Gender identity services and advocacy for children and young people

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This page provides more information for College members about NHS care for children who are gender questioning, including updates from a legal perspective and other areas of advocacy." /> <link rel="canonical" href="https://www.rcpch.ac.uk/resources/gender-identity-services-advocacy-children-young-people" /> <link rel="image_src" href="/themes/rcpch/rcpch-full-logo.png" /> <meta property="og:site_name" content="RCPCH" /> <meta property="og:url" content="https://www.rcpch.ac.uk/resources/gender-identity-services-advocacy-children-young-people" /> <meta property="og:title" content="Gender identity services and advocacy for children and young people" /> <meta property="og:description" content="There has been growing interest in how the NHS should most appropriately assess, diagnose and care for children and young people who are questioning their gender identity or experiencing gender incongruence. This page provides more information for College members about NHS care for children who are gender questioning, including updates from a legal perspective and other areas of advocacy." /> <meta property="og:image" content="https://www.rcpch.ac.uk/themes/rcpch/rcpch-full-logo.png" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:description" content="There has been growing interest in how the NHS should most appropriately assess, diagnose and care for children and young people who are questioning their gender identity or experiencing gender incongruence. 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Many are hosted online.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/education-careers/courses/rcpch-course" class="our-upcoming-courses">Upcoming courses</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-8"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/work-we-do" aria-expanded="false" id="megamenu-work-we-do13" aria-controls="megamenu-sub-work-we-do4" data-drupal-link-system-path="node/425">Work we do</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-9 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-work-we-do"> <h2 class="visually-hidden">Submenu work we do</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/rcpch-strategy-2024-27"><span>RCPCH strategy</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/british-paediatric-surveillance-unit"><span>British Paediatric Surveillance Unit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits" class="has-children"><span>Clinical audits</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/child-protection-service-delivery-standards"><span>Child Protection Service Delivery Standards</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/epilepsy12"><span>Epilepsy12 Audit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/nnap"><span>National Neonatal Audit Programme</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/npda"><span>National Paediatric Diabetes Audit</span></a> </li> <li class="expanded dropdown"> <a href="/resources/pghan-national-census-2021"><span>Paediatric Gastroenterology, Hepatology and Nutrition Audit</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/work-we-do/equality-diversity-inclusion"><span>Equality, diversity and inclusion</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/global-child-health"><span>Global child health</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/public-affairs"><span>Public affairs</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/QI-patient-safety" class="has-children"><span>Quality improvement and patient safety</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/work-we-do/QI-patient-safety/invited-review-service"><span>Invited Review Service</span></a> </li> <li class="expanded dropdown"> <a href="https://safety.rcpch.ac.uk/"><span>Patient Safety Portal</span></a> </li> <li class="expanded dropdown"> <a href="https://qicentral.rcpch.ac.uk/"><span>QI Central</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/work-we-do/rcpch-and-us"><span>RCPCH &Us - for children, young people and families</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/research-activities"><span>Research activities</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/thrive-paediatrics"><span>Thrive Paediatrics</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/workforce-information-planning"><span>Workforce information and planning</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15647"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-10/group-of-young-people-in-ring-looking-down-smiling-strategy.jpg?itok=dkw33jZm" width="315" height="157" alt="Group of young people in a ring looking down and smiling" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Our College strategy</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Covering the next three years and with four strategic goals, our strategy aims to meet our members' priorities to support their working lives and be a powerful advocate for children and young people.