Review led to profound changes, some of which made young people feel unsupported, yet new clinics are opening

At the heart of the controversy about how to meet the needs of young people questioning their gender has been the huge rise in referrals to the Tavistock – previously the only dedicated clinic in England and Wales treating children with gender dysphoria.

The clinic was closed one month before the Cass review into youth gender identity services, commissioned by NHS England and led by the British paediatrician Hilary Cass, which found that children had been “let down” by the NHS amid a “toxic” public discourse.