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<p>All specialised services that NHS England commission must be provided in line with
the relevant service specification that NHS England publish for those services. The
Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust
is commissioned in line with NHS England’s published service specification. An Independent
Multi-Professional Review Group continue to review all referrals for puberty blockers
for Gender Identity Development Service patients.</p><p>Following the Cass Review’s
interim recommendations, NHS England has commissioned the establishment of a research
protocol which will consider the long-term impact of puberty blockers. Children will
be prescribed puberty blockers as part of this protocol once it is operational.</p><p>NHS
England has also established a national Children and Young People's Gender Dysphoria
Research Oversight Board to oversee future research into treatments offered to children
diagnosed with gender dysphoria.</p>
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