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/work-we-do/rcpch-strategy-2024-27" class="our-college-strategy">Strategy</a></div> </div> </div></div> </div> </div> </li> <li class="is-active mega-menu--item link-5"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/resources" aria-expanded="false" id="megamenu-resources8" aria-controls="megamenu-sub-resources20" data-drupal-link-system-path="node/107">Resources</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-6 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-resources"> <h2 class="visually-hidden">Submenu resources</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/resources/all-resources" class="has-children"><span>All resources</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/resources/consultation-responses"><span>Consultation responses</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/resources/clinical-guidelines"><span>Clinical guidelines</span></a> </li> <li class="expanded dropdown"> <a href="/resources/engaging-children-young-people"><span>Engaging children and young people</span></a> </li> <li class="expanded dropdown"> <a href="/resources/external-second-opinions"><span>External second opinions</span></a> </li> <li class="expanded dropdown"> <a href="/resources/facing-future-standards-paediatric-care"><span>Facing the Future service standards</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/resources/growth-charts"><span>Growth charts</span></a> </li> <li class="expanded dropdown"> <a href="/resources/journals"><span>Journals</span></a> </li> <li class="expanded dropdown"> <a href="/resources/medicines"><span>Medicines resources</span></a> </li> <li class="expanded dropdown"> <a href="/resources/rcpch-archive"><span>RCPCH archive</span></a> </li> <li class="expanded dropdown"> <a href="/resources/research-funding-opportunities"><span>Research funding opportunities</span></a> </li> <li class="expanded dropdown"> <a href="/resources/transition-adult-services"><span>Transition to adult services</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-10839"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2022-02/medicines.png?itok=6Fd-s1Bx" width="315" height="157" alt="giving medicine to children" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Discharge and medication safety</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We have six recommendations to improve the safety of liquid medicines during the transition from hospital to home care. </div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/management-unlicensed-liquid-medicines-recommendations" class="discharge-and-medication-safety">Medication safety guideline</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15560"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/thrive-graphic-news.png?itok=AkcTgF0X" width="315" height="157" alt="Icon - hands holding a heart with a medical cross inside" title="Thrive Paediatrics" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Thrive Paediatrics resource hub</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Especially for members, our new hub offers evidence and good practice examples in wellbeing, plus stories from paediatricians' lived experience.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/thrive-resource-hub" class="thrive-paediatrics-resource-hub">Resource hub</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-2"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/key-topics" aria-expanded="false" id="megamenu-key-topics3" aria-controls="megamenu-sub-key-topics9" data-drupal-link-system-path="key-topics">Key topics</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-6 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-key-topics"> <h2 class="visually-hidden">Submenu key topics</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/key-topics/air-pollution"><span>Air pollution companion</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-health-inequalities-climate-change"><span>Child health inequalities and climate change</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-health-inequalities-poverty"><span>Child health inequalities and poverty</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-mental-health"><span>Child mental health</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/child-protection"><span>Child protection and safeguarding</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/climate-change"><span>Climate change</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/key-topics/genomics"><span>Genomics</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/nhs-ten-year-plan"><span>NHS 10 Year Health Plan</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/nutrition-obesity"><span>Nutrition and obesity</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/prevention-ill-health"><span>Prevention of ill health</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/winter-planning"><span>Winter planning</span></a> </li> <li class="expanded dropdown"> <a href="/key-topics/your-wellbeing"><span>Your wellbeing</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15800"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-11/shutterstock_2018424023-infant-in-adults-arms.jpg?itok=ieopY5Fp" width="315" height="157" alt="Small baby, being held by adult wearing scrubs and mask" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">10 Year Health Plan for the NHS</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We want to ensure children and young people are at the centre of the Government's plan. Our briefings outline our recommendations and how members in England can input.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/key-topics/nhs-ten-year-plan" class="_0-year-health-plan-for-the-nhs">Briefings</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15574"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/Air-pollution-news.png?itok=pwuHqICR" width="315" height="157" alt="Repeated icons - children playing under cloud" title="Air pollution" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Air Pollution Companion</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Learn about air pollution and child health, with sections to help build your knowledge, talk to patients and advocate for change. Plus how to join a clean air community and explore clean air clinics.