Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 10 March (HL14740), how the Cass Review recommendations will be implemented and monitored across NHS children and young people gender services.

On 1 April 2026, NHS England published a final service specification for National Health Service children and young people's gender services, which incorporates the findings and recommendations of the final report of the Cass Review, including adoption of the new Holistic Assessment Framework.

NHS England continues to have oversight of implementation of the various Cass Review recommendations in 2026/27, in line with the implementation plan published in August 2024. NHS England chairs a National Portfolio Board for NHS Children and Young People’s Gender Services, which is the vehicle for monitoring progress for implementing recommendations from the Cass Review. Membership of the board includes officials from the Department of Health and Social Care, Baroness Cass, the independent Chair of the National Provider Network, representatives of the royal colleges of medicine, senior clinicians, the NHS National Medical Director for Specialised Services, and the NHS National Director for Specialised Services.