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Okumaya devam et...
← Previous revision | Revision as of 22:19, 28 April 2024 |
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| == Reception == | == Reception == |
| === Interim report 2022 comments === | === Interim report === |
| After the 2022 Interim Cass report, in November the "Association of Clinical Psychologists UK" (ACP-UK) commented on it. They highlighted the report's criticism of GIDS; specifically that GIDS took an approach that was predominantly [[Transgender health care#Gender-affirming care|affirmative]], rather than exploratory; assessment was not standardised; mental health and neurodevelopmental assessments were not conducted comprehensively, leading to 'diagnostic overshadowing' whereby [[gender dysphoria]] was attended to without taking into account any co-existing diagnoses; safeguarding processes were lacking.<ref>{{cite web |last1=Hansford |first1=Amelia |title=Gender experts effortlessly debunk 'misleading' claims about trans youth healthcare |url=https://www.thepinknews.com/2022/11/03/tavistock-experts-criticise-acp-uk/ |website=[[PinkNews]] |access-date=17 April 2024 |archive-url=https://archive.today/J7zeU |archive-date=17 April 2024 |language=en |date=3 November 2022 |url-status=live}}</ref> In response to the ACP statement, forty clinical psychologists members of ACP issued an open letter describing the ACP statement as 'misleading' and said that it 'perpetuates damaging discourses about the work and gender-diverse identities more broadly'. Roughly half of the signatories were current or former senior employees at GIDS.<ref>{{cite web |last1=Brooks |first1=Libby |title=Gender identity specialists accuse psychology body of 'contributing to fear' |url=https://www.theguardian.com/society...ccuse-psychology-body-of-contributing-to-fear |website=[[The Guardian]] |access-date=17 April 2024 |archive-url=http://archive.today/TOTse |archive-date=2022-11-02 |language=en |date=2 November 2022 |url-status=live}}</ref> | Some criticisms of the operation of GIDS that the Association of Clinical Psychologists UK (ACP-UK) drew from the Cass interim report were: GIDS took an approach that was predominantly [[Transgender health care#Gender-affirming care|affirmative]], rather than exploratory; assessment was not standardised; mental health and neurodevelopmental assessments were not conducted comprehensively, leading to 'diagnostic overshadowing' whereby [[gender dysphoria]] was attended to without taking into account any co-existing diagnoses; safeguarding processes were lacking.<ref>{{cite web |last1=Hansford |first1=Amelia |title=Gender experts effortlessly debunk 'misleading' claims about trans youth healthcare |url=https://www.thepinknews.com/2022/11/03/tavistock-experts-criticise-acp-uk/ |website=[[PinkNews]] |access-date=17 April 2024 |archive-url=https://archive.today/J7zeU |archive-date=17 April 2024 |language=en |date=3 November 2022 |url-status=live}}</ref> In response, an open letter signed by more than forty clinical psychologists described the statement by the ACP as 'misleading' and said that it 'perpetuates damaging discourses about the work and gender-diverse identities more broadly'. Roughly half of the signatories were current or former senior employees at GIDS.<ref>{{cite web |last1=Brooks |first1=Libby |title=Gender identity specialists accuse psychology body of 'contributing to fear' |url=https://www.theguardian.com/society...ccuse-psychology-body-of-contributing-to-fear |website=[[The Guardian]] |access-date=17 April 2024 |archive-url=http://archive.today/TOTse |archive-date=2022-11-02 |language=en |date=2 November 2022 |url-status=live}}</ref> The interim report stated that there were "gaps in the evidence" over the use of puberty blockers. A public consultation was held and a further review of evidence by [[NICE]] states there was "not enough evidence to support the safety or clinical effectiveness of puberty suppressing hormones to make the treatment routinely available at this time." As a result, NHS England stopped prescribing them to children.