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1126321

registered interest
date	13/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to publish the results of the research project started in 2011 by the NHS Gender Identity Development Service Early pubertal suppression in a carefully selected group of adolescents with gender identity disorder; and if not, whether they will arrange for the data gathered by that study to be made available to other researchers.
tabling member printed	Lord Lucas
uin	HL15681
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The research is an ethically approved study being carried out by the Tavistock and Portman NHS Foundation Trust since 2011, which is the largest provider of services for the alleviation of gender dysphoria in the United Kingdom.</p><p>The study will evaluate early pubertal suppression in a carefully selected group of adolescents with a clinical diagnosis of gender dysphoria. There are 44 young people taking part in the study.</p><p>The Tavistock and Portman NHS Foundation Trust has plans to publish the data <ins class="ministerial">on the blocker and cross-sex hormones, for those who were appropriate for this, as</ins><del class="ministerial">once</del> all of the young people in the study have reached <ins class="ministerial">this</ins><del class="ministerial">the</del> stage<ins class="ministerial">.</ins> <del class="ministerial">when a clinical decision is made about moving from pubertal suppressants to cross-sex hormones, which the Trust expects to occur in the next 12 months.</del></p> answering member printed Baroness Blackwood of North Oxford question first answered 22/05/2019 14:51:30 question first ministerially corrected 31/07/2019 15:30:59 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 119577 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1879 label Biography information for Lord Lucas

1086367

registered interest
date	11/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14006), for how long the Longitudinal Outcomes of Gender Identity in Children study will continue to accept new cases; whether the study has been funded to enable it to include all eligible children; if not, how many such children are expected to be (1) included, and (2) not included; and how the choice will be made.
tabling member printed	Lord Lucas
uin	HL14400
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>The study will start in June 2019 and aims to recruit all 638 eligible children and young people over 18 months. Should the study fail to meet recruitment targets, the possibility of extending this period beyond six months will be reviewed.</p><p>In order for children and young people to take part in the study they must be aged 3-13 years at the time of referral to the United Kingdom’s Gender Identity Development Service, have parental consent, have English language comprehension and live in the UK.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:21:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1879 label Biography information for Lord Lucas

1077086

registered interest
date	25/02/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to ensuring all children under the age of 18 who have been referred to the Tavistock and Portman NHS Foundation Trust’s Gender Identity Development Service in respect of possible gender dysphoria or reassignment participate in an independent long-term study to improve the understanding of such conditions, possible courses of treatment and support for such children.
tabling member printed	Lord Lucas
uin	HL14006
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The Tavistock and Portman NHS Foundation Trust has been awarded a research grant by the National Institute for Health Research to fund a LOGIC study (Longitudinal Outcomes of Gender Identity in Children) that will follow up children and young people aged 13 years and under referred to the Gender Identity Development Service (GIDS). This will look at outcomes with regard to young people’s physical health, quality of life and psychological wellbeing. The United Kingdom GIDS is the largest such service in the world and this combined with the increase in referrals in recent years means that it is uniquely positioned to undertake research of this kind.</p><p>The research will importantly investigate outcomes over time, whether children and young people and their families remain in contact with NHS services or not. This thereby investigates outcomes for the entire cohort, encompassing those in receipt of physical (hormone/endocrine) treatments and those not receiving such interventions. The findings generated from this research will help address important gaps in the evidence, enabling services to provide better and more individualized care, benefiting patients and their families.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/03/2019 15:18:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1879 label Biography information for Lord Lucas

1027254

registered interest
date	17/12/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department has taken to ensure that parents of children who want to change gender are consulted as part of that decision-making process.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	202819
answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>Making sure that young people and parents or carers can give informed consent is an important aspect of the work undertaken when young people request a physical intervention for gender dysphoria. NHS England has published a service specification ‘NHS Standard Contract for Gender Identity Development Service For Children And Adolescents’ which refers throughout to the input of parents/carers and families. A copy of this service specification has been attached.</p><p> </p><p>For young people of 16 and under, consent to treatment should usually be sought from the child and from one or both parents, except under exceptional circumstances. For adolescents over 16, if it is concluded that they have sufficient understanding of what is to be offered (this is known as ‘Gillick’ or ‘Fraser’ competence), they may give their own consent to treatment, although under most circumstances, it is good practice to seek parental assent too. However, each assessment is tailored to the unique needs and circumstances of the young person and their family.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/12/2018 13:33:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name gender-development-service-children-adolescents.pdf title PQ202819 attached document
tabling member	4131 label Biography information for Jim Shannon

