One of the recommendations of the Cass Review was a review of the adult service specification. Dr Cass also highlighted broader issues that were reported to her during her review (see letter from Dr Cass 16 May below). To respond to this, NHS England has taken the decision to conduct a review of the operation and delivery of the adult Gender Dysphoria Clinics.

This review will examine the operating procedures in each service; the appropriateness of the service model for the presenting population; areas of concern, and any action being taken to improve quality. It will identify areas for improvement in relation to service quality, good practice that could be shared with other clinics, and any support that should be made available to services to assist improvement.

The key lines of enquiry have been designed in collaboration with current and former patients, clinicians and other key stakeholders.

Dr David Levy, Medical Director of Lancashire and South Cumbria Integrated Care Board, and previously NHS England’s North West Regional Medical Director, will lead the review, supported by an expert panel of patients, clinicians experienced in the delivery of gender-related care, independent regulators and members of relevant professional bodies.

Access the terms of reference and key lines of enquiry for the review.

Correspondence

• Letter from Dr Cass to John Stewart and James Palmer 16 May 2024
• Letter from John Stewart and Professor James Palmer to Dr Hilary Cass 7 August 2024

Report from the review of adult gender dysphoria clinics

The report from the review of adult gender dysphoria clinics has now been published. Read the findings and recommendations from the independently led review here: NHS England » Operational and delivery review of NHS adult gender dysphoria clinics in England

NHS England’s initial response to Dr Levy’s Report can be found here: NHS England » NHS England’s initial response to Dr Levy’s Report