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/key-topics/air-pollution" class="air-pollution-companion">Companion</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-6"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/news-events" aria-expanded="false" id="megamenu-news-and-events6" aria-controls="megamenu-sub-news-and-events5" data-drupal-link-system-path="node/137">News and events</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-3 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-news-events"> <h2 class="visually-hidden">Submenu news and events</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/news-events/news"><span>News</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/president-updates"><span>President's updates</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/podcasts"><span>Podcasts</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/events"><span>Events</span></a> </li> <li class="expanded dropdown"> <a href="/news-events/rcpch-conference"><span>RCPCH Conference</span></a> </li> <li class="expanded dropdown"> <a href="https://roombookings.rcpch.ac.uk"><span>Meeting room hire</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15040"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-05/steve_turner-org-yellow_1.jpg?itok=Fdf_wNaX" width="315" height="157" alt="Professor Steve Turner, RCPCH President" title="Professor Steve Turner, RCPCH President" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">From Professor Steve Turner...</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">As RCPCH President, Steve shares regular updates with members by email and on this website - such as his regular feature on #WDYCD4Y: What Does Your College Do For You.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/president-updates" class="from-professor-steve-turner">President's updates</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-3923"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2018-09/CYP%20engagement%20courses%20-%20adult%20and%20children%20in%20library%20environment.png?itok=_oQJZb8i" width="315" height="157" alt="" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Our engagement course in Scotland</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">How can you engage children and young people in your health service? Develop your skills in this new course in Stirling on Wednesday 27 November, when we'll dive into the tools for active engagement.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/education-careers/courses/rcpch-course/recipes-engagement-course-scotland" class="our-engagement-course-in-scotland">Course</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15339"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-07/conf25_website-sidebar.png?itok=NpLNKkCD" width="315" height="157" alt="Repeated dynamic child in a circle icon " title="RCPCH Conference 2025" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">RCPCH Conference 2025</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We've started preparing for next year's big event, which takes place from 26 to 28 March in Glasgow and online. And early bird tickets are now available, so you can book between now and 3 February for 15% off.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/rcpch-conference" class="rcpch-conference-2025">About Conference</a></div> </div> </div></div> </div> </div> </li> </ul> </section> </div> </div> <div class="slide-content"> <div class="region region-mobile-header"> <section class="block-userdropdownmenu-2 block block-rcpch-general block-user-menu"> <div class="quick-links-dropdown"> <button class="btn btn-default quick-links-dropdown-desktop dropdown-toggle" id="quick-links" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Quick links<span class="caret"></span></button> <button class="hidden-lg btn fa fa-angle-down quick-links-dropdown-tablet btn-default dropdown-toggle" id="quick-links" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Quick links</button> <ul class="dropdown-menu" aria-labelledby="quick-links"><li class="hidden-xs hidden-sm hidden-md"><a href="/saml_login" target="_blank">Log in</a></li><li class="hidden-xs hidden-sm hidden-md"><a href="/user/signup" target="_blank">Register</a></li><li role="separator" class="divider"></li><li><a href="/education-careers/examinations" target="_blank">Exams</a></li><li><a href="http://www.eportfolio.rcpch.ac.uk" target="_blank">ePortfolio</a></li><li><a href="http://www.eportfolio.rcpch.ac.uk/" target="_blank">CPD Diary</a></li><li><a href="http://learning.rcpch.ac.uk/" target="_blank">RCPCH Learning</a></li><li><a href="https://childprotection.rcpch.ac.uk/" target="_blank">Child Protection Portal</a></li><li><a href="https://adc.bmj.com/content/current" target="_blank">Archives of Disease in Childhood</a></li><li><a href="https://bmjpaedsopen.bmj.com/" target="_blank">BMJ Paediatrics Open</a></li><li><a href="/membership/committees" target="_blank">RCPCH Committees</a></li></ul></div> </section> <nav class="block-headermenu-2"> <ul class="menu nav"> <li class="expanded dropdown"> <a href="/get-involved" title="Support our work in child health - 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you can advocate for your fellow trainees, support paediatric training or review child protection evidence, and more!</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/membership/get-involved-college-roles" class="get-involved">Opportunities</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-4"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/education-careers" aria-expanded="false" id="megamenu-education-and-careers1" aria-controls="megamenu-sub-education-and-careers16" data-drupal-link-system-path="node/115">Education and careers</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-9 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-education"> <h2 class="visually-hidden">Submenu education</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/education-careers/choose-paediatrics"><span>Choose paediatrics</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics" class="has-children"><span>Apply to paediatrics</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics/ST1"><span>ST1 training</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics/ST3"><span>ST3 training</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/apply-paediatrics/sub-specialties"><span>Sub-specialties</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/education-careers/lifelong-careers"><span>Lifelong careers</span></a> </li> <li class="expanded dropdown"> <a href="/education-careers/examinations" class="has-children"><span>Examinations - 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Many are hosted online.