1015398

registered interest
date	27/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average waiting time was for a first appointment following referral to the Gender Identity Development Service (a) in Leeds and (b) at the Tavistock Centre for children in each age group in each of the last three years.
tabling member constituency	Stretford and Urmston
tabling member printed	Kate Green
uin	196226
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>This information is not available in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/12/2018 12:14:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4120 label Biography information for Kate Green

964861

registered interest
date	03/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce waiting times for NHS under-18s gender dysphoria clinics.
tabling member constituency	Hitchin and Harpenden
tabling member printed	Bim Afolami
uin	169768
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>NHS England has publicly acknowledged that the waiting time for under-18s accessing gender identity services is unacceptably long. NHS England increased funding for this service by around £2 million per year from 2016/17 but waiting times have continued to increase due mainly to an unprecedented increase in demand for these services in recent years, to an extent that there is not sufficient capacity in the current service.</p><p> </p><p>In 2018, NHS England established a Programme Board for Gender Identity Services. Its terms of reference state that the Board’s main objective is to make recommendations for the future delivery and configuration of specialised services for adults, young people and children, with a view to achieving the optimal models of care that are characterised by timely and equitable access to the range of available interventions; consistent delivery models and excellent care and excellent patient experience.</p><p> </p><p>The role of the Board is to coordinate ‘demand and capacity’ planning that will inform the future delivery of specialised services and resource allocation for adult services and young people’s services; and that will inform an approach to commissioning that seeks to ensure the sustainability of the national service.</p><p> </p><p>NHS England is currently working with the providers of the services, and other significant stakeholders, to develop proposals for the future commissioning and delivery of these services from 2019/20.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 11/09/2018 13:30:24 answering member 4095 label Biography information for Steve Barclay
tabling member	4639 label Biography information for Bim Afolami

864316

registered interest
date	15/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on the wellbeing of children who may be permitted to change gender below the age of 18 without parental consent.
tabling member constituency	Lagan Valley
tabling member printed	Sir Jeffrey M. Donaldson
uin	132800
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>Valid consent to treatment is a central to all forms of healthcare, from providing personal care to undertaking major surgery. If a child is not competent to give consent for themselves, consent should be sought from a person with parental responsibility. This will often, but not always, be the child’s parent.</p><p> </p><p>Decisions about whether to give medical treatment in such cases before the age of 18 without parental consent are properly a matter for clinical judgment, having regard to the best interests and wellbeing of the patient. In exercising their judgment, clinicians will be guided by various pieces of evidence based guidance, such as that published in 2017, Endocrine Treatment of Gender-Dysphoric/ Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline. This is available on the National Institute for Health and Care Excellence website at the following link:</p><p> </p><p><a href="https://www.evidence.nhs.uk/search?q=Transgender+conditions" target="_blank">https://www.evidence.nhs.uk/search?q=Transgender+conditions</a></p><p> </p><p>This guideline recognizes that there may be compelling reasons to initiate sex hormone treatment prior to age 16 years, but notes that there are minimal published experience treating prior to 13.5 to 14 years of age. For the care of peri-pubertal youths and older adolescents, the guideline recommends that an expert multidisciplinary team comprised of medical professionals and mental health professionals manage this treatment.</p><p> </p><p>Any child under 18 thought to have gender dysphoria will usually be referred to a specialist child and adolescent Gender Identity Clinic. Staff at these clinics can carry out a detailed assessment of the child, to help them determine what support they need. Depending on the results of this assessment, the options for children and young people with suspected gender dysphoria can include family therapy, individual child psychotherapy and hormone therapy.</p><p> </p><p>Psychological support offers young people and their families a chance to discuss their thoughts and receive support to help them cope with the emotional distress of the condition, without rushing into more drastic treatments. Further information on the laws and guidelines that protect transsexual people and outline how they should be treated by medical professionals is available on the NHS Choices website at:</p><p> </p><p><a href="https://www.nhs.uk/conditions/gender-dysphoria/guidelines/" target="_blank">https://www.nhs.uk/conditions/gender-dysphoria/guidelines/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 17:04:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	650 label Biography information for Sir Jeffrey M Donaldson