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To ask His Majesty's Government, further to the letter from the Parliamentary Under Secretary of State at the Department of Health and Social Care on 21 June, whether any staff employed in the Gender Identity Development Service of the Tavistock Clinic will be employed in any capacity in the new centres...
To ask His Majesty's Government, further to the letter from the Parliamentary Under Secretary of State at the Department of Health and Social Care on 21 June, whether any staff employed in the Gender Identity Development Service of the Tavistock Clinic will be employed in any capacity in the new centres...
This information requested is not held centrally. It is the responsibility of the trusts providing the new services to undertake staff recruitment. The new services are building multi-disciplinary teams of specialists to provide care to the children and young people referred to these services.
The new services will be delivered in line with the NHS England’s new interim service specification, which reflects the new clinical model set out by Dr Cass. As such, any staff that move from the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust will be fully signed up to this approach. An oversight group will ensure any training delivered to staff is in line with the new clinical approach.
To ask His Majesty's Government what plans they have to restrict staff implicated in criticism of the Gender Identity Development Service from taking up positions at the new regional centres for gender identity services for children and young people.
To ask His Majesty's Government what plans they have to restrict staff implicated in criticism of the Gender Identity Development Service from taking up positions at the new regional centres for gender identity services for children and young people.
The Department has been clear that the interim services must fully reflect the recommendations from the Cass Review, which differ significantly to the services currently provided at Tavistock and Portman NHS Foundation Trust.
NHS England will continue to work closely with providers to oversee the development of services.
The new services are building multi-disciplinary teams of specialists to provide care to the children and young people referred to these services. This is in line with the Cass Review’s recommended approach, however, they will need to include expertise in treating gender dysphoria in children, alongside other clinical disciplines, of which there is nationally a small pool of specialists. The transformation programme aims to ensure the new teams have the relevant expertise needed to deliver the service. Any staff that move from the Gender Identity Development Service to the new services will be fully signed up to the new clinical model set out by Dr Cass.
To ask His Majesty's Government what assessment they have made of their liability to damages if harm were to occur as a result of a state school assisting a child in changing their gender.
To ask His Majesty's Government what assessment they have made of their liability to damages if harm were to occur as a result of a state school assisting a child in changing their gender.
My right hon. Friend, the Secretary of State for Education is working closely with my right hon. Friend, the Minister for Women and Equalities to provide guidance for schools in this area, following calls from schools, teachers and parents.
This work is based upon the overriding principle of safeguarding children. It will consider a range of issues and reflect the law.
A consultation on the guidance will be published this term.
To ask His Majesty's Government how many children have been prescribed puberty blockers in each of the last 10 years.
To ask His Majesty's Government how many children have been prescribed puberty blockers in each of the last 10 years.
Gonadotropin-releasing hormone agonists or ‘puberty blockers’ are used to treat several medical conditions in children and young people. These include precocious puberty, some forms of cancer, endometriosis and gender dysphoria. Information on the clinical indication for which these medications have been prescribed is not held centrally.
The following table shows the number of identifiable patients where gonadotropin-releasing hormone agonists for all purposes for children aged under 18 years old has been prescribed and dispensed in primary and secondary care prescribing and dispensing in the community in England in each year from 2015/16 to September 2022. Data is not held prior to April 2015.
Financial year | Patients identified |
2015/2016 | 885 |
2016/2017 | 987 |
2017/2018 | 1,047 |
2018/2019 | 1,072 |
2019/2020 | 1,048 |
2020/2021 | 936 |
2021/2022 | 864 |
April to September 2022 | 693 |
Source: NHS Business Services Authority
Note:
Prescriptions have only been included where a National Health Service number has been identified during processing and an age has been recorded. The same patients may appear in multiple years.
To ask His Majesty's Government what assessment they have made of the use of off-label puberty blockers; and how many children have been given off-label puberty blockers in the last five years.
To ask His Majesty's Government what assessment they have made of the use of off-label puberty blockers; and how many children have been given off-label puberty blockers in the last five years.
Clinicians can prescribe medicines outside the licensed indication where it is considered the best treatment for the patient. Gonadotropin-releasing hormone antagonists are used in line with granted medical authorisations and ‘off label’ to treat several medical conditions in children, including precocious puberty, some forms of cancer, gender dysphoria and endometriosis. Clinicians are professionally accountable for prescribing decisions and to service commissioners.
Dr Hilary Cass is currently reviewing how the National Health Service prescribes puberty blockers to children and young people with gender dysphoria. Her interim review concluded that there is insufficient evidence currently available for any firm recommendations on the routine use and that further research is needed. NHS England and the National Institute for Health and Care Research are designing and commissioning a research protocol which will prospectively enrol young people being considered for hormone treatment. Information on prescriptions of puberty blockers dispensed in the community in England for gender dysphoria is not held centrally.
