Question to the Department of Health and Social Care:

To ask His Majesty's Government what progress NHS England has made on the programme of work to explore a detransition pathway announced in August 2024; and when they expect a service specification to be published.

In line with recommendation 25 of the Cass Review, NHS England is developing a clinical pathway for individuals who wish to detransition.

Following engagement with those with lived experience, on 30 October 2025, NHS England published a call for evidence on a clinical pathway for adults who have previously undergone a gender transition and who wish to detransition to bring together professional opinion. The call for evidence closed on 28 December 2025.

NHS England is considering all relevant feedback that was submitted. It will collate views, evidence, and insights into a summary evidence report. NHS England will use this evidence, together with other intelligence and further engagement, to begin to define a clinical pathway which will be tested through further stakeholder engagement and public consultation later this year.