Cass Review

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The MP's question or point. Include their concern, local impact, or criticism. 2-4 sentences.

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The MP thanked the Secretary of State for her statement and Dr Hilary Cass's review. He highlighted issues such as long waiting times, shaky evidence for interventions, and NHS providers refusing to co-operate with the review. The shadow response called for shorter waiting times, follow-through services up to age 25, regulation of private clinics, data sharing from adult gender services, and a less toxic debate around the issue.

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The MP questioned the governance failures highlighted in the report, particularly regarding NHS England's specialist commissioning process that allowed unchecked expansion of treatments. She also mentioned the Tavistock clinic's popularity leading to governance issues and asked what measures would be taken to prevent such issues in future.

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Nobody’s identity should be up for debate and must not be used as a political football. Polarisation does nothing to help young people in accessing care, their families or NHS staff. Does the Secretary of State agree that we must remain respectful at all times when discussing these issues? Can she confirm whether additional funding will be made available to ensure quality healthcare access for young trans people and provide an update on legislative proposals on banning conversion practices based on the Cass review?

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What concerns does the Secretary of State have regarding capacity for expanded services for 17-25 year-olds and possible impact on other areas of healthcare? Could there be an interim service to address the transition from children’s to adult services, and will more funds be committed?

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What are the plans for expanding multi-site centres and when is this likely to happen?

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Who blocked research data that would have given a better understanding of outcomes for children, what investigations will be carried out to find out who was responsible and how they will be held accountable?

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Does the Secretary of State agree that those who have raised concerns over the past few years about safeguarding vulnerable children should be owed an apology for being no-platformed and sidelined, and are they now vindicated by Dr Cass’s review?

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Welcomed the Cass review, criticised GIDS for its unethical practices, questioned how to prevent such scandals in the future.

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Asked about the impact of the toxic debate on staffing and recruitment issues in GIDS.

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Asked about the Secretary of State's reaction to gender clinics refusing to cooperate with Cass review and their attitude towards following Government guidance.

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Critiqued the Cass report's impact on trans people and requested funding for holistic healthcare pathways.

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Asked about steps to address mental health deterioration in young people and support for child and adolescent mental health services.

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Complimented Dr Cass's report and inquired about steps to purge transgender lobby from NHS, and cross-government discussions.

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Expressed thanks for Cass review and inquired about implications on conversion therapy ban.

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The starting point of all modern medicine must be robust and reliable evidence. The hon. Member has been raising concerns about the treatment of transgender individuals since 2017, emphasising that data is crucial to inform decisions regarding healthcare for children.

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The hon. Member calls for an inquiry into the issue affecting at least 9,000 children and requests reforms in both NHS services and school safeguarding measures to address current guidance that downplays risks related to gender identity issues.

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Welcoming the statement, the hon. and learned Member emphasises that whistleblowers were defamed for raising concerns about ideological capture in institutions like the NHS, urging support for a public inquiry once recommendations are implemented.

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The hon. Member welcomes the report's emphasis on the welfare of young people, asking if the Secretary of State will ensure that findings are implemented across government sectors such as education and social services.

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The hon. Member welcomes the research but emphasises the lack of evidence regarding large-scale success or regret among transgender youth and calls for more longitudinal studies to support healthcare pathways.

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The Scottish Government’s response to the Cass review has been one of deafening silence. What discussions have there been on this issue, if any, between Scottish Government Ministers and the UK Government?

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Does the Minister agree that making jokes about trans people and trans children is cruel and moves focus away from ensuring young people get the help they need?

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Does the Minister believe administrative rule changes will resolve this issue or is it about changing legislation like the Equality Act 2010?

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What support will the Secretary of State provide to have a conversation and weed out gender ideology elsewhere?

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What is she going to do to ensure people pushing gender ideology are now on the sex offenders list and taken off practising as medical professionals?

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Does the Secretary of State agree that the review of adult gender services should take into account the number of patients with mental health challenges and what additional resources will be put in place for mental health provision?

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Will my right hon. Friend be looking at ways in which there is room for people to be struck off if found to be wrong, managers sacked and legal action taken?

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Will the Minister join me in challenging NHS England’s specialised commissioning team on its immediate limiting of access to support for 17-year-olds and call on it to immediately reinstate access?

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My experience of speaking to my constituents on this subject has been characterised by fear—it is often the fear of mothers about their daughters, the fear of what is happening to their children and the fear of speaking out because of the group-think and the toxicity of the debate. Does my right hon. Friend agree that Dr Cass’s extensive, evidence-based report should mark an absolute turning point, in ensuring that we spearhead our approach to this debate by putting children first and being non-ideological in all areas—across Government, in all Departments, not just the NHS, in education and in our public bodies?

