Hilary Cass warned of threats to safety after ‘vile’ abuse over NHS gender services review

The paediatrician, who has been advised to stop using public transport, describes ‘straight disinformation’ about report

The doctor behind a landmark review of the NHS’s gender identity services for children and young people has said fears had been raised about her personal safety amid online abuse after the report’s release.

Dr Hilary Cass told the Times she wished to address the “disinformation” circulating about the findings and recommendations handed down by the Cass review when it was published on 10 April.

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Private health insurance market grows by £385m in a year amid NHS crisis

Demand for private treatment booms as NHS waiting lists remain long, while more people also sign up for dental cover

Britain’s health cover market has grown by £385m in a year as the NHS crisis prompted more people to seek out private medical treatment and demand for dental insurance increased, according to a report.

The total health cover market, including medical and dental insurance and cash plans, grew 6.1% to £6.7bn in 2022, the latest year for which figures are available, according to the health data provider LaingBuisson.

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More than 2,000 NHS buildings in England older than NHS, figures show

Lib Dems and health trusts say patient and staff safety being put at risk by poor state of ageing infrastructure

Millions of patients are being put at risk in crumbling hospitals that are unfit for purpose, MPs have said, as figures reveal more than 2,000 NHS buildings are older than the health service itself.

Health bosses have repeatedly warned ministers of the urgent need to plough cash into replacing rundown buildings in order to protect the safety of patients and staff. The maintenance backlog has risen to £11.6bn in England.

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Infected blood scandal: victims’ families hope report will finally apportion blame

UK government’s apologies so far have had a distinct lack of candour about what it is apologising for

Surviving victims and relatives of those who died as a result of receiving infected blood and blood products from the NHS in the 1970s and 80s will gather in a few weeks at the Methodist Central Hall in Westminster.

After six years of taking evidence, Sir Brian Langstaff’s public inquiry will finally unveil its report there on 20 May.

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UK swapped to fatal US blood products to save money, minutes suggest

Exclusive: contaminated blood campaigners say internal 1976 Immuno AG document proves British government negligence

The British government was willing to risk infecting NHS patients to get “lower-priced” blood products, according to a document that campaigners claim proves state and corporate guilt in one of the country’s worst ever scandals.

A public inquiry into the deaths of an estimated 2,900 people infected with conditions such as HIV and hepatitis will publish its final report in May, four decades after the NHS started prescribing blood and blood products – including from drug users, prisoners and sex workers – sourced from the US.

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Veteran trans campaigner: ‘Cass review has potential for positive change’

Stephen Whittle talks about life for young trans people in the 1970s and now, and the influence of ‘anti-trans’ views today

When Stephen Whittle transitioned as a teenager in 1975, he was one of only a handful of young people in the UK to be offered hormone treatment and, later, surgery.

Almost half a century later – much of it spent fighting for trans rights – he said there was “masses” he agreed with in this week’s review of the NHS’s gender identity services by Hilary Cass. He said he also believed the report had been influenced by groups and individuals with “transphobic” views, and said the “potential for positive change must be backed with resources”.

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Wes Streeting defends Labour plan to use private sector to cut NHS backlog

Exclusive: Failure to do so would betray working-class people, shadow health secretary says

Wes Streeting has defended Labour’s plans to use the private sector to help cut the NHS care backlog, arguing that a failure to do so would result in a “betrayal” of working-class people who cannot afford to pay for care.

The shadow health secretary said his approach was a “pragmatic but principled one” as he doubled down on his remarks this week about “middle-class lefties” whom he said risked putting ideological purity ahead of patient care.

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Adult transgender clinics in England face inquiry into patient care

NHS England to review seven specialist services after staff share misgivings privately

Adult transgender clinics in England are facing a Cass-style inquiry into how they treat patients after whistleblowers raised concerns about the care they provide.

NHS England has announced that it is setting up a review of how the seven specialist services operate and deliver care after past and present staff shared misgivings privately during a previous investigation.

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Thousands of children unsure of gender identity ‘let down by NHS’, report finds

Leading consultant paediatrician says unproven treatments and ‘toxicity’ of trans debate damaging outcomes

Thousands of vulnerable children questioning their gender identity have been let down by the NHS providing unproven treatments and by the “toxicity” of the trans debate, a landmark report has found.

The UK’s only NHS gender identity development service used puberty blockers and cross-sex hormones, which masculinise or feminise people’s appearances, despite “remarkably weak evidence” that they improve the wellbeing of young people and concern they may harm health, Dr Hilary Cass said.

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Mother criticises ‘agenda from above’ after release of Cass report

Parent of trans girl says report promotes agenda that ‘things need to be made more difficult’ for children with gender dysphoria

While the Cass report’s 400 pages will be pored over and debated, one thing is certain – young trans people face an anxious future.

