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As LGBTQ+ sector organisations, we are deeply disappointed that the UK Government has decided to continue criminalising the prescription of puberty suppressing medicines for trans children and young people outside of a proposed NHS research study 

Every single child and young person, across all nations of the UK, should be able to get the care that they need to grow up happy and healthy. To be supported by well trained, knowledgeable professionals who can make the right decisions with them, and who have access to appropriate medical treatments. To not have to wait too long or travel too far.  And right now, that simply isn’t what’s happening for trans and gender diverse children and young people across the UK. This decision will not make things better. 

The Government is entirely disregarding the voices of trans youth, who made clear their deep opposition to the restriction of private prescriptions for puberty blockers during consultation. This is particularly concerning given the lack of information about the proposed study and concerns raised about it by the Council of Europe. 

The Government’s approach will further harm and alienate trans children and young people and their families, who already experience significant barriers and discrimination when accessing the services that are meant to support them.  

We will continue to advocate for timely, supportive and holistic healthcare access for all. It is vital the NHS now steps up its efforts to substantially reduce the 6+ year waiting lists, through a rapid expansion of youth gender identity services that recognise and support trans young people’s experiences, including access to puberty suppressing medicines and gender affirming hormones where appropriate. 

To all the trans children and young people reading this: you are not alone – trans and gender non-conforming youth have always existed and found ways to thrive throughout youth and into adulthood. As LGBTQ+ organisations, we are here to support you, listen to your concerns and we won’t stop advocating for your needs.  

We know that this decision has had, and will continue to have, a significant impact on the lives of some young people. We encourage people to write and post responsibly about this matter, bearing in mind the impact this can have on the mental health of others. 

You can get in touch with any of the services below if you need someone to talk to:  

Organisations 

Mermaids 

Consortium of Lesbian, Gay, Bisexual and Transgender Voluntary and Community Organisations 

Statement from our Chair of Trustees, Kathryn Downs 

We are relieved that the Charity Commission Inquiry which began nearly two years ago is finally over. The report states, as we anticipated, that there is no finding of misconduct at Mermaids. 

The Commission has also confirmed, as we have repeatedly asserted, that we have not provided medical advice or acted improperly in our work with children, young people and their families.   

We want to thank all our staff, volunteers and generous supporters who have ensured we have continued to provide high quality support and advocacy to trans young people, maintaining our vital support line service, introducing new local groups and launching our new youth advocacy programme, MANGO.  

We can now look forward and concentrate all our efforts and energies on providing high-quality support and empowering advocacy for trans children and young people and the important people in their lives. 

The Trustees accepted that governance did not keep pace with the charity’s rapid growth linked to rising support needs from trans young people and their families. These historic governance issues were addressed through the implementation of the recommendations of two independent reviews, proactively commissioned by our Trustees, into EDI (Equality, Diversity and Inclusion) and Governance. The Board also strengthened due diligence processes for Trustee recruitment.  

Considering the changes already made at Mermaids independently of this Inquiry, the time taken to publish this report has been frustrating, significantly affecting Mermaids’ fundraising and ability to deliver on our charitable objectives. We call on the Charity Commission to ensure that organisations serving groups facing rising hostility are supported and protected, whilst being held to account where this is necessary. 

As Mermaids approaches its 30th birthday, we remain determined to deliver on our 2024-27 Strategy and expand our efforts to create a safe, inclusive society where trans children and young people are empowered to live their best lives, at a time where our communities need the support Mermaids delivers more than ever. 

NHS England has today (7 August 2024) published several updates relevant to gender services for young people, including its Cass Review Implementation Plan and the new referral pathway specification.

These updates largely outline what we already know about NHS England’s approach. However, we’ll be reviewing them in detail and, alongside sector partners, will provide further information, analysis and resources in due course. 

If you’re worried about anything you read and need to talk to someone, please contact our support line. We’re here for you Monday to Friday, 9am – 9pm. 

Mermaids condemns the racist, Islamophobic and anti-migrant violence we’ve witnessed across the UK in the last few weeks. We stand with all of those affected and have signed the following joint statement, organised by Together With Refugees, calling for the Government to take action. 

As organisations based across the UK working with refugees and migrants, we are deeply shocked and devastated by these horrific acts of violence. Racism, Islamophobia and hatred against migrants have no place in our country.

We stand in solidarity with the men, women and children affected, many of whom have already fled unimaginable horrors to try to find safety. And we stand together as a sector and with our communities to offer support. We know that these views and acts of violence do not represent the vast majority of people in this country.

It is right that the government has clearly condemned these attacks. But we urgently need action, today, to ensure that local authorities have the right resources to ensure those under threat of attack in asylum accommodation, refugee service centres and places of worship are properly protected. 

This moment must mark a turning point, away from the divisive politics, racist rhetoric and demonising language of the past. Now is an opportunity to bring communities and the country together for a different way forward – one that is compassionate and united.”

If you have been affected by recent events and need support, please contact our support line. We’re here for you Monday to Friday, 9am to 9pm. 

We are incredibly disappointed by yesterday’s High Court judgement to uphold the decision to restrict the prescription of puberty blockers for trans young people. 

The ban, which was brought into place under the previous Conservative Health Secretary, will expire on 2 September 2024 and there must be a consultation process if the Government wishes to make it permanent.

We strongly believe that the Health Secretary must now listen to trans young people. This includes recognising the harm that outright bans have, and continue to cause, and making sure harm reduction measures are in place to support the children and young people affected.  

