What Cass review says about surge in children seeking gender services

Report finds particularly complex factors may explain surge in birth-registered females referred to NHS Gids

In 2009 the NHS’s gender identity development service (Gids) saw fewer than 50 children a year. Since then, demand increased a hundredfold, with more than 5,000 seeking help in 2021-22.

In her review of gender services, Dr Hilary Cass said there had been a “dramatic increase” in presentations to gender clinics in the last decade, in particular by birth-registered females. In 2009, Gids treated 15 girls. By 2016, that figure had risen to 1,071.