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/education-careers/courses/rcpch-course" class="our-upcoming-courses">Upcoming courses</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-8"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/work-we-do" aria-expanded="false" id="megamenu-work-we-do13" aria-controls="megamenu-sub-work-we-do4" data-drupal-link-system-path="node/425">Work we do</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-9 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-work-we-do"> <h2 class="visually-hidden">Submenu work we do</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/rcpch-strategy-2024-27"><span>RCPCH strategy</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/british-paediatric-surveillance-unit"><span>British Paediatric Surveillance Unit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits" class="has-children"><span>Clinical audits</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/child-protection-service-delivery-standards"><span>Child Protection Service Delivery Standards</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/epilepsy12"><span>Epilepsy12 Audit</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/nnap"><span>National Neonatal Audit Programme</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/clinical-audits/npda"><span>National Paediatric Diabetes Audit</span></a> </li> <li class="expanded dropdown"> <a href="/resources/pghan-national-census-2021"><span>Paediatric Gastroenterology, Hepatology and Nutrition Audit</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/work-we-do/equality-diversity-inclusion"><span>Equality, diversity and inclusion</span></a> </li> </ul></li><li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/work-we-do/global-child-health"><span>Global child health</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/public-affairs"><span>Public affairs</span></a> </li> <li class="expanded dropdown"> <a href="/work-we-do/QI-patient-safety" class="has-children"><span>Quality improvement and patient safety</span></a> <button class="hidden-lg fa fa-angle-down 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</li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15647"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-10/group-of-young-people-in-ring-looking-down-smiling-strategy.jpg?itok=dkw33jZm" width="315" height="157" alt="Group of young people in a ring looking down and smiling" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Our College strategy</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Covering the next three years and with four strategic goals, our strategy aims to meet our members' priorities to support their working lives and be a powerful advocate for children and young people.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/work-we-do/rcpch-strategy-2024-27" class="our-college-strategy">Strategy</a></div> </div> </div></div> </div> </div> </li> <li class="is-active mega-menu--item link-5"> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <a href="/resources" aria-expanded="false" id="megamenu-resources8" aria-controls="megamenu-sub-resources20" data-drupal-link-system-path="node/107">Resources</a> <div class="mega-menu--container"> <div class="field--name-field-mi-blocks field--type-entity-reference-revisions mega-menu--items"> <div class="paragraph-type-submenu_block col-sm-6 mega-menu--item"><div class="paragraph paragraph--type-submenu-block paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-submenu field--type-ds field--label-hidden field--item"><nav class="block-submenu-resources"> <h2 class="visually-hidden">Submenu resources</h2> <ul class="menu menu--main"> <li class="menu-column"><ul> <li class="expanded dropdown"> <a href="/resources/all-resources" class="has-children"><span>All resources</span></a> <button class="hidden-lg fa fa-angle-down open-arrow" aria-label="Expand"></button> <ul class="menu menu--main sub-menu"> <li class="expanded dropdown"> <a href="/resources/consultation-responses"><span>Consultation responses</span></a> </li> </ul> </li> <li class="expanded dropdown"> <a href="/resources/clinical-guidelines"><span>Clinical guidelines</span></a> </li> <li class="expanded dropdown"> <a href="/resources/engaging-children-young-people"><span>Engaging children and 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services</span></a> </li> </ul> </nav> </div> </div> </div> </div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-10839"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2022-02/medicines.png?itok=6Fd-s1Bx" width="315" height="157" alt="giving medicine to children" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Discharge and medication safety</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We have six recommendations to improve the safety of liquid medicines during the transition from hospital to home care. </div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/management-unlicensed-liquid-medicines-recommendations" class="discharge-and-medication-safety">Medication safety guideline</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15560"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-09/thrive-graphic-news.png?itok=AkcTgF0X" width="315" height="157" alt="Icon - hands holding a heart with a medical cross inside" title="Thrive Paediatrics" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">Thrive Paediatrics resource hub</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">Especially for members, our new hub offers evidence and good practice examples in wellbeing, plus stories from paediatricians' lived experience.