<ref>{{cite web |last1=Campbell |first1=Denis |title=Children to stop getting puberty blockers at gender identity clinics, says NHS England |url=https://www.theguardian.com/society...s-at-gender-identity-clinics-says-nhs-england |website=[[The Guardian]] |access-date=26 April 2024 |archive-url=http://archive.today/33GMN |archive-date=2024-03-12 |language=en |date=12 March 2024 |url-status=live}}</ref><ref>{{cite web |last1=Parry |first1=Josh |title=NHS England to stop prescribing puberty blockers |url=https://www.bbc.co.uk/news/health-68549091 |website=[[BBC News]] |access-date=26 April 2024 |archive-url=http://archive.today/cIsv3 |archive-date=2024-03-13 |language=en |date=12 March 2024 |url-status=live}}</ref><ref>{{cite web |last1=Ghorayshi |first1=Azeen |title=Youth Gender Medications Limited in England, Part of Big Shift in Europe |url=https://www.nytimes.com/2024/04/09/health/europe-transgender-youth-hormone-treatments.html |website=[[The New York Times]] |access-date=26 April 2024 |archive-url=http://archive.today/m2u94 |archive-date=2024-04-21 |language=en |date=9 April 2024 |url-status=live |url-access=subscription}}</ref> |
| In November 2022, the [[World Professional Association for Transgender Health]] (WPATH), along with ASIAPATH, EPATH, PATHA, and USPATH issued a statement criticising the NHS England interim service specifications based on the interim report. It stated several points of contention with the report, including the pathologizing of gender diversity, the making of "outdated" assumptions regarding the nature of transgender individuals, "ignoring" of newer evidence regarding such matters, and making calls for an "unconscionable degree of medical and state intrusion" into everyday matters such as pronouns and clothing choice, as well as into access to gender-affirming care. It further noted that "the denial of gender-affirming treatment under the guise of '[[Gender exploratory therapy|exploratory therapy]]' is tantamount to 'conversion' or 'reparative' therapy under another name".<ref name="WPATH-nov-2022">{{cite web |date=25 November 2022 |title=WPATH, ASIAPATH, EPATH, PATHA, and USPATH Response to NHS England in the United Kingdom (UK): Statement regarding the Interim Service Specification for the Specialist Service for Children and Young People with Gender Dysphoria (Phase 1 Providers) by NHS England |url=https://www.wpath.org/media/cms/Doc...r WPATH Final ASIAPATH.EPATH.PATHA.USPATH.pdf}}</ref> | In November 2022, the [[World Professional Association for Transgender Health]] (WPATH), along with ASIAPATH, EPATH, PATHA, and USPATH issued a statement criticising the NHS England interim service specifications based on the interim report. It stated several points of contention with the report, including the pathologizing of gender diversity, the making of "outdated" assumptions regarding the nature of transgender individuals, "ignoring" of newer evidence regarding such matters, and making calls for an "unconscionable degree of medical and state intrusion" into everyday matters such as pronouns and clothing choice, as well as into access to gender-affirming care. It further noted that "the denial of gender-affirming treatment under the guise of '[[Gender exploratory therapy|exploratory therapy]]' is tantamount to 'conversion' or 'reparative' therapy under another name".<ref name="WPATH-nov-2022">{{cite web |date=25 November 2022 |title=WPATH, ASIAPATH, EPATH, PATHA, and USPATH Response to NHS England in the United Kingdom (UK): Statement regarding the Interim Service Specification for the Specialist Service for Children and Young People with Gender Dysphoria (Phase 1 Providers) by NHS England |url=https://www.wpath.org/media/cms/Doc...r WPATH Final ASIAPATH.EPATH.PATHA.USPATH.pdf}}</ref> |
