NHS England to Screen All Transgender Children for Autism Following Cass Review Findings

NHS England has announced a major new policy: all children referred to gender identity clinics will now be screened for neurodevelopmental conditions such as autism and ADHD. This decision follows the publication of the Cass Review, an independent investigation led by Dr. Hilary Cass, which highlighted that mental health issues — particularly autism and depression — are significantly more common among children experiencing gender-related distress.

The Cass Review recommended a more holistic and comprehensive approach to supporting young people questioning their gender identity. Rather than focusing solely on gender dysphoria, the new NHS guidelines aim to assess a child's overall mental health, developmental history, family relationships, and social circumstances. Where necessary, children will be referred to specialized services for additional support.

New gender clinics have already been opened in London and Liverpool, adopting a multidisciplinary model of care. More clinics are planned to ensure better access and consistent care standards across England.

This move comes alongside the NHS's decision to limit the prescription of puberty blockers to a small number of children participating in a controlled clinical trial, requiring both medical and parental approval.

The policy change has been welcomed by several support groups, who say it will provide more careful, individualized care for vulnerable children. However, it also emerges amid broader national debates over transgender rights and healthcare in the UK.

The NHS is expected to release its detailed new service specifications for public consultation soon.

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