Good morning. Almost four years ago, NHS England appointed Dr Hilary Cass to chair an independent review into its services for children and young people questioning their gender identity. Yesterday, her report was finally published – and, to the surprise of nobody who has followed the subject in recent times, it drew vast media attention.
Cass concluded that the NHS was failing thousands of children, and prescribing puberty blockers and cross-sex hormones despite “remarkably weak evidence”. She said that “the toxicity of the debate is exceptional”. And she said that there was an urgent need for the NHS to expand its capacity. “We can’t fix everything overnight,” she wrote, “but we must make a start.”
