Question to the Department of Health and Social Care:

To ask His Majesty's Government what follow up provisions are conducted by each of the gender clinics in England to monitor the risks and prevalence of (1) comorbidities, and (2) psychiatric comorbidities.

In line with the Cass Review, and NHS England’s service specification for National Health Service children and young people’s gender services, all children and young people will receive a holistic assessment. This process should determine whether there are any cooccurring and/or contributory elements of the individual’s presentation that are affecting their psychosocial wellbeing or functioning and require support as the basis of an individual care plan.

NHS England’s Service Specification for Gender Identity Service for Adults (Non-Surgical) describes the assessment and diagnosis process that adult gender services should undertake from initial assessment, diagnostic, and treatment planning consultation. Patients with complex or additional needs should have additional assessment consultations where appropriate.

The findings and recommendations of the Operational and delivery review of NHS adult gender dysphoria clinics in England, chaired by Dr David Levy, was published in December 2025. NHS England, in full partnership with the Department, will now lead a system-wide response. This includes the development of a standardised biopsychosocial assessment framework for use across all of the adult gender services, for new patients or when their individual needs or circumstances change, and the development of a standard clinical complexity tool.