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/resources/thrive-resource-hub" class="thrive-paediatrics-resource-hub">Resource hub</a></div> </div> </div></div> </div> </div> </li> <li class="mega-menu--item link-2"> <button class="hidden-lg fa fa-angle-down 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Develop your skills in this new course in Stirling on Wednesday 27 November, when we'll dive into the tools for active engagement.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/education-careers/courses/rcpch-course/recipes-engagement-course-scotland" class="our-engagement-course-in-scotland">Course</a></div> </div> </div></div> <div class="paragraph-type-cta_block col-sm-3 mega-menu--item"><div class="container-fluid paragraph paragraph--type--cta-block paragraph--view-mode--default"> <div class="container"> <div class="field field--name-field-ctab-image field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-menu-items media-image-15339"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/menu_items/public/2024-07/conf25_website-sidebar.png?itok=NpLNKkCD" width="315" height="157" alt="Repeated dynamic child in a circle icon " title="RCPCH Conference 2025" typeof="foaf:Image" class="img-responsive" /> </div> </div> </div> <div class="field field--name-field-ctab-title field--type-string field--label-hidden field--item">RCPCH Conference 2025</div> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">We've started preparing for next year's big event, which takes place from 26 to 28 March in Glasgow and online. And early bird tickets are now available, so you can book between now and 3 February for 15% off.</div> <div class="field field--name-field-ctab-link field--type-link field--label-hidden field--item"><a href="/news-events/rcpch-conference" class="rcpch-conference-2025">About Conference</a></div> </div> </div></div> </div> </div> </li> </ul> </section> </div> </nav> </div> </header> <div id="content-top" class="top-container"> <div class="container"> <div class="region region-content-top"> <div data-drupal-messages-fallback class="hidden"></div> <ol class="breadcrumb"> <li > <a href="/">Home</a> </li> <li > <a href="/resources">Resources</a> </li> </ol> </div> </div> </div> <div class="main-container content-container"> <div class="container"> <div class="row"> <section class="main-content-column col-sm-8"> <div id="main-content"></div> <div class="region region-content"> <h1 class="page-header"> <span>Gender identity services and advocacy for children and young people</span> </h1> <div class="full-page-content node-document "> <div class="user-and-links"> <div class="field--bundle-author field field--name-field-sh-author field--type-entity-reference-revisions field--label-hidden field--item"><div class="paragraph paragraph--type-author paragraph--view-mode-default ds-1col clearfix container-fluid"> <div class="container"> <div class="field field--name-field-au-author-link field--type-entity-reference field--label-hidden field--item"><div class="node node--type-team-profile node--view-mode-author ds-1col clearfix"> <div class="field field--name-field-tp-logo field--type-entity-reference field--label-hidden field--item"><div class="media media-image view-mode-author media-image-14441"> <div class="field field--name-field-media-image field--type-image field--label-hidden field--item"> <img loading="lazy" src="/sites/default/files/styles/author_50x50/public/2023-12/icon_rcpch-dynamic-child-aqua-180-px.png?itok=LxNa0_ME" width="50" height="50" alt="Icon: Dynamic child from RCPCH logo" typeof="foaf:Image" title="" class="img-responsive" /> </div> </div> </div> <div class="field field--name-node-title field--type-ds field--label-hidden field--item"> <a href="/about-us/our-team/health-policy-team" hreflang="en">Health Policy team</a> </div> </div> </div> </div> </div> </div> <div class="print__wrapper print__wrapper--pdf form-group"><a href="/print/pdf/node/6007" class="print__link print__link--pdf" target="_blank">Save as PDF</a></div> </div> <div class="intro-text clearfix"> <div class="field field--name-field-sh-introduction field--type-string-long field--label-hidden field--item">There has been growing interest in how the NHS should most appropriately assess, diagnose and care for children and young people who are questioning their gender identity or experiencing gender incongruence. This page provides more information for College members about NHS care for children who are gender questioning, including updates from a legal perspective and other areas of advocacy.</div> </div> <div class="gray-box"> <div class="field field--name-node-changed-date field--type-ds field--label-inline"> <div class="field--label">Last modified</div> <div class="field--item">19 September 2024</div> </div> <div class="field field--name-node-post-date field--type-ds field--label-inline"> <div class="field--label">Post date</div> <div class="field--item">21 March 2024</div> </div> </div> <div class="body-box"> <div class="field field--name-table-of-contents field--type-ds field--label-above"> <div class="field--label">Table of contents</div> <div class="field--item"><ul><li><a href="#puberty-blockers-and-consent-–-rulings-from-the-courts" class="smooth-scroll">Puberty blockers and consent – rulings from the Courts</a></li><li><a href="#puberty-blockers-banning-order---information" class="smooth-scroll">Puberty blockers banning order - information </a></li><li><a href="#the-cass-review" class="smooth-scroll">The Cass Review</a></li><li><a href="#calls-to-evaluate-the-cass-review---rcpch-response" class="smooth-scroll">Calls to evaluate the Cass Review - RCPCH response</a></li><li><a href="#care-in-the-nhs" class="smooth-scroll">Care in the NHS</a></li><li><a href="#the-role-of-paediatricians-for-children-who-are-gender-questioning" class="smooth-scroll">The