Thread by @SexMattersOrg

BREAKING: #CassReview @TheCassReview demolishes the basis for the current model of treating gender-distressed children.

@NHSEngland has for too long has given vulnerable children harmful treatments for which there was no evidence base.

cass.independent-review.uk/wp-content/upl…

#CassReview finds no evidence supporting the use of puberty blockers. She reminds GPs and pharmacists of their responsibilities too.

This is the end of paediatric gender medicine as we know it. Read @SexMattersOrg post.

sex-matters.org/posts/updates/…

#CassReview is damning of GIDS.

GIDs did not cooperate with #CassReview attempt to survey practice.

The state of its medical notes is shocking, and not in line with @gmcuk guidance. #Page137

The NHS adult clinics also fefused to cooperate with the data-matching needed for long-term follow-up study for gender-distressed children. This is an outrageous failure.

#CassReview sometimes uses terminology which is inaccurate, unscientific and confusing - cisgender, assigned at birth, “trans females”. But that does not detract from the many important points she makes.

#CassReview says guidelines drawn up by the Endocrine Society and #WPATH which influenced NHS are based entirely on low-quality sources. The standard of care for gender-distressed children has fallen far short of what this vulnerable population needs and deserves.

#CassReview refutes the suicide myth - there is no evidence that prescribing puberty blockers or cross-sex hormones reduce suicide risk.

#CassReview demolishes the case for a legal ban on so-called “conversion practices”. Calls for medical leaders to come together to “provide leadership and guidance on the clinical management of this population taking account of the findings of this report”.

#CassReview raises serious safeguarding issues: Risks issues are overshadowed when gender becomes the focus.

There was “lack of apparent professional curiosity” at GIDS.

Giving children new NHS numbers makes records of children at risk untraceable.

#CassReview recommends a transitional service for 18 to 25 year olds.

This is a vulnerable point where mental health worsens. Brain maturation continues until age 25. She acknowledges and promotes the need for specialist services for detransitioners.

#CassReview says that what happens in school is important. Her work gives @GillianKeegan all the evidence to drive gender-identity ideology out of the classroom and @educationgovuk the evidence they need to say “no” to social transition.

This review makes clear that those who have led NHS child and adult gender services have serious questions to answer.

If not now, soon, there will have to be an inquiry into what went wrong, with a view to holding those responsible to account.