Bell and Mrs A versus The Tavistock, December 2020
A travesty for trans youth in the UK.
December’s ruling against the Tavistock, which made access to puberty blockers for trans youth even more of a challenge, has left parents of trans youth terrified.
People have been left asking one simple question:
How can it be that, based on the evidence presented to them, the judge was not convinced that the UK’s national healthcare provider was able to provide safe care?
At GenderGP we not only provide healthcare to the trans community – people of all ages, wherever they are in the world – we are firm advocates, committed to mending a broken system.
We have analysed the case, what went wrong, and what the implications are.
The following documents cover all the necessary facts, history, and medical evidence you need to understand what’s happening
Latest News
Tavi Appeal
Parental Consent Determination
March 2021
After The Ruling
December 2020
What now for trans youth?
What’s next
Should trans youth be affirmed?
Check out the evidence
Latest News
Casting trans actors in films
Director and producer Carolena Villavicencio talked to us about her new film project, Location Share, and her mission to put the LGBTQIA+ community at the heart of her work. Location Share began as a sudden burst in my mind: flashing images, a vague storyline, and a...
Trans Youth Laws and Rules
In December 2020, the Bell V Tavistock Judicial Review court case judgement was given. As a result of the determination, which stated that the court felt it was unlikely that young people could consent to treatment, the NHS suspended all referrals from the psychology...
How to navigate misinformation around trans healthcare
With the Tavistock v Bell appeal upon us, trans healthcare is back in the news. While this is a clear opportunity to communicate the facts around the care of younger trans people, it is also an opportunity for misinformation to rear its ugly head. We can’t always...
Puberty blockers: Experimental treatment or safe and effective?
Puberty blockers are recommended for children and adolescents with gender dysphoria, but some have criticised them as an experimental treatment. Here we look at the medical evidence for puberty blockers. One of the most frequently cited objections to the use of...
Puberty Blockers: The Real Side-Effects
Puberty blockers are prescribed for young transgender people who wish to prevent physical development during puberty. In this article, we discuss puberty blockers and their side effects. We also discuss the pros and cons of these hormone...
Assessing Capacity – the rights of young people to consent to treatment
Taken from a talk given by Ruth Fletcher on Medical Law in relation to the Bell and Mrs A v Tavistock case. Capacity to consent To consent to a treatment you have to have the capacity to understand what either having the treatment, or not having the treatment...
Sweden’s transgender youth blocked from accessing support
As the outcome of the Bell v Tavi ruling in the UK continues to have far-reaching implications for transgender youth around the world, GenderGP is alarmed to learn that in Sweden, transgender youth under the age of 18, are no longer able to access blockers or...
Parental Consent Determination
March 2021
What happened?
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
GenderGP Response
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
Other Responses
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
Mrs A and Bell V Tavistock
December 2020
What happened?
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
Why did it happen?
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
GenderGP Response
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
Other Responses
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
What now for Trans Youth?
Response to the Cass Review
Background Over the past decade, the United Kingdom has become an increasingly hostile place for trans people, especially for trans youth (Hines, 2020; Horton, 2024; McLean, 2021). In addition to vilification by the mainstream media and attempts by politicians to curb...
A Response to NHS England’s Ban on Puberty Blockers for Trans Youth
Background Following the closure of the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust, an independent review of gender identity services for children and young people was undertaken, led by Dr Hilary Cass (2022). Subsequently,...
Sweden Healthcare Update
Gender GP has learned of recent issues experienced by members seeking to obtain their medication from pharmacies in Sweden. We are very sorry for any disruption you are facing and are looking into this as a matter of utmost importance. We have acted swiftly to make...
Message from Dr Webberley – We stand with WPATH
Dear Mums and Dads, guardians and children, teenagers and families, GPs and hospital doctors, This is a terrifying time for trans people right now, we are facing an awful time in history where trans rights are being denied, people's identities are being debated,...
The Long-Lasting Effects of Living Under Section 28
We interviewed one of our team members to talk about his experience living under Section 28.
Trans Healthcare is Collapsing in Ireland
Ireland is failing is trans population. The waitlist for gender-affirming care is astronomical and the county’s population is left to fend for themselves.
New Paper Shows that Gender Affirming Healthcare for Trans Adolescents is Ethical
A new paper from Dr Hane Maung has highlighted how gender-affirming care for trans youth is ethical.
Ada Ada Ada: A Groundbreaking Artist Making Waves
GenderGP leads an interview with Ada Ada Ada. She talks about her experiences being a hybrid artist and her journey documenting her transition through the In Transitu Project.
How HRT impacts your voice – Will transition affect my singing?
Undergoing HRT causes various desired outcomes, and one of the possible impacts is the changing of your vocal chords, and thus, your voice. So, how exactly does transitioning change your voice?
Masking Anti-Trans Jokes as Comedy
Comedians have incresingly been using anti-trans jokes for comedic effect.
Evidence supporting affirmative care
Detransition Facts and Statistics 2022: Exploding the Myths Around Detransitioning
Detransition facts and statistics that are unbiased are hard to come by in 2022. However, how many trans people detransition? What reasons do detransitioners cite for their detransition? Detransition is when a person who has already...
Long term outcome of puberty blockers on height, bone density and fertility: Journal of Clinical Endocrinology and Metabolism
A considerable number of patients with central precocious puberty (CPP) treated with depot GnRH agonists have reached final height (FH). The aim of this prospective, multicentric study was the evaluation of the benefits, side-effects, and long term outcome of depot...
Are Puberty Blockers Reversible?
We ask: are puberty blockers reversible? Blockers have proven positive effects. Conversely, this is despite misinformation campaigns surrounding puberty blockers. Notwithstanding, there have been claims that stopping puberty may lead to irreversible side effects. In...
RCPSYCH Statement on Supporting Transgender People
Transgender and gender-diverse people are individuals whose gender identity and/or gender role do not conform to the sex assigned to them at birth. While the term ‘transgender’ is commonly accepted, not all gender-diverse people self identify as transgender, or with...
Dr Helen Webberley writes for Huffington Post
Those who oppose the prescription of hormone blockers argue that there is not enough medical evidence to say that early intervention is right. I would argue, based on feedback from the trans men and women that I speak to on a daily basis, that there is not enough...
Korean Journal of Pediatrics: Blockers Long-Term Effects In Girls
Abstract Gonadotropin-releasing hormone analogs (GnRHa) are widely used to treat central precocious puberty (CPP). The efficacy and safety of GnRHa treatment are known, but concerns regarding long-term complications are increasing. Follow-up observation results after...
The Endocrine Society: Medical intervention in transgender adolescents appears to be safe and effective
SAN FRANCISCO--Hormone treatment to halt puberty in adolescents with gender identity disorder does not cause lasting harm to their bones, a new study finds. The results were presented today at The Endocrine Society's 95th Annual Meeting in San Francisco. Read...
WPATH Guidelines: The Standards of Care – Version 7
WPATH's Guidelines contained within their Standard of Care, are world renowned. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care,...
Suspending the Puberty of Children With Gender Dysphoria
Abstract Transgender children who are not treated for their condition are at high risk of violence and suicide. As a matter of survival, many are willing to take whatever help is available, even if this is offered by illegal sources, and this often traps them into the...
Treatment of Trans Youth Favourable Before Tanner Stage 4
Abstract Treatment outcome in transsexuals is expected to be more favourable when puberty is suppressed than when treatment is started after Tanner stage 4 or 5. In the Dutch protocol for the treatment of transsexual adolescents, candidates are considered eligible for...