To ask His Majesty's Government what assessment they have made of effect that puberty blockers have on the (1) mental, and (2) physical, development of patients when given to them as children.
To ask His Majesty's Government what assessment they have made of effect that puberty blockers have on the (1) mental, and (2) physical, development of patients when given to them as children.
Gonadotropin-releasing hormone analogues are used in line with granted medical authorisations and ‘off label’ to treat several medical conditions in children and young people. These include precocious puberty, some forms of cancer, gender dysphoria and endometriosis.
The Department is supporting a review led by Dr Hilary Cass into the gender identity services provided to children and young people, including the use of hormone treatments. Dr Cass has recommended that the National Health Service consider establishing a formal research programme which would prospectively enrol young people where the use of puberty blockers is being considered and follow their development into adulthood. NHS England supports this recommendation and will work with the National Institute for Health and Care Research to design and commission the necessary research protocol.
To ask Her Majesty's Government, further to the High Court judgment in R (on the application of) Quincy Bell and A -v- Tavistock and Portman NHS Trust and others [2020] EWHC 3274, issued on 1 December, what plans they have to instruct the (1) University College London Hospitals NHS Foundation...
To ask Her Majesty's Government, further to the High Court judgment in R (on the application of) Quincy Bell and A -v- Tavistock and Portman NHS Trust and others [2020] EWHC 3274, issued on 1 December, what plans they have to instruct the (1) University College London Hospitals NHS Foundation...
All trusts who work with the Gender Identity Development Service have been issued the amended service specification halting all future referrals to endocrinology services for under 16 year olds. A copy of Amendments to Service Specification for Gender Identity Development Service for Children and Adolescent (E13/S(HSS)/e) is attached.
A review of the service is being undertaken under the chairmanship of Dr Hillary Cass which will cover a number of different aspects of the service including treatment pathways.
To ask Her Majesty's Government, further to the High Court judgment in R (on the application of) Quincy Bell and A -v- Tavistock and Portman NHS Trust and others [2020] EWHC 3274, issued on 1 December, what plans they have, if any, (1) to close the Tavistock Clinic, and (2)...
To ask Her Majesty's Government, further to the High Court judgment in R (on the application of) Quincy Bell and A -v- Tavistock and Portman NHS Trust and others [2020] EWHC 3274, issued on 1 December, what plans they have, if any, (1) to close the Tavistock Clinic, and (2)...
There are no plans to close the Tavistock and Portman NHS Trust’s gender identity service for children and young people and we are not aware of any plans to instigate criminal proceedings.
NHS England has previously announced that Dr Hilary Cass will undertake an independent external review of the gender identity development service and make recommendations to NHS England on how the service should operate.
To ask Her Majesty's Government what funding, if any, the Department for Health and Social Care has provided to the Tavistock Clinic so that they can undertake gender reassignment of children.
To ask Her Majesty's Government what funding, if any, the Department for Health and Social Care has provided to the Tavistock Clinic so that they can undertake gender reassignment of children.
The Department does not make grant awards to National Health Service trusts.
As a NHS trust, funding would be provided by local and national NHS commissioners for NHS services provided.
To ask Her Majesty's Government what assessment they have made of reports that clinicians at the Tavistock Centre have been too quick to give children and young people gender reassignment treatment; and what action they intend to take as a result.
To ask Her Majesty's Government what assessment they have made of reports that clinicians at the Tavistock Centre have been too quick to give children and young people gender reassignment treatment; and what action they intend to take as a result.
The matter is subject to an ongoing legal process and therefore the Department is unable to comment pending judicial ruling.
To ask Her Majesty's Government, following the settlement of a claim against Facebook in the High Court in Belfast concerning nude photos of a girl aged 14 placed on the Facebook website, whether they intend to assist people under 18 to pursue claims for similar abuses against social media companies.
To ask Her Majesty's Government, following the settlement of a claim against Facebook in the High Court in Belfast concerning nude photos of a girl aged 14 placed on the Facebook website, whether they intend to assist people under 18 to pursue claims for similar abuses against social media companies.
The civil justice system provides an individual with a route to pursue a legal claim and potential damages against other parties. However, it would not be appropriate for the Government to intervene directly in private law proceedings.
To ask Her Majesty’s Government whether they are providing money through child-focused programmes in Zimbabwe to families who do not have any children; and if so, why.
To ask Her Majesty’s Government whether they are providing money through child-focused programmes in Zimbabwe to families who do not have any children; and if so, why.
DFID is one of a number of donors who funds the Harmonised Social Cash Transfer programme, referred to in the recent ICAI report.
Of the targeted households under the scheme 83% have children to care for, but those headed by the elderly, the chronically ill or people living with disabilities are also eligible even if they are not caring for children.
