the Cass Review final report

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:

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:

Listen to Hilary Cass interviewed by Kamran Abbasi, editor in chief of the British Medical Journal (BMJ) here:

Cass Review: Entry 10 – Post publication reflections

Read our further responses to NHS England and the Cass Review final report below:


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

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


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


Quillette: The Cass Effect


Daily Mail: UN official hails ‘seminal’ UK research on the ‘devastating consequences’ of medical care for trans kids and seeks global crackdown on puberty blockers

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


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’


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


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


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’


Times: Support for Stonewall crumbles after Cass review

The Times: Hilary Cass: I can’t travel on public transport any more


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


The Telegraph: Scottish primary schools appoint children as ‘LGBT champions’


Spiked: After Cass, let’s kick trans ideology out of the classroom

LBC: Kemi Badenoch calls for public inquiry following Cass Review as she says some are ‘exploiting’ trans label


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


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


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


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


Scotsman: SNP MP Joanna Cherry calls for puberty blockers to be banned in Scotland in wake of Cass Review on gender

Daily Mail: JK Rowling slams Mermaids in wake of Cass Report for ‘total, shameless lies’ and says their ‘fingerprints are all over the catastrophe of child transition’

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


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’

LBC: ‘There’s no such thing as a trans child’: Tavistock clinic whistleblower claims doctors have been ‘captured by ideology’

The Daily Mail: Meet the clinicians who doled out puberty blockers to a generation of vulnerable children, including a girl just because she liked Thomas the Tank Engine as a toddler – and how some are still offering the powerful drugs privately…

The Sun: TRANS TURN I was wrong to say ‘all trans women are women, get over it’, says Wes Streeting in U-turn – & admits issue is ‘complex’

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


The Guardian: Gender medicine ‘built on shaky foundations’, Cass review finds

Daily Mail: Everything you need to know about the sweeping 400-page Cass report, including why it was set-up four years ago and what has happened since

The Telegraph: NHS to review all transgender treatment

The Times: The Times view on the NHS gender identity scandal: Prescription for Disaster

Sky News: Cass report: ‘remarkably weak evidence’ and ‘toxic’ debate around gender letting children down, review warns

Broadcast Media

BBC Newsnight:

BBC Radio 4 Today:

BBC Radio 4 World at One

BBC Radio 4 Woman’s Hour