role of paediatricians for children who are gender questioning</a></li><li><a href="#guidance-for-schools-and-colleges-for-children-who-are-gender-questioning" class="smooth-scroll">Guidance for schools and colleges for children who are gender questioning</a></li><li><a href="#supporting-lgbtq-children-and-young-people" class="smooth-scroll">Supporting LGBTQ+ children and young people</a></li></ul></div> </div> <div class="field field--name-table-of-contents-sidebar field--type-ds field--label-above"> <div class="field--label">Contents</div> <div class="field--item"><ul><li><a href="#puberty-blockers-and-consent-–-rulings-from-the-courts" class="smooth-scroll">Puberty blockers and consent – rulings from the Courts</a></li><li><a href="#puberty-blockers-banning-order---information" class="smooth-scroll">Puberty blockers banning order - information </a></li><li><a href="#the-cass-review" class="smooth-scroll">The Cass Review</a></li><li><a href="#calls-to-evaluate-the-cass-review---rcpch-response" class="smooth-scroll">Calls to evaluate the Cass Review - RCPCH response</a></li><li><a href="#care-in-the-nhs" class="smooth-scroll">Care in the NHS</a></li><li><a href="#the-role-of-paediatricians-for-children-who-are-gender-questioning" class="smooth-scroll">The role of paediatricians for children who are gender questioning</a></li><li><a href="#guidance-for-schools-and-colleges-for-children-who-are-gender-questioning" class="smooth-scroll">Guidance for schools and colleges for children who are gender questioning</a></li><li><a href="#supporting-lgbtq-children-and-young-people" class="smooth-scroll">Supporting LGBTQ+ children and young people</a></li></ul></div> </div> <div class="field field--name-field-sh-body field--type-text-long field--label-hidden field--item"><h2 id="puberty-blockers-and-consent-–-rulings-from-the-courts">Puberty blockers and consent – rulings from the Courts</h2> <p>In October 2019, a legal complaint (a request for judicial review) was lodged against the Tavistock & Portman NHS Foundation Trust. In <em>Bell v Tavistock,</em> the <a href="https://www.judiciary.uk/wp-content/uploads/2020/12/Bell-v-Tavistock-Judgment.pdf" rel="noopener" target="_blank">High Court judgment delivered in December 2020 (PDF)</a> said it was highly unlikely that a child aged 13 or less would be competent to give consent to the administration of puberty blockers, and that it was doubtful that 14- or 15-year-olds could understand the long-term risks and consequences of this form of treatment.</p> <p>Following this judgment, the Tavistock & Portman NHS Foundation Trust sought to challenge the decision and was subsequently granted permission to appeal. The <a href="https://www.judiciary.uk/judgments/bell-and-another-v-the-tavistock-and-portman-nhs-foundation-trust-and-others" rel="noopener" target="_blank" title="Courts and Tribunal Judiciary: Bell and another -v- The Tavistock and Portman NHS Foundation Trust and others">Court of Appeal said</a> that "it was for clinicians rather than the court to decide on competence" to consent to receive puberty blockers, overturning the High Court decision that children under 16 years lack the capacity to consent to the use of puberty blockers.</p> <p><em>AB v CD and others </em>is a separate case involving the Tavistock & Portman NHS Foundation Trust on the related matter of whether parents can give legal consent to their child receiving puberty blockers. In 2021 <a href="https://www.judiciary.uk/judgments/ac-v-cd-and-ors" rel="noopener" target="_blank" title="Courts and Tribunal Judiciary: AB vs CD and ors">the High Court ruled</a> that parents are able to give such consent "save where the parents are seeking to override the decision of the child". The case did not overrule, nor have any legal effect on, the judgment in <em>Bell v Tavistock</em>.</p> <h2 id="puberty-blockers-banning-order---information">Puberty blockers banning order - information </h2> <p>On 3rd June 2024, <a href="https://www.legislation.gov.uk/uksi/2024/727/made" title="The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (England, Wales, Scotland) Order 2024">The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (England, Wales and Scotland) Order 2024</a> came into force, banning the prescription and supply of medicines for the purposes of puberty suppression in those experiencing gender dysphoria or incongruence in England. This applies to UK private prescribers, UK pharmacies and prescribers registered in the European Economic Area (EEA) or Switzerland. This ban was <a href="https://www.legislation.gov.uk/uksi/2024/868/contents/made" title="extended on 22 August 2024">extended on 22 August 2024</a>, and additionally extended to Northern Ireland, coming into force on 27 August 2024.<br /> <br /> Children who were already on puberty blockers before 3 June 2024 can continue to access these. <a href="https://www.england.nhs.uk/long-read/children-and-young-peoples-gender-services-implementing-the-cass-review-recommendations/#implementation-research" title="NHS England are in the process of setting up a research trial">NHS England are in the process of setting up a research trial</a> for starting the use of puberty blockers in children and young people with gender dysphoria. This is due to commence in January 2025.<br /> <br /> The government has set out further information for anyone who is unsure how the ban applies to their circumstances in a <a href="https://www.ardengemcsu.nhs.uk/media/3979/nhs-england-letter-31052024.pdf" title="published letter from NHS England">published letter from NHS England</a>. Every child on the waiting list for Gender Identity Services should have received this letter.<br /> </p> <h2 id="the-cass-review">The Cass Review</h2> <p>The Independent Review of Gender Identity Services for Children and Young People (The Cass Review) was commissioned by NHS England and NHS Improvement in autumn 2020 to make recommendations about the services provided by the NHS to children and young people who are questioning their gender identity or experiencing gender incongruence.