The Cass Review final report was published on April 10th 2024. The 388 page report contains 32 recommendations and is the result of four years of work by Dr Hilary Cass and her research team at the University of York in an independent review of the service for children and adolescents at the Tavistock GIDS.
The full report can be accessed here:
https://cass.independent-review.uk/home/publications/final-report/
In its breadth and scope, Dr Cass has produced a world-leading guideline on the care of children and adolescents experiencing gender-related distress.
We hope that this government and all political parties will actively support NHS England to follow and implement the report’s critical, evidence-based findings.
NHS England has published a reponse to the report outlining the next steps in implementing its recommendations.
NHS England’s response can be viewed here:
https://www.england.nhs.uk/commissioning/spec-services/npc-crg/gender-dysphoria-clinical-programme/implementing-advice-from-the-cass-review
Listen to Hilary Cass interviewed by Kamran Abbasi, editor in chief of the British Medical Journal (BMJ) here:
https://www.bmj.com/content/385/bmj.q794.full
Cass Review: Entry 10 – Post publication reflections
NHS England update: Implementing the Cass Review Recommendations:
https://www.england.nhs.uk/long-read/children-and-young-peoples-gender-services-implementing-the-cass-review-recommendations
The Cass Review; Distinguishing Fact from Fiction, Camilla Kingdona, Nicola Stingelin-Giles and Hilary Cass, Guest Editorial, the American Journal of Bioethics:
https://www.tandfonline.com/doi/epdf/10.1080/15265161.2025.2504397
Read our further responses to NHS England and the Cass Review final report below:
Responses
BMJ Cheung et al Review: Gender medicine and the Cass Review: why medicine and the law make poor bedfellows
The Association of Clinical Psychologists UK (ACP-UK): ACP-UK Response to the Cass Review
British Medical Journal (BMJ): The Cass review: an opportunity to unite behind evidence informed care in gender medicine
Royal College of Psychiatrists (RCPSYCH): Detailed reponse to the Cass Review’s final report
British Psychological Society (BPS): BPS responds to final Cass Review report
The Psychologist: When unfolding reality collides with belief…
‘…young people caught in the middle of a stormy social discourse…’
Royal College of Paediatrics and Child Health (RCPCH) RCPCH responds to publication of the final report from the Cass Review
British Association of Gender Identity Specialists (BAGIS) Initial BAGIS statement on the Cass Review
Parliament: Cass Review Volume 748: debated on Monday 15 April 2024
Scottish Government: Cass Review – Implications for Scotland
Equality and Human Rights Commission (EHRC): Statement on the final report of the Cass Review
The UN Special Rapporteur on violence against women and girls: UK: Implementation of ‘Cass report’ key to protecting girls from serious harm, says UN expert
World Professional Association for Transgender Health (WPATH) and United States Professional Association for Transgender Health (USPATH): WPATH AND USPATH COMMENT ON THE CASS REVIEW
Endocrine Society: Endocrine Society Statement in Support of Gender-Affirming Care
American Academy of Pediatrics (AAP): STATEMENT FROM AMERICAN ACADEMY OF PEDIATRICS
Amsterdam University Medical Center (Amsterdam UMC): A response from Amsterdam UMC to the Cass review on transgender care
Amnesty International UK: Cass review on gender identity is being ‘weaponised’ by anti-trans groups
Equality Australia: Cass Review out-of-line with medical consensus and lacks relevance in Australian context
LGBT+ Liberal Democrats Executive Committee: Initial statement on the Cass Review
Stonewall: The Cass Review – Our initial review and actions
Mermaids: The Cass Review: Mermaids’ response in depth
TransActual: Press release: The Cass Review is bad science and should not be taken seriously by policymakers
Gender GP: Response to the Cass Review
Peter Harthan, Barrister at Law: Cass Report and Clinical Negligence
Media coverage
New York Times: Hilary Cass Says U.S. Doctors Are ‘Out of Date’ on Youth Gender Medicine
WBUR On Point: ‘The evidence was disappointingly poor’: The full interview with Dr. Hilary Cass
29/04/2024
Quillette: The Cass Effect
26/04/2024
The Guardian: David Bell: The Cass review of gender identity services marks a return to reason and evidence – it must be defended
The Telegraph: Wales is becoming a safe haven for trans extremists
23/04/2024
The Telegraph: The truth about Stonewall is finally being exposed
The Telegraph: People are in denial following the Cass Report – it’s like deprogramming cult members
Scottish Express: Scottish kids taught 40 pronouns as schools ‘indoctrinate’ pupils in trans ideology with SNP urged to overhaul teaching following Cass Review
The Telegraph: Scottish children’s charity calls puberty blockers ‘wonderful’
22/04/2024
The Times: Patrick Harvie will not accept Cass Review on gender identity
The Telegraph: Labour MP ‘may have misled’ Parliament with response to Cass Review
The Times: Cass Review author condemns ‘misinformation’ spread by trans lawyer
21/04/2024
The Telegraph: Our child socially transitioned at school – now, we’re too scared to challenge her
Observer: We are ashamed of the role psychology played in gender care
Scottish Daily Express: Patrick Harvie ‘not fit for government’ as he dismisses Cass Review findings as he ‘trusts activists’ more
The Telegraph: NSPCC whistleblower quits charity over trans grooming row
20/04/2024
The Guardian: Hilary Cass warned of threats to safety after ‘vile’ abuse over NHS gender services review
The Telegraph: Call for public inquiry into transgender ideology in NHS and schools
BBC World Service: More or Less: Is misinformation being spread about a review of trans youth medicine?
