Trans parents and youth have not had the reassurance they so desperately need from NHS England at this difficult time. Cleary practitioners need to feel safe that they are able to provide care without legal action, but parents and children who are left stranded without clear decisions deserve some clarity.

We need answers, and we need them soon:

  1. If parents agree that their child can have the treatment, is this enough?
  2. Does it need both parents?
  3. What happens to those who do not have parental support?
  4. What are GIDS doing to resolve the CQC concerns?
  5. Why are NICE finding concerns around blockers when other countries agree that they are safe?
  6. How does the lack of clear evidence for providing treatment balance with the clear evidence for the harm caused by withholding access?
  7. When will the Cass review be complete?
  8. Who will take part in the proposed multi-professional review group?
  9. When will it be formed?
  10. How often will it meet?
  11. How long does it take to make a court best interests decision?

We need strength and solidarity for these patients. They need access to timely medical care. They need gender-affirming pathways.

The priority MUST be to help patients, the guidelines are in place, they are being used worldwide. They just need to be adopted in the UK.


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Photo by Mercedes Mehling on Unsplash