The NHS will shut the Tavistock gender identity clinic for children due to safety concerns.

A local network will replace the Tavistock and Portman clinic. The NHS is replacing its gender identification clinic for children and teens with a regional network because having just one provider is “not safe or viable long-term.” The NHS will cancel Tavistock and Portman’s GIDS contract. 

It claimed it hoped to develop a “more resilient service” by expanding into a regional network and creating two services in London and the North West administered by specialised children’s hospitals. The NHS intends to have them operating by spring 2023. 

It follows Dr Hilary Cass’s suggestions for evaluating programmes for transgender youth. The number of youngsters accessing the NHS “is now outstripping the capacity of the single national specialist service,” she added. 

In her March interim report, she noted, “It has become increasingly clear that a single specialist provider model is not a safe or viable long-term option in view of concerns about lack of peer review and the ability to respond to the increasing demand.”

The NHS called the two new programmes the “first step” towards a countrywide regional network to stabilise patient care. An initial investigation predicts 7 or 8 services may be implemented. 

One London-based programme will be led by Great Ormond Street Hospital and Evelina London Children’s Hospital. The South London and Maudsley NHS Foundation Trust will deliver mental health services. Alder Hey Children’s NHS Foundation Trust and the Royal Manchester Children’s Hospital will provide a second North West service. 

They will treat all GIDS patients, even those on the waiting list. In the previous 10 years, GIDS referrals have skyrocketed from 250 in 2011–12 to 5,000 in 2021/22. Increased demand, long assessment wait times, and “considerable external scrutiny” of GIDS’ capacity and methods prompted the NHS to initiate the Cass review in September 2020. 

According to the NHS, there is “a lack of clinical consensus and polarised opinion” over the optimal model of treatment for youngsters questioning their gender, as well as “a lack of evidence to support families in making informed decisions about interventions that may have life-long consequences.”

In addition, there has been a “dramatic shift” in the children being referred, with more female, neurodiverse, and mental health treatment needs. The review’s first report warned that although many referrals have complex needs, other healthcare problems “can sometimes be overlooked” if gender-related distress is the reason.

It also said that some medical professionals felt pressured to adopt a “unquestioning affirmative approach” and recommended that they be open to alternatives and patient experiences.

A final report is due in 2023.

GIDS’s new measures reflect “significant progress in expanding capacity,” and the organisation is mindful of how difficult long wait times are for young patients. 

In light of the surge in referrals, she said the trust supports a more sustainable strategy, adding, “our staff in GIDS have worked tirelessly and under intense scrutiny in a difficult climate.”

“We are proud of them and thankful for their unrelenting patient focus and extraordinary efforts.”


1 thought on “The NHS will shut the Tavistock gender identity clinic for children due to safety concerns.

  1. All this gender carry on is total rubbish, the only real physical proof of evidence is a penis or vagina what mother nature blessed you with, not what a surgeon and scalpel has changed, be grateful with what you have, alinment surgery can alter the body and looks to any desired affect, but will never change nature, always remember, you are whats between your legs, and not whats between your eres.

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