and dr hilary cass�* interim report in 2022 questioned the use of puberty blockers at the tavistock andortman trust, which provided gender services. and that led to a series of events, including an inspection by the regulator, the cqc, which found the service to be inadequate. and then last month nhs england said puberty blockers would no longer be routinely prescribed, and the service at the tavistock and portman was brought to an end with two new clinics being set up. so this is a long—running and much debated issue. i think the things that stand out for me is the fact in herforward to the report, dr cass is saying directly, "i want to speak directly to children and young people how they've been let down", that there wasn't adequate, in her view, research or evidence to support the long—term use of puberty, blockers and hormone treatment. and that that was partly, i think she's she more or less implies, because of the toxic debate around the issue and the fact that some clinicians were shying away from the whole thing, didn't want to get involved, were reluctant to engage. and you had

vision _ deserve as set out in hilary cass's vision and — deserve as set out in hilary cass'sve as set out in hilary cass's vision and i think this could be difficult — vision and i think this could be difficult so i think we are on the start— difficult so i think we are on the start of— difficult so i think we are on the start of a — difficult so i think we are on the start of a long journey here. next, assaulting a shop worker will become a separate offence in england and wales as part has a response to retail crime. the prime minister has been on a visit in west sussex today after that government announcement. here is what he had to say about it. our track record and clamping down on crime is very positive. crime has halved since 2010, and to outlined new plans to tackle behaviour and fraud which are already working but i have been concerned by the rise in retail crime which i'm sure many others are either seeing it or on social media which is why today with an unofficial set of measures to clamp down on retail crime which is about a brand—new offence for assaulting shop wo

i think that's what hilary cass's report says and we should — hilary cass's report says and we shouldss the situation. i was listening to a call on _ the situation. i was listening to a call on a — the situation. i was listening to a call on a different radio show last week— call on a different radio show last week where they had a psychologist on talking _ week where they had a psychologist on talking about girls and autism and how— on talking about girls and autism and how they are so undiagnosed. one interesting _ and how they are so undiagnosed. one interesting thing that the cass report— interesting thing that the cass report brings out, the massive rise in teenage — report brings out, the massive rise in teenage girls that has underlying causes _ in teenage girls that has underlying causes and this is our personal experience. our daughter, very happy as a child _ experience. our daughter, very happy as a child growing up, very quirky. we knew— as a child growing up, very quirky. we knew there was something not typical, _ we knew there was something not typical, as — we knew ther

our hilary cass�*s recommendations to you. 0uryoung hilary cass�*s recommendations to you.ple refer to an nhs gender service must receive a holistic assessment of their needs, including screening for neurodevelopmental conditions and a mental health assessment and the evidence—based underpinning all treatments must be improved. do you agree with that? me treatments must be improved. do you agree with that?— agree with that? me personally, i stru: ale agree with that? me personally, i struggle to _ agree with that? me personally, i struggle to associate _ agree with that? me personally, i struggle to associate with - agree with that? me personally, i struggle to associate with the - struggle to associate with the recommendations. i think there is an element where it is disheartening to see such a tragic reading. there is an element where it shatters my heart and i know that many of my peers and friends also fear this recommendation as it could be quite detrimental to the well—being of many young people. mitt; detrimental to the well-being of many young maple-— detrimental to

hilary cass is wrong. >> i'm not a medical professional. i'm not saying hilary cass is wrong.is . and she thinks in support. >> well , she support. >> well, she thinks very clearly i >> -- >> yeah. >> yeah. >> hilary cass is a medical professional , and it >> hilary cass is a medical professional, and it is her view that prescribing puberty blockers for people under 18 is a dangerous path to go. but thank you very much for that, joanne. great to have had you on the program. well, now i'm coming to my panel, new culture forum, fellow performer emma webb and michael walker, who is the contributing editor to novara media, i think. so you've heard what, what joanne had to say there. you've heard, presumably what hilary cass has to say after a very long time indeed. we've now arrived at this present state of the law whereby children under the age of 18 won't get that, so, emma , of 18 won't get that, so, emma, who's right? >> well, joanne mentioned w path there and we've actually just had a leak of the what has been referred to as the w path files. andrew doyle actually did a very

