Currently there is one specialist clinic offering gender identity services to young people in England and Wales
That case was brought by Keira Bell, who said that staff at the Tavistock should have challenged her more over transitioning.
In the short-term, the review group set up to look at cases being referred by Gids for hormone treatment should continue its work, Dr Cass says. As this change in the case mix only dates to 2014-5, the review says that it is too early to assess the longer-term outcomes for this cohort "since young people may not reach a settled gender expression until their mid-20s".
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