Dáil Éireann Debate, Wednesday - 20 September 2023
909. Deputy Charles Flanagan asked the Minister for Health if, in view of limited evidence in respect of the use of puberty blockers for the treatment and care of children, he will establish an independent external evidence review of the use by the HSE of a discredited clinic (details supplied), which treated hundreds of Irish children; and if he will make a statement on the matter. [39750/23]
View answerThe Government is committed to the development by the HSE of a well-governed and patient-centred health care service for adults and children in the transgender community, in line with the Programme for Government.
The HSE National Quality and Patient Safety Directorate has reviewed the interim Cass report and how it applies to clinical pathways in Ireland. The Department welcomed this review of the interim Cass report, and has considered its implications. The Department also understands that based on the recommendations of this report, the HSE has identified the need to develop an updated and integrated Model of Care for transgender services in Ireland, informed by the best evidence-based clinical care for individuals who express gender incongruence or dysphoria.
The HSE is establishing a team to lead the development an updated model of care for the treatment of gender dysphoria. As an initial step, the HSE has advertised for the post of Clinical Lead for Transgender Services, who will develop the Model of Care and Implementation Plan for Transgender Care.
The HSE will consult with a wide range of stakeholders in the development of the new model of care, including those who use the services and advocacy groups.
The HSE is also working to identify an alternative pathway for children/young people experiencing protracted waiting times. Discussions are underway with the paediatric endocrinology service at Children's Health Ireland and also with a psychology service to work on an interim solution until a full dedicated multidisciplinary service is established.
I welcome the development of a model of care which will deliver a high quality seamless and integrated service for people with gender identity issues, in line with the Programme for Government.