To ask Her Majesty’s Government, of those child refugees who have been brought to the UK from Calais, how many fall into the age ranges of (1) under 10 years, (2) 10–12 years, (3) 13–15 years, (4) 16–18 years, (5) 19–21 years, (6) 22–24 years and (7) 25 years or...
To ask Her Majesty’s Government, of those child refugees who have been brought to the UK from Calais, how many fall into the age ranges of (1) under 10 years, (2) 10–12 years, (3) 13–15 years, (4) 16–18 years, (5) 19–21 years, (6) 22–24 years and (7) 25 years or...
The Home Office will publish information on the transfer of unaccompanied asylum seeking children from France in due course.
To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 18 July (HL1279) and in the light of the recent report by NHS Digital concerning social media pressure and mental health, whether they will now conduct that research.
To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 18 July (HL1279) and in the light of the recent report by NHS Digital concerning social media pressure and mental health, whether they will now conduct that research.
The National Institute for Health Research and the Department’s Policy Research Programme have no current plans to commission research into the possible mental and psychological impact on children of using Twitter and Facebook.
In their report, the Mental Health Taskforce recommended that the United Kingdom should aspire to be a world leader in the development and application of new mental health research. The Taskforce asked specifically that the Department, working with relevant partners, should publish a report by February 2017 setting out a ten year strategy for mental health research. The final ten-year strategy is planned for publication in February 2017 and will identify future needs in mental health research. This will include a specific focus on the mental health of children and young people.
To ask Her Majesty’s Government whether they have conducted any research into the possible mental and psychological impact on children of using Twitter and Facebook; and if not, whether they plan to do so.
To ask Her Majesty’s Government whether they have conducted any research into the possible mental and psychological impact on children of using Twitter and Facebook; and if not, whether they plan to do so.
The Department does not itself conduct research, but funds research through the National Institute for Health Research (NIHR) and the Department’s Policy Research Programme (PRP). The NIHR and the PRP have not funded specific research into the possible mental and psychological impact on children of using Twitter and Facebook and have no plans to commission research on this topic. In 2014-15 (the latest year for which data is currently available), the NIHR invested £72.6 million in research in mental health, including the mental health of children.
To ask Her Majesty’s Government what assessment they have made of the judgment in Re A [2015] EWHC 1598 (Fam), in particular the judge's remarks that cultural context must be considered in such cases.
To ask Her Majesty’s Government what assessment they have made of the judgment in Re A [2015] EWHC 1598 (Fam), in particular the judge's remarks that cultural context must be considered in such cases.
The law states that it is illegal to assault a child. A parent or guardian hitting their child could be prosecuted for assault, but there is a defence of ‘reasonable chastisement’ that they may use in cases where they have given a child a mild smack. If physical chastisement results in injury to a child, including bruises, cuts or scratches, it can be charged as actual bodily harm or a more serious offence, for which the ‘reasonable chastisement’ defence cannot be used.
That this House believes that a child's relationship with its parents requires greater legislative protection with regard to the Family Court's current application of precedent in international and national relocation cases; further believes that the Family Courts of England and Wales' position on the importance of the father/child relationship does not reflect the current authoritative research on the importance of father involvement in educational and psychological development in relocation cases; further believes that the courts in practice place too great an emphasis on the unsubstantiated emotional risk to the child from the mother's possible distress and disappointment if not allowed to relocate; considers that this emphasis over-rides all other considerations including the needs and rights of the child; and calls on the Government to respond positively to the research report by the charity Reunite, entitled Relocation, funded by the Ministry of Justice and published in July 2009.
That this House believes that a child's relationship with its parents requires greater legislative protection with regard to the Family Court's current application of precedent in international and national relocation cases; further believes that the Family Courts of England and Wales' position on the importance of the father/child relationship does...
To ask the Secretary of State for Health, what percentage of children aged (a) one to two, (b) two to three and (c) three to four years have been given MMR innoculations in Cumbria since May 1997. - Table given.
To ask the Secretary of State for Health, what percentage of children aged (a) one to two, (b) two to three and (c) three to four years have been given MMR innoculations in Cumbria since May 1997. - Table given.
To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment the Government has made of psychological trauma caused by foot and mouth disease to rural communities; and what provision they have made to counter this problem; what assessment the Government has made of the psychological effect...
To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment the Government has made of psychological trauma caused by foot and mouth disease to rural communities; and what provision they have made to counter this problem; what assessment the Government has made of the psychological effect...
To ask the Secretary of State for Health, in what circumstances the use of an implement in the exercise of physical punishment of children by their parents would be considered unreasonable, as proposed in the consultation document; Protecting Children, Supporting Parents.
To ask the Secretary of State for Health, in what circumstances the use of an implement in the exercise of physical punishment of children by their parents would be considered unreasonable, as proposed in the consultation document; Protecting Children, Supporting Parents.