 | === Final report === |
| === Weeks before the Final report - NHS England stopped the use of puberty blockers for children === | |
| NHS England stopped prescribing them to children, saying: "NHS England has carefully considered the evidence review conducted by NICE and further published evidence available to date. We have concluded that there is not enough evidence to support the safety or clinical effectiveness of puberty suppressing hormones to make the treatment routinely available at this time.".<ref>{{cite web |last1=Campbell |first1=Denis |date=12 March 2024 |title=Children to stop getting puberty blockers at gender identity clinics, says NHS England |url=https://www.theguardian.com/society...s-at-gender-identity-clinics-says-nhs-england |url-status=live |archive-url=http://archive.today/33GMN |archive-date=2024-03-12 |access-date=26 April 2024 |website=[[The Guardian]] |language=en}}</ref><ref>{{cite web |last1=Parry |first1=Josh |date=12 March 2024 |title=NHS England to stop prescribing puberty blockers |url=https://www.bbc.co.uk/news/health-68549091 |url-status=live |archive-url=http://archive.today/cIsv3 |archive-date=2024-03-13 |access-date=26 April 2024 |website=[[BBC News]] |language=en}}</ref><ref>{{cite web |last1=Ghorayshi |first1=Azeen |date=9 April 2024 |title=Youth Gender Medications Limited in England, Part of Big Shift in Europe |url=https://www.nytimes.com/2024/04/09/health/europe-transgender-youth-hormone-treatments.html |url-access=subscription |url-status=live |archive-url=http://archive.today/m2u94 |archive-date=2024-04-21 |access-date=26 April 2024 |website=[[The New York Times]] |language=en}}</ref> | |
| === Final report - April 2024 === |
| Prime Minister [[Rishi Sunak]] said that the findings "shine a spotlight" on the need for a cautious approach to child and adolescent gender care.<ref>{{cite web |title=PM urges 'extreme caution' on gender treatments – as major review finds NHS failed children |url=https://news.sky.com/story/cass-rep...as-nhs-plans-major-review-of-clinics-13111445 |access-date=15 April 2024 |website=Sky News }}</ref><ref>{{cite web |title=Cass review: Health secretary criticises gender care 'culture of secrecy' |url=https://www.bbc.co.uk/news/uk-68786030 |website=[[BBC News]] |access-date=17 April 2024 |archive-url=http://archive.today/dPTEa |archive-date=2024-04-11 |language=en |date=11 April 2024 |url-status=live}}</ref> [[Wes Streeting]], the [[Shadow cabinet|shadow]] [[Secretary of State for Health and Social Care|Health Secretary]], welcomed the final report, saying that the report "must provide a watershed moment for the NHS's gender identity services" and committing the Labour Party to implementing the report's recommendations in full.<ref>{{cite news |last=Crerar |first=Pippa |last2= |first2= |date=12 April 2024 |title=Cass review must be used as 'watershed moment' for NHS gender services, says Streeting |url=https://www.theguardian.com/society...der-services-wes-streeting-young-trans-people |access-date=15 April 2024 |work=The Guardian |issn=0261-3077}}</ref><ref name=":0">{{cite news |last1=Campbell |first1=Denis |last2=Gentleman |first2=Amelia |last3=Vinter |first3=Robyn |date=10 April 2024 |title=Thousands of children unsure of gender identity 'let down by NHS', report finds |url=https://www.theguardian.com/society...-gender-identity-let-down-by-nhs-report-finds |work=[[The Guardian]]}}</ref><ref>{{cite news |title=British Labour says it will implement Cass findings on care for trans children if it wins election |url=https://www.irishtimes.com/world/eu...-care-for-trans-children-if-it-wins-election/ |newspaper=The Irish Times|first=Mark|last=Paul|date=10 April 2024 |access-date=16 April 2024}}</ref> Speaking to [[Sky News]], [[Shadow Home Secretary]] [[Yvette Cooper]] stated that [[Labour Party (UK)|Labour]] welcomed the Cass Review and committed to implementing all of its recommendations.