BBC: Cass Review: Gender care report author attacks ‘misinformation’
19/04/2024
Times: Support for Stonewall crumbles after Cass review
The Times: Hilary Cass: I can’t travel on public transport any more
18/04/2024
The Telegraph: How puberty blockers slipped through the dangerous loophole in Britain’s drug regulation
The Times: NHS whistleblower raised gender service concerns two years ago
Scottish National: Puberty blocker prescriptions ‘paused’ in Scotland for under-18s
BBC: Puberty blockers paused for children in Scotland
17/04/2024
The Telegraph: Scottish primary schools appoint children as ‘LGBT champions’
16/04/2024
Spiked: After Cass, let’s kick trans ideology out of the classroom
15/04/2024
The Times: Private doctors who give children puberty blockers may be struck off
The Telegraph: SNP to reject calls to shut ‘tartan Tavistock’ child gender clinic
Scottish National: Tories call for ‘urgent’ action in Scotland following Cass Review
14/04/2024
Sunday Post: Experts demand end to prescribing puberty blockers to young children
Sunday Times: Kemi Badenoch: Gagging of the brave has let gender ideologues seize control
The Observer: Thanks to Cass, evidence not ideology will be used to guide children seeking gender advice
The Observer: The Observer view on the Cass Review: children were catastrophically failed by the medical profession
13/04/2024
The Telegraph: Schools Minister: Teachers must not allow themselves ‘to be bullied by trans campaigners’
The Times: Teenage life is scary — even without gender clinics
The Spectator: Why academia failed to challenge trans ideology
The Times: Stonewall tried to silence warnings of weak evidence for trans healthcare
The Telegraph: Belgium and Netherlands call for puberty blocker restrictions following Cass Review
12/04/2024
The Times: Keira Bell: Gender clinic used me as an experiment. I want justice
The Telegraph: SNP accused of allowing trans activists to infiltrate Scottish NHS shaping dangerous treatment rules
The Telegraph: NHS trans clinic doctor backs ‘non standard procedures’ like having both male and female genitalia
11/04/2024
The Guardian: The Guardian view on the Cass report: rising numbers of gender distressed young people need help
The Telegraph: Top NHS adviser on trans health failed to cooperate with Cass Review
The Times: Cass review: allow therapy for children suffering gender distress
BBC: Cass review: Health secretary criticises gender care ‘culture of secrecy’
The Times: Labour stoked ‘culture of intimidation’ over trans issues, health secretary says
The Guardian: Ban on children’s puberty blockers to be enforced in private sector in England
10/04/2024
The Telegraph: Keira Bell: ‘Every time I look in the mirror it’s a reminder of what happened at the Tavistock’
The New Statesman: The Cass review into children’s gender care should shame us all
Spiked: The Cass Review is a devastating blow to trans ideology
Express: Express Comment: We can never again allow children to be treated like helpless lab rats
The Guardian: ‘Children are being used as a football’: Hilary Cass on her review of gender identity services
The Telegraph: The Cass report lays bare what we all knew about the trans brainwashing cult
The Scotsman: Following Cass report, Scottish Government must conduct urgent review of child gender identity services – Scotsman comment
The Irish Times: Thousands of children unsure of gender identity ‘let down by NHS’
The Telegraph: Liz Truss: Cass has been clear. The Government must act
The Independent: Children failed by NHS amid toxic debate on gender identity
The Guardian: What Cass review says about surge in children seeking gender services
The Telegraph: Streeting admits he was wrong to say transgender women are women
The Telegraph: NHS bosses ordered to reveal fate of 9,000 young Tavistock patients
The Times: How charities and the internet fuelled ten-year rise of ‘gender transition’
The Guardian: Adult transgender clinics in England face inquiry into patient care
The Sun: CARE CAUTION: Children questioning gender should be steered away from medical treatment, landmark report warns
The Times: Nine key findings from the Cass review into gender transition
The Telegraph: Key findings of the Cass report: stop giving drugs to children and rushing them into treatment
BBC News: Hilary Cass: Weak evidence letting down children in gender care
09/04/2024
The Guardian: Gender medicine ‘built on shaky foundations’, Cass review finds
The Telegraph: NHS to review all transgender treatment
The Times: The Times view on the NHS gender identity scandal: Prescription for Disaster
Broadcast Media
BBC Newsnight:
BBC Radio 4 Today:
BBC Radio 4 World at One
BBC Radio 4 Woman’s Hour