hilary cass is very clear.dren as children . children. >> maya, are you hopeful that this will change the way the nhs and other gender services are operating in this , in this operating in this, in this country? i we spoke earlier about how not all nhs services got involved with this review . got involved with this review. they weren't willing to potentially share important evidence. >> yes, i'm very hopeful and this will change what happens in england, and at the moment, children in wales are also treated, under the same regime , treated, under the same regime, it doesn't change what happens in scotland. and and it doesn't directly change what, private , directly change what, private, clinicians can do. but doctor hilary cass did give a very clear warning to gps not to enter into shared care arrangements with private prescribers who are acting outside of the nhs, framework and also to pharmacists that they shouldn't be filling private prescriptions unless they believe that it's in the child's best interest and

this hilary cass to conduct that review. this is hilary cass to conduct that review .w. this is a detailed, empirical scientific review that should inform the way that policy is developed, and it shouldn't be a matter of trends or feelings or social cachet on how this very sensitive issue is developed . developed. >> in other news, assaulting a shop worker will be made a separate criminal offence in a government u—turn in response to a surge of retail crime. it's after a report found violent and abusive incidents against shop workers rose by 50% in 2022 to 2023. the government previously said it did not think a law change was required. but today rishi sunak has announced the government would be amending its criminal justice bill to bring in the new offence . campaigner in the new offence. campaigner and former subpostmaster alan bates has hit out at his former bosses as thugs in suits. bates has hit out at his former bosses as thugs in suits . as the bosses as thugs in suits. as the post office inquiry reveals, the full extent of the scandal. the inquiry has been probi

as she puts it, hilary cass, an exceptionally toxic debate.rrently, as you join me, i am speaking to susie who is telling us about her trans son. and phil is with us as well. sorry not to get to you sooner but everyone is welcome. get in touch. it's about your voice and your views. tell me about, if you would, susie, the struggles of your son and what he has been through over the past five years. what he has been through over the past five years-— past five years. starting at the beginning. _ past five years. starting at the beginning. the _ past five years. starting at the beginning, the back _ past five years. starting at the beginning, the back story - past five years. starting at the i beginning, the back story issues. past five years. starting at the - beginning, the back story issues. in summary, it's about, when he realises that... most of our kids from when they are little you can see something, you mightjust not want to see it, from shopping at an early age and the boy section,

the report's author, dr hilary cass, said gender services needed to operate to the same high standardsut a group of children and young people who are not getting the services that they need and they deserve, in order to thrive and be well as they grow into adults. so i, of course, would hope that considerable note is taken of this report. earlier i spoke to our health editor hugh pym, and the observer's chief lead writer sonia sodha, to help unpack what's in this report. well, it's a very, very comprehensive report. more than 300 pages. and remember, this review work goes right back to 2020. and dr hilary cass�* interim report in 2022 questioned the use of puberty blockers at the tavistock and portman trust, which provided gender services. and that led to a series of events, including an inspection by the regulator, the coc, which found the service to be inadequate. and then last month nhs england said puberty blockers would no longer be routinely prescribed, and the service at the tavistock and portman was brought to an end with two new clinics being set up. so this is a long—running

and hilary cass.o stop using pubuc been advised to stop using public transport over fears for her safety. although to be fair, that's just good advice for anyone and the national conservative conference in brussels was shut down for pubuc brussels was shut down for public safety. wow, i feel so much safer knowing the left wing establishment can shut down political opponents . this is political opponents. this is your

hilary cass came to us. she wanted to talk directly to the profession.ot involved with investigations is — looking at the fact that in the us, the transgender health guidelines, they changed, so that it would leave the age of initiation up to the clinician, so there was no minimum age of treatment. and so, we got very interested in that and decided to look into the actual guidelines and look at the evidence that was being used to build up the guidelines which were being used by doctors. but when you say you were aware of what deb cohen and hannah barnes were doing at newsnight, were these the kind of conversations being had? i wonder whether it's the kind of conversation which was, "they're doing it. "we don't really want to touch it because it's so polarised." or is that unfair? i think at the time, it wasjust an editorial decision. i mean, we have — there was no reason why we wouldn't have done it and, certainly, we covered some of the work that you were doing. we did the piece on the american guidelines, we went to evidence—based medicine specialists

