Baroness Fox of Buckley

The Outcomes and Predictors of Outcome for Children and Young People Referred to UK Gender Identity Development Services: A longitudinal Investigation (LOGIC) is a longitudinal study that looks into the development of gender identity in children and young people in the United Kingdom. The published study protocol states that “The study findings will be published in peer-reviewed journals and presented at both conferences and stakeholder events”. Following granting of an extension, partly due to the impact of the COVID-19 pandemic, the study is funded until July 2025. As an independent study, it is for the research team to decide when to submit their findings for publication. The study team has published several papers and we would expect to see further publications this year, in line with National Institute for Health and Care Research policy on open access publication.

The Government and NHS England are committed to implementing the recommendations of the Cass Review in full. This includes the recommendation for a pathway to be established for individuals who wish to detransition. The formative stages of this work will involve a process of evidence gathering in the spring of 2025, focused on individuals and clinicians with experience of detransition, and professional bodies. NHS England will engage stakeholders on a proposed service specification for the new pathway, including through public consultation.

The PATHWAYS study, which was also recommended by the Cass Review, has several elements, including a longitudinal observational study of children and young people attending NHS Gender Services, charting their development over time, and longitudinal qualitative interviews to explore the needs and care experiences of children, young people, and their families, and how these change over the course of time and the treatment.

The Outcomes and Predictors of Outcome for Children and Young People Referred to UK Gender Identity Development Services: A longitudinal Investigation (LOGIC) and the Puberty Suppression and Transitional Healthcare with Adaptive Youth Services (PATHWAYS) study are independent investigations and will run to their own timescales. The PATHWAYS study, which was recommended by the Cass Review, has several elements, including a longitudinal observational study of children and young people attending NHS Gender Services, charting their development over time, and longitudinal qualitative interviews to explore the needs and care experiences of children, young people, and their families, and how these change over the course of time and the treatment.

The Government and NHS England are committed to implementing the recommendations of the Cass Review in full. NHS England’s ambitious two-year implementation plan sets out how it will continue to transform services, while ensuring safe and holistic care.

NHS England and the National Institute for Health and Care Research have jointly established a programme of research that is underpinning the design and delivery of new services for children and young people with gender incongruence. The programme reflects the recommendations of the Cass Review and the need for more high-quality evidence to inform the advice and care provided to an increasing number of children with gender incongruence, and their families, when making important treatment decisions. The current research programme includes the following studies: the data linkage study, which will enable us to learn from the experience and outcomes of a particular group of up to 9,000 adults who, as children, were cared for under a previous and now decommissioned model of National Health Service care; and the PATHWAYS study, which has several elements, including a longitudinal observational study of children and young people attending NHS Gender Services, charting their development over time, and longitudinal qualitative interviews to explore the needs and care experiences of children, young people, and their families, and how these change over the course of time and the treatment

These studies are independent investigations and will run to their own timescales.