurring to take place that’s very unhelpful when huge unanswered questions remain for government about system failures allowing this mistreatment of kids, which are as yet unexplored. Which is why we need a public inquiry to stop this happening again.
Plus the great strength of the final Cass report, is its medical voice, its independence which has allowed the team to speak to wide ranging sources and its very clear focus on evidence.
Yes, individual Health Secs may have been supportive of the Case review happening and that is great. And so they absolutely should have been… given the hair raising concerns being flagged up to them for years by whistleblowers and many others about what GIDS was doing.
Javid in particular, tried to make outcomes data available to researchers although it sounds like there was resistance from adult services to actually supplying that. I would have to dig further on that to understand the ins and outs of it. Supplying data of that kind would have plugged some of the already very well-known and very concerning gaps in data, which are still being highlighted by Cass in 2024. So in that Javid’s aim at least seems coming from a good evidence-based place. Credit where due. However this was after the Bell case publicity put this issue on the political map very firmly (thank you again Keira Bell)
My understanding is that while Cass is/was very much needed due to huge concerns being raised, the Cass report actually came out of 2016’s NHS England service specification for gender identity development services for children and young people. That had committed to conducting a review of this specification and associated policies for 2020.
https://www.england.nhs.uk/2020/01/update-on-gender-identity-development-service-for-children-and-young-people/
So while Secretaries of State for health may obviously talk to the Chair or members of the Board of NHS England who actually commissioned this report), I don’t think its helpful to congratulate Matt Hancock for suddenly diving in to help during the pandemic or Sajid Javid for doing any more than he did do to support the Cass review, which was already well underway on his watch.