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Some constituents who have contacted me see in the Cass report a vindication of their long-held views on sex and gender following years of abuse, sometimes violent. Others who have contacted me fear that the Cass review represents an attack on their very existence as trans people and fear the abuse to come. Will the Secretary of State set out that she opposes utterly the toxification and politicisation of questions of sex and gender? Will she also set out that she will collect the additional evidence that the Cass review calls for, without which there cannot be an evidence-based approach? Will she also set out that she will put in place the resources our young people need in terms of healthcare to ensure that they receive the healthcare appropriate to them?

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I welcome the Secretary of State’s powerful statement and the Cass report. However, we have to acknowledge that the report would not have been commissioned without this Government, with the support of some other parties. So many Opposition Members just stayed silent and thought the report was pretty much a waste of time, and to see the lack of any appreciation of that today is shocking and shameful. On the timetable to enact the wider findings of the Cass report, I am grateful for what the Secretary of State said about meeting the GMC over the weekend, but there is work to be done. Secondly and really concerningly, what steps are—

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Has the Secretary of State seen today’s very sad interview with Judge Victoria McCloud, Britain’s only senior transgender judge, who has been driven from her job because of anti-trans hate, particularly the trend among some politicians and opinion formers to describe being transgender as “an ideology”? The Secretary of State has used the term “ideology”, as have a number of her colleagues, during this statement. For the benefit of the House and trans people, will she clarify that she does not believe that being transgender is “an ideology”?

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I welcome this statement. The Cass report highlights the area of prescribing untested and irreversible drugs as puberty blockers to young people, but in Wales the pathway for young people diagnosed with gender dysphoria includes referral to gender services in England. The Cass report also warns against teachers being forced into making premature and effectively clinical decisions about affirmation, such as social transitioning, and yet that is implicit throughout the Welsh Government’s LGBTQ+ action plan and their compulsory relationships and sexuality education curriculum. Does the Secretary of State agree that these findings have relevance for the safeguarding of children in England and Wales? Does she agree that parents, teachers and health workers across England and Wales can expect politicians to take heed of these findings?

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Many of us recognise the value of the Cass report, as my hon. Friend the Member for Brighton, Kemptown (Lloyd Russell-Moyle) set out, in its call for evidence and a thoughtful approach, and its recognition that the collapse of child and adolescent mental health services has contributed to the difficulties in children accessing services. However, I stand here today with terrified constituents who are part of the backlog. I dare say that thousands of those children have been watching this debate with their families and are frightened to hear the heat, not light. The Secretary of State has a brief in front of her, so can I ask her a practical question for my constituents who do not understand what this will mean for waiting times and delays? She said that she was not putting any new money into the service but funds were being reprioritised. In practical terms, what will that mean for those young people who are trying to navigate what is happening to them, who need our support and care, not the derision of any political movement?

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Providing hormone blockers to children is wrong; encouraging and giving cross-sex hormones to children is wrong; and encouraging breast binding for children is wrong. In the future, I believe we will look back on this scandal—and it is a scandal—with incredulity about how we did this to our children, especially our girls. We should all be embarrassed that this is the situation we are in. It is not just carrying on in our hospitals and the medical profession; this sort of ideology is going on in our schools. Does the Secretary of State share my concerns and those of my constituents, who have raised the issue with me in private because they cannot raise it publicly, that a school in Rother Valley is fundraising for Mermaids, a charity that is accused of encouraging young people to transition simply because they do not confirm to gender stereotypes, even though they are too young to understand the consequences? Does the Secretary of State share my belief that Mermaids and other such charities have no place in our schools, and no place to help to hinder our children?

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I welcome the Cass review. Its recommendations merit proper and full consideration. Dr Cass has called for young trans people, their families and clinicians to be treated with respect and compassion. Sadly, we have not seen that today in some of the comments and heckles that have been made during the statement. Will the Secretary of State commit to challenging the harmful culture of transphobia in the UK?

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Although I welcome the call from Dr Cass for all young people, including young trans people, to be treated with compassion and respect, I share concerns about important elements of the review, particularly given the context in which it was published. Last year, transphobic hate crimes hit a record high. A United Nations report noted deep concern about the increase in harassment, threats, and violence against LGBT people in the UK. Will the Minister join me in condemning the rise in transphobia, in acknowledging that trans rights are human rights, and in recognising that we will only deliver high-quality healthcare that everyone deserves when we respect the rights and dignity of all?

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May I thank the Secretary of State for her fortitude and determination, and Dr Cass for all her endeavours? Both ladies have been incredibly impressive and capable. We should be taking on board Dr Cass’s report in Northern Ireland. What help and support is available for all those patients who have been in the Tavistock since its inception? Importantly, what steps can be taken by the Government to stop this malpractice and to stop the movement of the vulnerable into privately funded abuse?