</p> <p>The aim of the Cass Review is to ensure that children and young people who are questioning their gender identity or experiencing gender dysphoria, and who need support from the NHS, receive a high standard of care that meets their needs and is safe, holistic and effective.</p> <p>In March 2022, Dr Hilary Cass published an interim report focusing on three areas: capacity, safety and standards; treatment decisions; and data and audit. The report provided advice to NHS England that in order to meet rising demand and provide a more holistic and localised approach to care, gender identity services for children and young people needed to move from a single national provider to a regional model. Further advice from the review was shared with NHS England in July 2022, setting out essential components of a new model of care was needed to improve pathways of care, individual support for all children and young people, and improvements to research and information sharing.</p> <p>Information about the <a href="https://cass.independent-review.uk/" rel="noopener" target="_blank">Cass Review Terms of Reference and publications to date are available on its website</a>. The <a href="https://cass.independent-review.uk/home/publications/final-report/" rel="noopener" target="_blank">final Cass report</a> was published on 10 April 2024. You can <a href="/news-events/news/rcpch-responds-publication-final-report-cass-review">read our initial response to the report</a>; we are currently considering the report’s recommendations and will update this page with any subsequent responses.</p> <h2 id="calls-to-evaluate-the-cass-review---rcpch-response">Calls to evaluate the Cass Review - RCPCH response</h2> <p><strong>5 August 2024</strong></p> <p>RCPCH is aware that the Cass Review has received academic criticism, and that some members of the medical profession are calling for a pause in implementation of the new Gender Identity Services until further reviews have taken place. The closure of the previous service has resulted in unacceptable waiting times for Gender Identity Services, which were already high before the closure.</p> <p>The College is clear that pausing the implementation of the Cass report recommendations would be a backwards step for Gender Identity Services, as this will again delay care and therefore risks causing further harm to this patient population. It is our absolute priority that this group of children receive timely, holistic and high-quality care.</p> <p>We are in regular contact with NHS England to offer input into the development of the new Gender Identity Services. As a part of this engagement we will encourage NHSE to consider emerging criticisms of any chosen approach, as would be the case in the delivery of any other children's health service.</p> <p>We are mindful that changes to Gender Identity Services have a significant impact on our members, their patients, and also the members of other Royal Colleges. The College continues to work with NHSE to understand what the emerging changes mean for our members in England and potentially across the UK, and will develop further communications on this in due course.</p> <p>The Academy of Medical Royal Colleges, of which the RCPCH is a member, has additionally <a href="https://www.aomrc.org.uk/publication/academy-statement-implementation-of-the-cass-review/" rel="noopener" target="_blank">released a statement on the implementation of the Cass Review</a>.</p> <h2 id="care-in-the-nhs">Care in the NHS</h2> <p>In 2021/22 there were over 5,000 referrals into the Gender Identity Development Service (GIDS) run by the Tavistock and Portman NHS Foundation Trust in England. This compares to just under 250 referrals in 2011/12. The Tavistock and Portman NHS Foundation Trust has been the main provider of gender affirming care for children and young people, and will close at the end of March 2024.</p> <p>Following advice from the Cass Review in July 2022, NHS England set out plans for how it would start building a more resilient service by expanding provision and enhancing the focus on quality in terms of clinical effectiveness, safety, and patient experience. It was agreed to establish two new nationally networked services to be led by specialist children’s hospitals – referred to as the North and South hubs. On 1 April 2024, these new services will take over clinical responsibility for seeing children and young people on the national waiting list as well as providing continuity of care for the GIDS open caseload at the point of transfer.</p> <p>The <a href="https://www.england.nhs.uk/publication/interim-service-specification-for-specialist-gender-incongruence-services-for-children-and-young-people/" rel="noopener" target="_blank">interim specialist service for children and young people with gender incongruence</a> was published in 2023 following public consultation. <a href="https://www.engage.england.nhs.uk/consultation/referral-pathway-gender-incongruence/" rel="noopener" target="_blank">NHS England is now seeking views</a> on a service specification that describes the process for making referrals into the Children and Young People's Gender Service and the process for managing the national waiting list. You can read the <a href="/resources/NHSE-CYP-gender-incongruence-consultation-response">College response to this consultation in March</a>.</p> <p>NHS England published an <a href="https://www.engage.england.nhs.uk/consultation/puberty-suppressing-hormones/user_uploads/interim-policy-on-puberty-supressing-hormones-for-gender-incongruence-or-dysphoria.pdf" rel="noopener" target="_blank">interim clinical policy on puberty blockers (PDF)</a> in March 2024, which will be kept under review in light of any further emerging evidence and recommendations from the independent Cass Review and its research programme.