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A former nurse, Susan Evans, has recently lost a legal battle in the High Court regarding the registration of England’s inaugural private gender clinic for teenagers known as the Gender Plus Hormone Clinic. Evans along with an anonymous mother contended that the Care Quality Commission (CQC), the health regulator, had made an “irrational” decision in approving the clinic. Despite their objections, Mrs. Justice Eady stated that she believed the CQC’s actions were rational and had the safety of patients as a top priority during the clinic’s evaluation.
The Gender Plus Hormone Clinic is the lone private establishment in England authorized to administer hormones to 16- and 17-year-olds for gender incongruence, where there is a conflict between an individual’s biological sex and gender identity. These hormones, such as oestrogen or testosterone, help those transitioning to develop characteristics associated with their preferred gender. For instance, a trans man, a biologically female individual identifying as male, may undergo hormone therapy for a deeper voice and facial hair. The NHS guidance on hormone prescription for young people was revised following the release of the Cass Review last year, emphasizing the importance of extreme caution when using hormones in treating 16- to 17-year-olds.
In response to the court ruling, a spokesperson for the Gender Plus Hormone Clinic expressed satisfaction in the outcome, citing it as validation of the clinic’s commitment to meticulous and ethical work practices. The clinic maintains a high standard of care, prioritizing patient safety in all decision-making processes. The NHS has plans to establish three specialized children’s gender clinics and an additional five clinics across the seven NHS regions in England by the end of 2026. Despite the criticisms raised by Evans and the unnamed mother, the Gender Plus Hormone Clinic has been cleared to continue its operations in London, Birmingham, and Leeds.
Following the judgment, Susan Evans conveyed her disappointment regarding the judicial review’s outcome, while the unidentified mother echoed similar sentiments, stating that being disappointed was an understatement. The Care Quality Commission welcomed the court’s decision, acknowledging the regulatory expertise of the CQC and its commitment to placing the needs of service users at the forefront to ensure safe and efficient care delivery
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