why is doctor hilary cass being for her hilary cass being abused for her landmark review?r review? and should individual citizens be able to get street lights turned down we'll down next up, though, we'll discuss humza backtrack discuss humza yousafs backtrack on greenhouse gas targets, rank hypocrisy sensible hypocrisy or sensible pragmatism. i know what i think you're with the saturday five live on gb news. welcome back to the saturday five as ever. thank you so much for all of your emails about tonight's topics john has written in. good evening. john. he says if we benefited from the industrial revolution, we are certainly lagging well behind. since then, have car since then, we have no car industry of our own . so should industry of our own. so should other support us? one other countries support us? one from someone called angry annie. oh, annie , who said there should oh, annie, who said there should be no pay when off sick other than statutory sick pay. trust me, if that was the case there would only be genuine sick off work. ssp rules should apply to all companies

. >> the author of the report , >> the author of the report, doctor hilary cass, had this to say. >> all unregulated drugs. you know, they're all unlicensed. whether it's puberty blockers or cross—sex hormones. they're unlicensed drugs used experimentally for children and adolescents with gender dysphoria or gender distress . dysphoria or gender distress. and so if you're offering these drugs with no diagnosis, no assessment, even , and no follow assessment, even, and no follow up, no monitoring , no blood up, no monitoring, no blood tests, then you're, you know, the risk of, you know, patient safety is huge . safety is huge. >> well, let's speak to diversity and inclusion facilitator with her views on all this. that is katie john went and katie, you have been through this whole process yourself. what are you making of this landmark report which, which seems quite damning of the existing policy ? existing policy? >> well, as you say, i've been through the whole process, but quite some time ago, and i think the report is mainly concerned about teenagers. it's not concerned about adult

there has been a pretty broad welcome for this very comprehensive peace of work by dr hilary cass runningwanted to welcome it and thank dr cass that it was full of care and compassion in what was being put forward. and she said extreme caution that have to be used when it came to long—term treatment and changes have already been made by nhs england in response to the interim report. wes streeting, labour plasma cal spokesman, has either raised serious concerns that are pretty scandalous. he has questioned why only weak evidence was used to justify interventions and why clinicians were silenced or made to feel they couldn't speak out. i think there will be continuing debate on all this. many groups and campaigners are studying the fine print. as we heard there, i think it is fine to talk about a plan and recommendations and implementing them, but will resources be put forward to fund these extra clinics which are being created to provide the extra care? thank you very much. hugh pym there. a man who murdered his four—week—old son has been jailed for a minimum of 22 years. michael davis's s

that's what an nhs report has said, from the children's health expert dr hilary cass.e being bypassed by local services, because professionals are too nervous to see them. she also said there isn't enough evidence that puberty blockers are safe, since clinical trials haven't had time to show their impacts into adulthood. nhs england says they've already made changes. sonja told us she faced long waits to get help, before she transitioned. hopefully with the review and its findings, the young trans people of today and the next generations can have a more human and a more respectful transition. assaulting a shop worker is going to be a specific criminal offence in england and wales. it's part of a government response to the rise in retail crime. a report found violence and abuse against shop workers went up by 50% last year. gold medal winners in athletics at this year's 0lympics in paris are also going to get around £a0,000, and at the la games in 2028, silver and bronze winners will get payouts too. the group behind the decision is called world althetics, and we'll lea

