The Independent

‘Most clinical guidelines on gender care did not follow international standards’

The pillars of gender medicine are “built on shaky foundations” the chair of a review into NHS care for children has said, as evidence was found to be severely lacking on the impacts of puberty blockers and hormone treatments.

Dr Hilary Cass said healthcare for people questioning their gender “needs to be improved across the board” but added that there is a distinction between having a trans identity and medically transitioning.

Dr Cass, who chaired the Independent Review of Gender Identity Services for children and young

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