In particular, we wish to draw attention to the judge’s concern for young people who had been prescribed puberty blockers prior to the ban, who risk being left without support and are particularly vulnerable. 

The Health Secretary must immediately publish a plan that ensures these young people have timely access to holistic, supportive care, including to gender affirming hormones if they so wish. 

We are concerned that the judge’s decision relied heavily on findings from the Cass Review, which has been subject to significant criticism and contestation in the scientific community since its publication. 

We published our critique of the review earlier this year, and we remain committed to campaigning for access to timely, supportive and holistic healthcare, free at the point of use, for all trans young people who need it.

Please consider donating to our urgent appeal to support this work and ensure we can continue campaigning for a better world to grow up trans. 

We recognise that this news will be distressing for many trans young people, and their loved ones. If you need support, please contact our support line. We’re here for you Monday to Friday, 9am-9pm. 

Our Trans Youth Manifesto, which we published in June, outlines what young people need from their elected representatives, and their message is clear: they want to feel safe, welcome and protected, and to live in a world where they are celebrated, not debated. 

We hope the new Prime Minister will be true to his word, treating trans people with dignity and respect, and call on his new government to centre the needs and voices of trans young people in conversations that affect them. 

We will do all we can to make sure the voices of young people are heard in the corridors of power and will work tirelessly to hold this government to account on improving the lives of trans young people.

The Equality Act is world-class legislation that took almost a decade to develop, and has been working well for 14 years.

Under the Act, trans people can legally access single-sex services based on their gender, and services can exclude trans people, whether or not they hold a Gender Recognition Certificate, if it is a proportionate thing to do to achieve a legitimate aim.

We believe the thresholds that the Equality Act sets are a proportionate bar for services to address if they are to use these single sex exemptions. Violence affecting women and girls is a significant concern, including for many LGBTQ+ women.

It is vital that there is sustained and meaningful investment to ensure there are services which meet the full diversity of need across the country.

However, it is not necessary to re-define sex in the Equality Act for service providers to provide a range of services. This is something they do routinely already.

Everyone deserves timely access to holistic, high-quality healthcare and to be treated with dignity, privacy and respect throughout their treatment and care. 

This includes trans, non-binary and intersex people who already face significant barriers and inequality when accessing NHS care.
The consultation closes on 25th June 2024, and will inform changes to the NHS Constitution that will be in place until 2035. 

We have concerns about some of the changes proposed, particularly those likely to impact trans patients and healthcare professionals. 

In the meantime, we’d like to remind everyone that these proposals are under consultation, and will not change how NHS healthcare is provided at this time. There is likely to be a lot said and written about these proposals, not all of which will be balanced.  

We’re looking carefully at the proposed changes and working with experts to understand their legal and practical impacts on trans, non-binary and intersex people and will share more with our communities in the coming weeks.

If you have concerns about your wellbeing or healthcare please reach out for support. 

Signed by/On behalf of:

Mermaids

On Thursday 11 April, we were made aware that the Charity Commission has allegedly liked and reposted gender-critical content on its official X account, including potentially defamatory content about Mermaids. 

In response to an email from us, the Commission confirmed that this appears to have been accidental activity during monitoring. We recognise that accidents do happen, however vigilance is required to ensure that these are addressed as soon as possible.

As a public body, the Commission must appear to be scrupulously independent and unbiased across its work, including its activity on social media, and it is disappointing that it has taken approaches by outside parties for these accidents to be resolved. 

We welcome the reassurance that the Commission is exploring additional safeguards to prevent a recurrence, however, during a particularly difficult time for the trans community following the release of The Cass Review, we remain concerned at the potential impact of such mistakes on trans children and young people who, instead of being treated with compassion and respect, are seeing their experiences invalidated and questioned across the media and platforms such as X. 

We look forward to an apology from the Commission for the potential impacts of these mistakes, and additional assurance for those charities working in areas at the centre of highly politicised discussion that there will be no recurrence.

Everyone deserves access to timely, supportive and holistic healthcare. However, across all of the UK, the NHS is failing trans youth, with appalling waiting lists of more than six years, virtually no first appointments offered for over a year, and increased politicisation of the support offered to children and young people. 

Trans youth tell us they want services which are accepting and respectful, which offer supportive spaces to explore their gender, and provide access to medical transition if and when they need it. 

The Cass Review, an independent review of NHS England gender services for children and young people, published today (Wednesday 10 April) after almost four years, echoes much of this and recognises the current system is failing trans youth. 

We are pleased the voices and experiences of trans young people appear to have been heard and respected, and we welcome Dr Cass’ calls for trans children and young people, and their families, to be “treated with compassion and respect”. We hope for the same, and for the sharing of clear, accurate information when discussing this topic.

However, we are concerned that some of the language in the report is open to misinterpretation and could be used to justify additional barriers to accessing care for some trans young people in the same way the interim report has been. We will publish our full analysis of The Cass Review in due course.

NHS England has published their immediate response to The Cass Review and written to all adult providers, explaining the changes they plan to make in the short to medium term. Very few of these will have an immediate effect on children and young people, and we will keep trans young people and their families informed about any changes that might impact them. 

In the meantime, we call on NHS England, and the NHS across the UK, to resist pressures from those who seek to limit access to healthcare, listen to trans youth directly, and act urgently to provide gender services which are timely, supportive and holistic. 

If you need support or have questions about what this might mean for yourself or your young person, please contact our support line team. We’re here for you Monday – Friday, 9am – 9pm.