dr hilary cass led the review.f other nhs care. she added the toxicity of the debate means professionals are afraid to openly discuss their views. 0ur health editor hugh pym has more. sonia wanted to transition from the age of 15, but she found she couldn't get access to care and was put on a waiting list. by the age of 18, she hadn't had a first appointment and was transferred to adult services. after hearing there'd be another long wait, she opted to go private until she could be seen by the nhs. sonia says the long delays were hard to cope with. all in all, i spent four years on waiting lists to be seen by an nhs specialist. it was incredibly frustrating and the period between being told that, "oh, we're not going to see before your 18th," and being referred on, and then me gaining private health care was an incredibly dark period in terms of my mental health. it was the the lowest i've been during the course of my transition. expanding gender services is a key focus of the latest independent review. recommendat

out last week, which was comprehensive, 400 pages long, it made 32 recommendations and any doctor hilary cassk of there was remarkably weak evidence on puberty blockers and cross six hormones to treat people with gender dysphoria and included warnings that giving hormones to 16—year—olds should be an approach taken with extreme caution. the statement released this morning here in scotland said that existing patients in scotland who are currently receiving hormone suppressant or gender affirming hormones will continue receiving treatment. it also said anyone who was referred into the young people's gender service will continue to receive the psychological support that they require. responses are already coming in. scottish trans—, already coming in. scottish trans—, a lobby group here in scotland, said it is a wrong decision, that it will harm trans children and young people. the scottish conservatives have said this is a long overdue decision that should have been taken weeks ago and the nhs government in scotland has been dragged kicking and screaming towards taking the necessary action to s

paediatrician dr hilary cass, who carried out the review for nhs england, is calling for gender servicesrds of other nhs care, saying the toxicity of the debate meant professionals were afraid to openly discuss their views. our health editor hugh pym reports. sonia wanted to transition from the age of 15 but she found she could not get access to care, and was putting on a waiting list. by the age of 18 she had not had her first appointment and was transferred to adult services. after hearing she had another long wait, she opted to go private until she could be seen by the nhs. sonia says the long delays were hard to cope with. pall long delays were hard to cope with. �* ., , , ., with. all in all, i spent four ears with. all in all, i spent four years on — with. all in all, i spent four years on waiting _ with. all in all, i spent four years on waiting lists, - with. all in all, i spent four years on waiting lists, to i with. all in all, i spent four| years on waiting lists, to be seen by a nhs specialist. it was incredibly frustrating in the period between being told that we will not se

in an interview with the times, dr hilary cass said she wished to address the "disinformation" circulatingublished incorrect allegations about her conclusions surfaced online. she also hit out labour mp dawn butler, who questioned health secretary victoria atkins over the cass review. some roads in wales will revert to 30—miles per hour following a backlash against the welsh government's default policy to reduce speeds to 20—miles per hour. wales' transport minister said the changes would address concerns many people had about the £34—million project. our wales political correspondent cemlyn davies reports. it's the clearest the new transport secretary ken skates has been about his thoughts on the controversial 20mph policy. earlier this week he talked about wanting a truly targeted approach with the policy focused on built—up areas where you have schools, parks, hospitals and so on. and he said that there would be some changes. and we have had a bit more detail from him in an interview he has given to north wales live where he also admits that the welsh government has got things wrong on

paediatrician dr hilary cass was asked to look at gender identity services for under—18s provided bywhistle—blowers had raised concerns about care at the only specialist gender clinic for children and young people in england and wales. the report makes 32 recommendations on how services should operate, including considerations around medical interventions, further research and safeguarding measures. england hasjoined a list of countries that are reviewing treatments for gender dysphoria. in 2020, finland's health agency recommended psychotherapy as the initial treatment for children 7 with strict criteria for medical measures. in 2022, sweden restricted the use of hormone treatments to "exceptional cases" 7 with health leaders saying risks were likely to outweigh benefits. and in the united states, 22 states have total bans on under—18s being given treatment for gender issues. some of which would impose prison time on doctors and see parents investigated for child abuse. hugh pym has more. it is a landmark review with a stark conclusion that children had been let down because of rema

