Scotland’s official transgender guide says 12-year-olds can be referred to health services


The official handbook publishes guidance on child and adolescent care services, suggesting that children as young as 12 can seek medical advice about the transition.

Report issued by Care Inspectorate (pdf) is a regulatory body established by the Scottish government in 2011 that proposes that care home staff can “help young people explore appropriate options and provide access to a range of supports”. bottom.

According to the guide, young people can seek a referral to Sandyford Gender Services, the NHS’ gender identity clinic in Glasgow, to seek medical help for the transition.

In the report Legal provision Even 12-year-olds “can make decisions about treatment, but we know that’s not always the case,” he suggests.

The issue of gender dysphoria in children has been studied by an independent NHS-commissioned study led by Dr Hilary Cass, a pediatrician and former Chancellor of the Royal College of Pediatrics and Children’s Health.

The review published Interim report In February 2022, it raised safety concerns regarding the long-term effects of pubertal blockers and sex hormones.

He also linked the “lack of safeguards for children” at London’s Tavistock Gender Clinic with a “positive model” of care “originating in the United States.” The report prompted the UK National Health Service (NHS) to announce last July that the now infamous clinic would close this spring.

Consultant David Bell, one of Tavistock’s whistleblowers, spoke out about gender dysphoria in a January 2021 interview with Channel 4 News. He argued that young people needed “thoughtful engagement rather than drive to therapy.” It is a pathway that has irreversible effects on their bodies. ”

inclusive environment

The Care Inspectorate guide creates a list of recommendations for caregivers to create an “inclusive environment” for all youth, including transgender youth.

Transgender youth should be able to share a room with other children who share their identity, the guide said.

“If some youth, including transgender youth, are concerned about sharing a room with other youth, alternative arrangements should be made, such as giving them their own bedroom, where appropriate and feasible. please consider.”

In shared bathrooms, private rooms or private laundry facilities are preferable to shared showers. The guide said it was common practice to provide separate facilities for men and women, such as toilets. The staff encourages young people to ask about facilities they would like to use and their concerns.

In its recommendations on building an inclusive environment for young people, the Care Inspection Service said: Equal Human Rights Commission (EHRC) Technical Guidance for Scottish SchoolsHowever, as of November 3, 2022, it has been marked as obsolete and is under review.

Another recommendation was to use gender-inclusive language, such as “all come,” instead of “both boys and girls, please.”

“Provide opportunities for young people to say their own pronouns, including staff introducing themselves with their own pronouns. Respect and use young people’s pronouns and preferred names. These will change over time. Remember that you may do so,” reads part of the guidance.

The Care Inspectorate’s report has been criticized for being inaccurate and suggesting that care staff can direct children and young people to “seek medical assistance for the transition.”

“Since when did child care staff have such expertise? The new guidance highlights that the vast majority of gender questioning children cease to be gender dysphoric after puberty. , ignores consistent research conducted over more than two decades,” says Carolyn Brown, former associate chief psychologist and child psychologist at the Fife Council. Said.

But the Care Inspectorate has suggested that “it may be helpful for staff to be aware of additional sources of support for young people.”

The regulator’s brochure was produced in collaboration with LGBT Youth Scotland, a charity funded primarily by public sector and Scottish government funds, which raised a total of £325,000 over 2020-21.