CSCA33 posted... and the author has even had to walk parts of it back.
This gives the impression the author had an agenda. She's been on record for stating people are taking parts out of context or an admissions that a lot of additional research needs to happen and more importantly proper conversations that aren't toxic \ agenda'd take place.
There is a heavy focus on the care of the patient and providing more support and communication. Especially in follow up care.
I strongly suggest people listen to interviews with Cass and read the report themselves rather than just reading click bait headlines \ articles that have digested and summarised it which may be biased.
Here are the actual recommendations from the review:
https://cass.independent-review.uk/home/publications/final-report/
- Services must operate to the same standards as other services seeing children and young people with complex presentations and/or additional risk factors.
- Expand capacity through a distributed service model, based in paediatric services and with stronger links between secondary and specialist services.
- Children/ young people referred to NHS gender services must receive a holistic assessment of their needs to inform an individualised care plan. This should include screening for neurodevelopmental conditions.
- Standard evidence based psychological and psychopharmacological treatment approaches should be used to support the management of the associated distress from gender incongruence and cooccurring conditions, including support for parents/carers and siblings as appropriate.
- Services should establish a separate pathway for pre-pubertal children and their families. ensuring that they are prioritised for early discussion about how parents can best support their child in a balanced and non-judgemental way. When families/carers are making decisions about social transition of pre-pubertal children, services should ensure that they can be seen as early as possible by a clinical professional with relevant experience.
- NHS England should ensure that each Regional Centre has a follow-through service for 1725-year-olds; either by extending the range of the regional children and young peoples service or through linked services, to ensure continuity of care and support at a potentially vulnerable stage in their journey. This will also allow clinical, and research follow up data to be collected.
- There needs to be provision for people considering detransition, recognising that they may not wish to re-engage with the services whose care they were previously under.
- A full programme of research should be established to look at the characteristics, interventions and outcomes of every young person presenting to the NHS gender services.
- The puberty blocker trial previously announced by NHS England should be part of a programme of research which also evaluates outcomes of psychosocial interventions and masculinising/ feminising hormones.
- The option to provide masculinising/feminising hormones from age 16 is available, but the Review recommends extreme caution. There should be a clear clinical rationale for providing hormones at this stage rather than waiting until an individual reaches 18. Every case considered for medical treatment should be discussed at a national Multi- Disciplinary Team (MDT).
- Implications of private healthcare on any future requests to the NHS for treatment, monitoring and/or involvement in research, and the dispensing responsibilities of pharmacists of private prescriptions needs to be clearly communicated.
All the above recommendations seems to be geared towards helping people and seem fair to me. I think we all agree there needs to be more support available and ultimately this is reflected in the underlying findings and recommendations of the report from my understanding. People are free to read the full report above and criticise it but please do so rather than resorting to only reading headlines \ digests. I'm genuniely curious what people think once they've read the report fully. The full report is over 350 pages long so it's important people read the underlying report imo.