The Cass Review was commissioned by NHS England to make recommendations on how to improve NHS “gender identity services” for children and young people.

The review ran for four years publishing an Interim Report in in February 2022 and its final report in April 2024.

We have published our initial response to the report, and will publish further analysis and comment in due course.

The 388 page final report contains 32 substantive recommendations, and there is much to pick apart in the accompanying text. The review commissioned research from York University and this was published as part of the report.

The Interim Report

The significant outcomes from the Interim Report were:

  • The closure of the Tavistock GIDS
  • The establishment of two new regional centres following a new ‘holistic’ model of care.
  • The statement that social transition was “not a neutral act”.

Our Concerns

Our Duty has always been sceptical of the Cass Review. We considered that its terms of reference were too restrictive, and that the process lacked a sense of urgency and an ethical framework that were both clearly necessary given the harm being done in the name of gender identity ideology.