<ref>{{cite web |title='How could we be giving kids puberty blockers for 20 years?' – Labour on Cass report |url=https://news.sky.com/video/how-coul...-years-labour-on-cass-report-13112037|date=10 April 2024 |access-date=10 April 2024 |website=Sky News }}</ref> | Prime Minister [[Rishi Sunak]] said that the findings "shine a spotlight" on the need for a cautious approach to child and adolescent gender care.<ref>{{cite web |title=PM urges 'extreme caution' on gender treatments – as major review finds NHS failed children |url=https://news.sky.com/story/cass-rep...as-nhs-plans-major-review-of-clinics-13111445 |access-date=15 April 2024 |website=Sky News }}</ref><ref>{{cite web |title=Cass review: Health secretary criticises gender care 'culture of secrecy' |url=https://www.bbc.co.uk/news/uk-68786030 |website=[[BBC News]] |access-date=17 April 2024 |archive-url=http://archive.today/dPTEa |archive-date=2024-04-11 |language=en |date=11 April 2024 |url-status=live}}</ref> [[Wes Streeting]], the [[Shadow cabinet|shadow]] [[Secretary of State for Health and Social Care|Health Secretary]], welcomed the final report, saying that the report "must provide a watershed moment for the NHS's gender identity services" and committing the Labour Party to implementing the report's recommendations in full.<ref>{{cite news |last=Crerar |first=Pippa |last2= |first2= |date=12 April 2024 |title=Cass review must be used as 'watershed moment' for NHS gender services, says Streeting |url=https://www.theguardian.com/society...der-services-wes-streeting-young-trans-people |access-date=15 April 2024 |work=The Guardian |issn=0261-3077}}</ref><ref name=":0">{{cite news |last1=Campbell |first1=Denis |last2=Gentleman |first2=Amelia |last3=Vinter |first3=Robyn |date=10 April 2024 |title=Thousands of children unsure of gender identity 'let down by NHS', report finds |url=https://www.theguardian.com/society...-gender-identity-let-down-by-nhs-report-finds |work=[[The Guardian]]}}</ref><ref>{{cite news |title=British Labour says it will implement Cass findings on care for trans children if it wins election |url=https://www.irishtimes.com/world/eu...-care-for-trans-children-if-it-wins-election/ |newspaper=The Irish Times|first=Mark|last=Paul|date=10 April 2024 |access-date=16 April 2024}}</ref> Speaking to [[Sky News]], [[Shadow Home Secretary]] [[Yvette Cooper]] stated that [[Labour Party (UK)|Labour]] welcomed the Cass Review and committed to implementing all of its recommendations.<ref>{{cite web |title='How could we be giving kids puberty blockers for 20 years?' – Labour on Cass report |url=https://news.sky.com/video/how-coul...-years-labour-on-cass-report-13112037|date=10 April 2024 |access-date=10 April 2024 |website=Sky News }}</ref> |
| In response to the report, the NHS England National Director of Specialised Commissioning John Stewart sent a letter to Cass stating that it would review the use of [[gender-affirming care|gender-affirming]] [[transgender hormone therapy]] in adults in a similar manner as was done for puberty blockers in the Cass Review.<ref>{{cite web |last1=Campbell |first1=Denis |last2=Gentleman |first2=Amelia |title=Adult transgender clinics in England face inquiry into patient care |url=https://www.theguardian.com/society...ics-in-england-face-inquiry-into-patient-care |website=[[The Guardian]] |access-date=17 April 2024 |archive-url=http://archive.today/3HOqP |archive-date=2024-04-10 |language=en |date=10 April 2024 |url-status=live}}</ref><ref>{{cite web |title=NHS England » NHS England's Response to the Final Report of the Independent Review of Gender Identity Services for Children and Young People |url=https://www.england.nhs.uk/long-rea...ntity-services-for-children-and-young-people/ |access-date=15 April 2024 |website=england.nhs.uk}}</ref><ref>{{cite news |title=NHS to review all transgender treatment |url=https://www.telegraph.co.uk/news/2024/04/09/nhs-review-transgender-treatment/ |work=The Telegraph|first1=Michael|last1=Searles|first2=Laura|last2=Donnelly|first3=Daniel|last3=Martin|date=9 April 2024|access-date=16 April 2024}}</ref> | In response to the report, the NHS England National Director of Specialised Commissioning John Stewart sent a letter to Cass stating that it would review the use of [[gender-affirming care|gender-affirming]] [[transgender hormone therapy]] in adults in a similar manner as was done for puberty blockers in the Cass Review.