.�* the report's author — dr hilary cass — says the long—term impact of using puberty blockers and hormonesist of countries that are reviewing treatments for gender dysphoria. 0ur health editor hugh pym reports. it is a landmark review with a stark conclusion that children had been let down because of remarkably weak evidence on medical interventions in gender care. this final report follows an interim review, which has already led to major changes. gender services provided by the controversial tavistock clinic in london, ended last month. two new centres in london and liverpool have been set up. the use of drugs to stop the onset of puberty has now stopped until further research is done. the author of the report says hormone treatments should in future be used with extreme caution for 16 to 18—year—olds, and argues that children were let down by the quality of services. it is unusual for us to give a potentially life changing treatment to young people and not know what happens to them in adulthood. and that has been a particular problem that we haven�*t had the follow—up into adulthood to

in an interview with the times, dr hilary cass said she wished to address the "disinformation" circulatingt her conclusions surfaced online. she also hit out at labour mp dawn butler, who questioned health secretary victoria atkins over the cass review. a chess master has broken the record for the longest marathon of the game ever played. tunde 0nakoya, who is from nigeria, played for 58 consecutive hours in new york's times square. he's trying to raise one million dollars for charity to support chess education for children, and was cheered on by supporters from the city's nigerian community. i can't process a lot of the emotions i feel right now, i don't have the right words for them, but i know we did something truly remarkable. i mean, in documented human history, no—one has ever played chess for this long, you know, 56 hours nonstop, and we just broke that record, and i think we can keep going for a few more maybe minutes or hours, so the next person finds it extremely difficult to break the new record as well. congratulations to him. the world's largest digital astronomy camera — with

paediatrician dr hilary cass, who carried out

the review led by dr hilary cass was commissioned by nhs england after a steep rise in the numbers ofyoung people asking for help around their gender, particularly girls and young women. here's our health editor hugh pym. this strongly worded report gets to the heart of a highly controversial debate on gender, medicine and society. the work of an nhs clinic caring for children, it says, was clouded by a political row. it has been four years of work, nearly 400 pages, with young people and their families among those consulted. the review report says evidence is severely lacking on the impact of puberty blockers and hormone treatments, and that young people have been caught in the middle of a stormy social discourse. it says that an increasingly toxic ideological and polarised public debate has made the work of the review significantly harder. ideology on all sides has directed care, rather than care being directed by normal principles of paediatrics and mental health. i mean, certainly professionals are afraid to do the things they would normally do in any other consultation. genderser

tomorrow we're expecting the final report from dr hilary cass that will make its recommendations.itor at the new statesman magazine. it was her work here on newsnight into care for young people in this area that lifted the lid on problems in the service. hannah, what are we expecting to see tomorrow? that report is under embargo but the nature of these things is that it is on several front pages already. so several of the newspapers, the daily mail, the guardian newspaper calling it a landmark report. very much concentrating on evidence based. 0h, here we go. evidence severely lacking. nhs review rejects the use of puberty blockers which to be fair we already knew. and the guardian newspaper quite rightly sang thousands of children let down by the nhs. and tomorrow what we expect is firstly on that evidence base, dr cass will say how do we strengthen that because it is very weak behind these medical treatments that are being used now for a decade and half with children. and we need to put proper data because it has been woefully inadequate up to this point. we know next to nothing

and hilary cass. the doctor behind the landmark cass review into child gender treatment has been advised to stop using pubuc been advised to stop using public transport over fears for her safety. although to be fair, that's just good advice for anyone and the national conservative conference in brussels was shut down for pubuc brussels was shut down for public safety. wow, i feel so much safer knowing the left wing establishment can shut down political opponents . this is political opponents. this is your saturday night showdown discussing all tonight's topics with me are my brilliant panel of precious muir, chris interwetten and nicholas de santo . there they are over santo. there they are over there. but first, let's get your latest news headlines from sophia wenzler. >> thank you. leo. good evening. i'm sophia wenzler in the gb newsroom . your top story this newsroom. your top story this houn newsroom. your top story this hour. the us house of representatives has approved sending £49 billion worth

