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A major review of gender services for children and young people has been published.
Here’s a timeline of what’s happened since the service launched nearly four years ago.

– 2020
September: The Independent Review of Gender Identity Services for Children and Young People was commissioned by NHS England and NHS Improvement to make recommendations on NHS services for children and young people who are in doubt about their gender. Masu.


The study, led by Dr Hilary Cass, former president of the Royal College of Paediatrics and Child Health, is known as the ‘Cass Review’.
NHS England said it was responding to “complex and diverse issues”, including a significant increase in referrals to Tavistock and Portman NHS Foundation Trust’s Gender Identity Development Service (Gids) from just under 250 in 2011. / From 12 people to more than 5,000 people in 2021/22.
October and November: The Care Quality Commission (CQC) is inspecting Gid, the only service available in England for children and young people with gender dysphoria, which also treats children and young people in Wales.
– 2021

January: The CQC has published an inspection report rating the service as overall inadequate.
The watchdog said the service was difficult to access, with young people waiting more than two years for their first appointment, and that staff did not have a comprehensive care plan for patients and were “not aligned with the specialist clinical approach.” There is “large variation” and there is no clarity. A record of why decisions were made.
– 2022
march: Dr Cass released an interim report stating that “a fundamentally different service model that is more consistent with other pediatric services is needed” and that providing such services alone “is not safe”. It is not a viable long-term option.” .
July: The NHS has announced it will close Gid and replace it with a regional network, which it aims to have up and running by spring 2023.
– 2023
The deadline for community clinics to operate will be extended amid what NHS England describes as a “complex” set-up of a “completely new service”. The new goal is spring 2024.
– 2024

march: NHS England says there is not enough evidence to support the “safety or clinical effectiveness” of puberty blockers and that they will only be offered to children as part of clinical research trials, adding that gender identity clinics will no longer offer children the option of puberty. He admitted not to prescribe period blockers.
April: As Tavistock’s Gid officially closes, a new regional hub will open.
NHS England, led by London’s Great Ormond Street Hospital and Liverpool’s Alder Hey Children’s Hospital, hopes to become the first of up to eight specialist centers as part of a north-south hub over the next two years. .
The final report of the Cass Review has been published.
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