<ref>{{cite web |last1=Campbell |first1=Denis |last2=Gentleman |first2=Amelia |title=Adult transgender clinics in England face inquiry into patient care |url=https://www.theguardian.com/society...ics-in-england-face-inquiry-into-patient-care |website=[[The Guardian]] |access-date=17 April 2024 |archive-url=http://archive.today/3HOqP |archive-date=2024-04-10 |language=en |date=10 April 2024 |url-status=live}}</ref><ref>{{cite web |title=NHS England » NHS England's Response to the Final Report of the Independent Review of Gender Identity Services for Children and Young People |url=https://www.england.nhs.uk/long-rea...ntity-services-for-children-and-young-people/ |access-date=15 April 2024 |website=england.nhs.uk}}</ref><ref>{{cite news |title=NHS to review all transgender treatment |url=https://www.telegraph.co.uk/news/2024/04/09/nhs-review-transgender-treatment/ |work=The Telegraph|first1=Michael|last1=Searles|first2=Laura|last2=Donnelly|first3=Daniel|last3=Martin|date=9 April 2024|access-date=16 April 2024}}</ref> |
| Regards Scotland (whose NHS is independent of NHS England), on 18 April 2024, [[NHS Scotland]] announced that it had paused prescribing puberty blockers to children referred by its specialist gender clinic.<ref>{{Cite news |title=Scotland's under-18s gender clinic pauses puberty blockers |url=https://www.bbc.co.uk/news/uk-scotland-68844119.amp |work=BBC}}</ref> Earlier the [[Scottish Government]] said it would "take the time to consider the findings".<ref>{{cite web |last1=Paton |first1=Craig |date=10 April 2024 |title=Scottish Government pledges to consider findings of Cass Review into gender |url=https://www.independent.co.uk/news/...rnment-nhs-england-snp-scottish-b2526273.html |url-status=live |archive-url=https://archive.today/oEQ8v |archive-date=17 April 2024 |access-date=17 April 2024 |website=[[The Independent]] |language=en}}</ref><ref name=":5">{{cite news |last1=Miller |first1=Dale |last2=Fox |first2=Aine |date=11 April 2024 |title=SNP MP Joanna Cherry calls for puberty blockers to be banned in Scotland in wake of Cass Review on gender |url=https://www.scotsman.com/news/polit...land-in-wake-of-cass-review-on-gender-4586851 |archive-url=https://web.archive.org/web/2024041...land-in-wake-of-cass-review-on-gender-4586851 |archive-date=11 April 2024 |access-date=15 April 2024 |work=[[The Scotsman]]}}</ref> [[Scottish National Party|SNP]] politician [[Joanna Cherry]] called for an overhaul to services in Scotland for gender-questioning children, including screening out neurodivergent patients, and an end to the use of puberty blockers.<ref name=":5" /> In contrast, [[Humza Yousaf]], [[First Minister of Scotland]] and SNP leader, stated that the Cass Review did not validate closing the [[Sandyford clinic|Sandyford gender identity clinic]].<ref>{{cite web |last=Brooks |first=Libby |date=16 April 2024 |title=No case for closing Scotland's only NHS gender service clinic, says first minister |url=https://www.theguardian.com/society...vices-clinic-says-first-minister-humza-yousaf |access-date=16 April 2024 |work=The Guardian}}</ref> | The [[Scottish Government]] said it would "take the time to consider the findings".