dr hilary cass's review said children had been let down by a lack of research.she also said there wasntions. nhs england confirmed it would stop prescribing puberty blockers in march. you can get more on that on the bbc news website and we will keep you updated here a little later. a global cyber gang accused of industrial—scale fraud has been busted by police. it's accused of offering a service to criminals which allowed them to steal from victims using fraudulent text messages. 37 people worldwide have been arrested, 24 of them in britain. it's estimated that 70,000 people have fallen victim to the scams, which saw them put their personal details into a website hosted by labhost. our correspondent tom symonds has the details. it's 5am in south london — the end of a two—year investigation. this was one of a series of coordinated raids, targeting cybercrime in 17 countries, masterminded from the uk. one man was arrested here and 23 others around the uk. and this all began about two years ago when security experts for the banking industry spotted on the dark web criminals offering othe

it's damning stuff that's been that's been brought to the to the fore by paediatrician doctor hilary casss, it was a bombshell report, although it didn't really tell us anything , we really tell us anything, we didn't already know ourselves. if we're going to be completely honest , you know, we already honest, you know, we already knew that children who felt that they were born in the wrong body were suffering from a mental health condition. you know, we already knew that artificially blocking a child's puberty might cause them harm in the long run, but nonetheless, i'm very happy to see it set out once and for all in black and white. i mean, we got here over many, many years of slow infiltration of this ideology into all of our societal institutions . i mean, societal institutions. i mean, the cass review focused very much on nhs, gender clinics, but that's without even considering the way in which for example, stonewall has infiltrated government departments , you government departments, you know, ideologies infecting what children are being taught in schools, being taught that, you kno

has said, remarks , hilary cass has said, remarks, ably weak evidence that does vindicate you knowsts. people like me have been writing about this for years. i suppose the question that remains the government that remains for the government is if you were going to go out tomorrow as a child and want to be prescribed puberty blockers, you still could write. >> well, first of all, may i start by thanking you, camilla and the many, many other people who have have battled against this culture of secrecy and intimidation and ideology over recent years. you know, we people have dared to ask questions, perfectly reasonable questions, perfectly reasonable questions about the form of this, some of these treatment pathways, whether they're the right thing in the best interests children, and they right thing in the best interethen children, and they right thing in the best interethen beendren, and they right thing in the best interethen been shut and they right thing in the best interethen been shut and tipeople have then been shut up by people who focus only on the ideology rather than on th

>> hilary cass, doctor hilary said basically said that actually that there weren't enough there wasn'tto hand out any kind of drugs and make any of assessment and make any kind of assessment of these children. >> and so fantastic for her. and ihope >> and so fantastic for her. and i hope one day she gets some fantastic award for doing all this, i think. but on the, on the, on the, on the puberty blocker, this was, this was quite wrong. but you know, there will be opportunities for people to contest this . but this was to contest this. but this was probably one of the best reports, medical reports that there has been. >> well, what i would say is that before everyone becomes very the shock very reactionary, to the shock of this actually being done and whether whether why it was done in the first place and now being halted is always ask what led to it. >> because when you speak to trans people, what they'll say is that what you're dealing with, particularly in one a particular demographic the particular demographic of the trans community, who have trans community, is men who have transit

i mean, know, hilary cass said mean, you know, hilary cass said yesterday the steep yesterday that thatsignment was dnven rise in gender reassignment was driven not by science but by ideology, which is shocking to me. and i just i just think, you know, and watching the left yesterday and today, back—pedalling like crazy, these were the ones who, who were all in favour of these clinics and saying these were all disturbed, upset kids and they needed to be given the freedom and their rights were being, you know, were being, what's the word eroded by them not being allowed to change sex? it's all nonsense now. and nhs have said now. and now the nhs have said that 9000 patients referred from child clinics to adult clinics. we've now got to find out what's happened to them because we, you know, lives wrecked bones, wrecked minds wrecked. >> i think there should be criminal prosecutions. >> well, it's funny because somebody suggested that the >> well, it's funny because somettodanggested that the >> well, it's funny because somettoday and sted that the >> well, it's funny because somettoday an

