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Hello and welcome to Coffey House Shots, The Spectators Daily Politics Podcast.

I'm Oscar Edmondson and I'm joined today by Isabel Hardman and James Heel.

So today we've had the CAS review, a landmark review by

pediatrician Hillary CAS into gender services for children.

Isabel, can you start by just taking us through some of the main conclusions of this review?

Yeah, this is a long-running review. This is the final report, as you said, the cast review

inter-gender services for children in England and its conclusions are basically

that medical interventions were being made on the basis of very weak, remarkably weak, she says,

evidence. So puberty blockers were being prescribed to children without any evidence that they would actually have desired outcome of treating

their gender distress, their gender dysphoria, and that also there was not a holistic approach to a child presenting to these services with distress about their gender,

whether there were other factors at play here such as family factors, had the child been a victim of abuse and was struggling to deal with

their body because of the fallout from that, were they autistic, all of these things were largely,

according to this review, being discounted.

I think Cass is really clear that there's been ideology on what she says

of both sides of this kind of treatment debate and ideology

shouldn't actually be what prevails in medicine it should be science now the

response from campaigners like Mermaid, which is a charity set up to

...