<ref>{{cite web |last1=Paton |first1=Craig |date=10 April 2024 |title=Scottish Government pledges to consider findings of Cass Review into gender |url=https://www.independent.co.uk/news/...rnment-nhs-england-snp-scottish-b2526273.html |url-status=live |archive-url=https://archive.today/oEQ8v |archive-date=17 April 2024 |access-date=17 April 2024 |website=[[The Independent]] |language=en}}</ref><ref name=":5">{{cite news |last1=Miller |first1=Dale |last2=Fox |first2=Aine |date=11 April 2024 |title=SNP MP Joanna Cherry calls for puberty blockers to be banned in Scotland in wake of Cass Review on gender |url=https://www.scotsman.com/news/polit...land-in-wake-of-cass-review-on-gender-4586851 |archive-url=https://web.archive.org/web/2024041...land-in-wake-of-cass-review-on-gender-4586851 |archive-date=11 April 2024 |access-date=15 April 2024 |work=[[The Scotsman]]}}</ref> [[Scottish National Party|SNP]] politician [[Joanna Cherry]] called for an overhaul to services in Scotland for gender-questioning children, including screening out neurodivergent patients, and an end to the use of puberty blockers.<ref name=":5" /> In contrast, [[Humza Yousaf]], [[First Minister of Scotland]] and SNP leader, stated that the Cass Review did not validate closing the [[Sandyford clinic|Sandyford gender identity clinic]].<ref>{{cite web |last=Brooks |first=Libby |date=16 April 2024 |title=No case for closing Scotland's only NHS gender service clinic, says first minister |url=https://www.theguardian.com/society...vices-clinic-says-first-minister-humza-yousaf |access-date=16 April 2024 |work=The Guardian}}</ref> On 18 April 2024, [[NHS Scotland]] announced that it had paused prescribing puberty blockers to children referred by its specialist gender clinic.<ref>{{Cite news |title=Scotland's under-18s gender clinic pauses puberty blockers |url=https://www.bbc.co.uk/news/uk-scotland-68844119.amp |work=BBC}}</ref> |
| The [[World Professional Association for Transgender Health]] released an email statement that the report "is rooted in the false premise that non-medical alternatives to care will result in less adolescent distress" and further criticised recommendations which "severely restrict access to physical healthcare, and focus almost exclusively on mental healthcare for a population which the <nowiki>[</nowiki>[[World Health Organization]]<nowiki>]</nowiki> does not regard as inherently mentally ill".<ref>{{cite news |last1=Fiore |first1=Kristina |title=Cass Review Finds Weak Evidence for Puberty Blockers, Hormones in Youth Gender Care |url=https://www.medpagetoday.com/special-reports/transgender-medicine/109605 |work=MedPage Today |date=16 April 2024}}</ref><ref name="Riedel">{{cite news |last=Riedel |first=Samantha |date=12 April 2024 |title=Advocates Say a Controversial U.K. Report on Healthcare for Trans Kids Is "Fundamentally Flawed" |url=https://www.them.us/story/cass-review-nhs-trans-youth-healthcare-report |access-date=13 April 2024 }}</ref> | The [[World Professional Association for Transgender Health]] released an email statement that the report "is rooted in the false premise that non-medical alternatives to care will result in less adolescent distress" and further criticised recommendations which "severely restrict access to physical healthcare, and focus almost exclusively on mental healthcare for a population which the <nowiki>[</nowiki>[[World Health Organization]]<nowiki>]</nowiki> does not regard as inherently mentally ill".<ref>{{cite news |last1=Fiore |first1=Kristina |title=Cass Review Finds Weak Evidence for Puberty Blockers, Hormones in Youth Gender Care |url=https://www.medpagetoday.com/special-reports/transgender-medicine/109605 |work=MedPage Today |date=16 April 2024}}</ref><ref name="Riedel">{{cite news |last=Riedel |first=Samantha |date=12 April 2024 |title=Advocates Say a Controversial U.K. Report on Healthcare for Trans Kids Is "Fundamentally Flawed" |url=https://www.them.us/story/cass-review-nhs-trans-youth-healthcare-report |access-date=13 April 2024 }}</ref> |
Okumaya devam et...