please >> for doctor hilary >> i've gone for doctor hilary cass. god this is cass. but she explained it was very difficult . i've not read difficult to do. i've not read all pages, this could all 388 pages, but this could draw a line under such an horrific, terrible episode in our medical history. >> yes. good start. >> yes. good start. >> mine is an honorary nomination. it's elon musk, for supporting free speech in brazil and fighting back against a very, very, extreme brazilian judiciary that was trying to censor twitter and social media. so elon musk has really fought back on this , and, he's created action. >> good start. all right. going back up, minus queen letizia of spain, who has made history. >> she appointed the first female head of the queen's secretariat, which is a break in tradition for the household. >> what can i just ask? sorry. you know, uneducated 101 over here. what is that? >> god, it's sort of like your biggest private secretary is sort of the lead person , the sort of the lead person, the head honcho of the royal household. >> so she's shatte

don't think i'm saying, huge abuse for your position, and one of the things that doctor hilary cass wasshe says the whole thing has become toxic . whole thing has become toxic. and, i mean, even many people now are even wary about even getting into this topic. yeah. >> look, michelle, i'll be honest with you. i absolutely hate coming on to tv programmes to talk about this because i know that it is profoundly toxic. it's profoundly polarising. used until polarising. it used to be until even 15 years ago, a relatively uncontroversial topic. most people were centrist on the issue and what we've seen is a radicalisation happening on both sides, where people have been pushed towards to take, well, what you what happened here was, was a was a us was an american culture war, which was, which was exported to what happened in britain is that huge numbers of kids started being processed through this factory. >> that's what happened. i think that's a very that's a really unfortunate time to use. >> it's not no, no, please do not try and correct my language or shut down debate. >> i'm not shutting

you described the research undertaken by doctor hilary cass as laughably poor.hat conclusion? yeah i think let's start from the fact that trans people have felt let down over years by a government and services. >> so if you're an adult, services. >> so if you're an adult , the >> so if you're an adult, the waiting time currently is decades to be seen . and i think decades to be seen. and i think what most people feel is that most trans people feel is a fundamental sadness that here was an opportunity wasted , now was an opportunity wasted, now we it would take longer than your show to grind through the science. so i've tried to make some quick points with a few graphics that would help . and graphics that would help. and i'm grateful to your your folk for getting those ready . if we for getting those ready. if we could put the first slide up , could put the first slide up, the first picture up. now this is , the women's rights is, the women's rights conference in saudi arabia . is conference in saudi arabia. is there a missing element? women and that's the first

paediatrician dr hilary cass, who carried out the review for nhs england, is calling for gender serviceshildren and young people to match the standards of other nhs care, saying the "toxicity" of the debate meant professionals were "afraid" to openly discuss their views. our health editor hugh pym reports. sonia wanted to transition from the age of 15, but she found she couldn't get access to care and was put on a waiting list. by the age of 18, she hadn't had a first appointment and was transferred to adult services. after hearing there'd be another long wait, she opted to go private until she could be seen by the nhs. sonia says the long delays were hard to cope with. all in all, i spent four years on waiting lists to be seen by an nhs specialist. it was incredibly frustrating and the period between being told that, "oh, we're not going to see before you're18th," and being referred on, and then me gaining private health care was an incredibly dark period in terms of my mental health. it was the the lowest i've been during the course of my transition. expanding gender services is a key

so this is the publication of hilary cass's review of nhs gender identity services.d it's incredibly damning. it's i mean, it's insane. it's a lot of the things that have been a lot of the concerns that have been raised on this channel and, you know, by by other people who've been condemned being, you know, condemned as being, you know, bigots yeah. but bigots or far. right. yeah. but this is revealed that this is this is revealed that there , there gender treatment there, there gender treatment for on shaky for children is built on shaky foundations. children for children is built on shaky foundations . children have been foundations. children have been lied to. they need to use a lot of caution before youngsters are led into the led down the path of changing their pronouns, which leads which you know, often then leads on further treatment. and on to further treatment. and also, say there's also, they say there's evidence severely lacking over the use of puberty blockers. so there's , puberty blockers. so there's, you know, a lot of kids are put in puberty blockers