The mother of a 17-year-old trans girl who was a patient at the now-shut Gender Identity Development Service (Gids) at the Tavistock and Portman NHS Foundation Trust said she had initially welcomed Cass’s inquiry, but had been left “disappointed”.

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Review of gender services has major implications for mental health services

Cass report calls for move away from mainly medical treatment as part of dramatic shift in approach to gender dysphoria

A long-awaited review by consultant paediatrician Hilary Cass into the NHS’s gender services for children calls for a dramatic shift in the type of treatment offered to children and young people with gender dysphoria.

The report proposes that instead of being offered mainly medical treatment, young people referred to NHS gender services should “receive a holistic assessment of their needs to inform an individualised care plan”, meaning that questions of gender identity should be treated alongside other possible mental health concerns.

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What are the key findings of the NHS gender identity review?

Report by Dr Hilary Cass finds young people being let down by lack of research and evidence on medical interventions

A review into the NHS’s gender identity services has found that children and young people have been let down by a lack of research and evidence on medical interventions in a debate that has become exceptionally toxic.

Dr Hilary Cass said her report was not about defining “what it means to be trans” or “undermining the validity of trans identities”, but about “how best to help the growing number of children and young people who are looking for support from the NHS in relation to their gender identity”. Here are the review’s key findings.

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NHS testing initiative to eliminate hepatitis C in England by 2025

Liver scanning and portable testing units to be rolled out in communities where people may be at a higher risk

Thousands of people who are unknowingly living with hepatitis C in England could be identified and treated due to an expanded NHS testing initiative.

The initiative includes new liver scanning and portable testing units to be rolled out in communities where people may be at a higher risk of contracting the infection.

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Labour reveals plan to digitise NHS personal child health records

Parents and NHS would be able to monitor vaccinations and checkups through digital version of ‘red book’

Labour plans to digitise the NHS “red book” that parents use for their children’s medical records as part of a series of changes to the NHS app.

Parents and the NHS would be able to see if children are behind on jabs or checkups through a new digital record, with automatic notifications to prompt them to book appointments under the party’s plans.

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Hundreds of thousands face being denied revolutionary new dementia drugs in England

Exclusive: Treatments near approval but lack of diagnostic capacity means NHS unprepared for rollout, report says

Hundreds of thousands of dementia patients in England face being denied access to revolutionary new drugs because the diagnostic capacity of the NHS lags behind every other G7 country, according to a damning report.

After decades of research to find a cure for the condition projected to affect 153 million people worldwide by 2050, scientists have successfully developed the first treatments to tackle the underlying causes rather than only relieve the symptoms. Two new drugs could get the green light for use on the NHS within weeks.

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Covid boosters are a gamechanger – if they are free for everyone

Only private jabs are available to most, but annual shots could reduce healthcare costs and prevent deaths

Private Covid boosters are available for people who do not qualify to receive these vaccines on the NHS. But is it worth paying for a shot?

With most people now having been exposed to Sars-CoV-2 through previous vaccination and/or infection, our immune systems are generally well equipped to recognise and kill the virus if we become infected.

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Nearly 1,000 pharmacies in England closed since 2017, with poorer areas more affected

Exclusive: Millions more GP appointments potentially created as a result of closures

Almost 1,000 pharmacies in England have closed since 2017, potentially leading to millions of extra GP appointments, the Guardian can exclusively reveal.

There are more than 11,000 pharmacies in England. Guardian analysis of the official register of these chemists has found that parts of the country have lost more than one in five pharmacies in the last six years, with poorer areas experiencing proportionally more closures.

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NHS England to review ADHD services amid concerns about rise in diagnoses

Taskforce will aim to improve care for people living with attention deficit hyperactivity disorder

The NHS in England is to launch a major review of attention deficit hyperactivity disorder (ADHD) services amid concerns about a rise in diagnoses.

ADHD is a condition that affects people’s behaviour. People with ADHD can seem restless, may have trouble concentrating and could act on impulse, according to the NHS.

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Tory donor Frank Hester raised complaint about NHS contract with health secretary

Exclusive: Man who has now given party at least £10m copied Steve Barclay into email about problems with bid, documents show

The Conservative mega-donor Frank Hester complained to the NHS and the health secretary last year over problems his IT business had bidding for a contract, documents show.

The Leeds businessman, who owns a healthcare tech firm responsible for 60m UK medical records, raised a complaint about procurement in December 2022 with the chair of NHS England, copying in Steve Barclay, the then health secretary, saying he was an “interested party”.

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Thousands of foreign nurses a year leave UK to work abroad

Exclusive: Surge in nurses originally from outside the EU moving overseas prompts concern Britain is a ‘staging post’ in their careers

Almost 9,000 foreign nurses a year are leaving the UK to work abroad, amid a sudden surge in nurses quitting the already understaffed NHS for better-paid jobs elsewhere.

The rise in nurses originally from outside the EU moving to take up new posts abroad has prompted concerns that Britain is increasingly becoming “a staging post” in their careers.

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