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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 7 November 2025
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Displaying 1365 contributions

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Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Some of my colleagues might want to probe you a little more on that holistic aspect, which is important.

That has been helpful in laying out some of those points. However, some young people will feel that this is the treatment for them, and that they are being denied even being clinically assessed for the treatment. For them, the trial will be a ray of hope in terms of getting that support. Obviously, it is a UK-wide trial, which is normal for medicines—that is the way that such trials are done. However, is there a route for young Scottish folk to access the trial, and do you know the timetables? Also, do you have any thoughts on what the trial will look like?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That makes sense, but do you have any idea about when it might be?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Just the ones that have been restricted—puberty blockers, but that might be quite coarse language for them.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Those are the ones that I mean.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Do you have any thoughts on possible timescales?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

I will go back to the questions that we had earlier, when we were talking about hormone treatment. Other panel members gave us some answers, but we thought that Dr Crighton, who has just arrived, would be more able to give us answers on how young people in Scotland might access clinical trials and what such trials might look like. Thank you, Dr Crighton, for making it along, in spite of the challenges.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

On the BMA’s view about the process of a critical review, the ultimate test of the robustness of scientific research is normally a peer review process. Apart from the University of York, which I think was a partner rather than a peer reviewer, are you aware of that having happened before the publication of the Cass review? Normally, there would be a peer review before someone published a paper in, for example, Nature.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Do you have any thoughts on why there appears to be a difference in this case? As you have said, this evidence exists—it was produced by other people—and it has, in the Cass review, been distilled in a particular way and used in coming to the review’s conclusions. I have no medical training so I will not question that at all. However, it appears that people with similar qualifications and medical experience in other countries have come to very different conclusions. Do you have any thoughts on that? It is never black and white, is it?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That is really helpful.

You mentioned treatment, so I will home in on one area of treatment about which there is concern, namely, hormone treatments. Prior to the assessment of the Cass review, of the significant numbers of people who came for support, a relatively small number were receiving hormone treatment. That has been suspended.

What are your thoughts on what that means for those young people? I am aware of constituents who, even under the previous system, were accessing hormone treatment by legal private means, with all the risks that go with being unable to get support with on-going assessment of their hormone levels. What will be the implications of the current restriction for young people?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That is really helpful in distinguishing between puberty blockers and other hormonal treatments. Have other hormonal treatments been restricted as well?