</p> <p>In Wales, access to the national specialist gender incongruence service is through referral by CAMHS. All referrals are managed by the National Referral Support Service which is provided by NHS Arden and Greater East Midlands Commissioning Support Unit.</p> <p>In Scotland, the Young People’s Gender Service is provided from Glasgow. The service provides clinical input for young people and their families from across Scotland, as well as consultation and training to professionals and other agencies. Referrals are accepted from a variety of sources, including GPs, Child and Adolescent Mental Health Services (CAMHS), schools and social work. The service also accepts self-referrals, either by email or phone call.</p> <p>In Northern Ireland, children and young people with gender dysphoria can be referred to the <a href="https://belfasttrust.hscni.net/service/knowing-our-identity/" rel="noopener" target="_blank">‘Knowing Our Identity’ service</a>. Referrals usually come from CAMHS and learning disability services.</p> <h2 id="the-role-of-paediatricians-for-children-who-are-gender-questioning">The role of paediatricians for children who are gender questioning</h2> <p>It is likely that local general paediatric services will play a key part in the future model of care for children in England who are gender questioning or with gender incongruence. It is currently proposed that general paediatricians will not determine a diagnosis of whether there is gender incongruence or gender dysphoria, but will make an assessment as to whether the child or young person is experiencing gender related distress in the context of their holistic needs. NHS England is consulting on the referral pathways of care for children and young people, and more advice will follow from NHS England on the role of general paediatricians.</p> <p>The NHS has produced an <a href="https://www.minded.org.uk/Component/Details/819516" rel="noopener" target="_blank">eLearning module</a> within the Royal College of Psychiatrists, MindEd and eLearning for Healthcare programme, which has been created for health care professionals in primary and secondary care settings to explore how to apply existing clinical skills and to examine some common scenarios when supporting children and young people.</p> <h2 id="guidance-for-schools-and-colleges-for-children-who-are-gender-questioning">Guidance for schools and colleges for children who are gender questioning</h2> <p>The Department for Education has been seeking views on <a href="https://www.gov.uk/government/consultations/gender-questioning-children-draft-schools-and-colleges-guidance" rel="noopener" target="_blank">draft non-statutory guidance</a> for schools and colleges about children questioning their gender. You can read the <a href="/resources/DFE-guidance-schools-colleges-gender-questioning-consultation-response">College response to this consultation</a>. </p> <h2 id="supporting-lgbtq-children-and-young-people">Supporting LGBTQ+ children and young people</h2> <p>The College advocates for the rights of LGBTQ+ people and has published a principles statement to eliminate discrimination and stigma, better understand the needs of LGBTQ+ children and young people, and support health professionals in their role of providing support to LGBTQ+ children and young people.</p> <p>Find out more about <a href="/resources/supporting-lgbtq-children-young-people" title="Supporting LGBTQ+ children and young people">this advocacy and our commitments as a College</a>. </p> </div> </div> <div class="tags"> <div class="field field--name-dynamic-block-fieldnode-node-terms field--type-ds field--label-hidden field--item"><div class="views-element-container form-group"><div class="view view-node-terms 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js-view-dom-id-7c293d7c11940e55bf11aa63dcf778cf513efac62d83c306dcc6758d60966e8e"> <div class="view-content"> <div class="views-row"> <article class="content-list"> <div class="type"> <div class="field field--name-bundle-fieldnode field--type-ds field--label-hidden field--item">Document</div> </div> <h3 class="small"> <a href="/resources/supporting-lgbtq-children-young-people" hreflang="en">Supporting LGBTQ+ children and young people - principle statement</a> </h3> <div class="infos"> </div> <div class="content"> </div> </article> </div> <div class="views-row"> <article class="content-list"> <div class="type"> <div class="field field--name-bundle-fieldnode field--type-ds field--label-hidden field--item">Resource</div> </div> <h3 class="small"> <a href="/resources/interim-service-specification-specialist-gender-dysphoria-services-consultation-response" hreflang="en">NHS England Interim service specification for specialist gender dysphoria services for children and young people - consultation response</a> </h3> <div class="infos"> </div> <div class="content"> </div> </article> </div> <div class="views-row"> <article class="content-list"> <div class="type"> <div class="field field--name-bundle-fieldnode field--type-ds field--label-hidden field--item">Resource</div> </div> <h3 class="small"> <a href="/resources/DFE-guidance-schools-colleges-gender-questioning-consultation-response" hreflang="en">Department for Education proposed guidance for schools and colleges: gender questioning children - consultation response</a> </h3> <div class="infos"> </div> <div class="content"> </div> </article> </div> <div class="views-row"> <article class="content-list"> <div class="type"> <div class="field field--name-bundle-fieldnode field--type-ds field--label-hidden field--item">News</div> </div> <h3 class="small"> <a href="/news-events/news/rcpch-responds-publication-final-report-cass-review" hreflang="en">RCPCH responds to publication of the final report from the Cass 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