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Scotland Pauses Gender Medications for Minors
  + stars: | 2024-04-18 | by ( Azeen Ghorayshi | ) www.nytimes.com   time to read: 1 min
Scotland’s National Health Service has stopped all new prescriptions of puberty-blocking drugs and other hormone treatments for minors, citing a sweeping review of youth gender services released in England last week. It is the sixth country in Europe to limit such treatments, and its changes are among the most restrictive. England and carried out by Dr. Hilary Cass, an independent pediatrician, over the course of four years, concluded that the evidence for benefits of youth gender treatments was “remarkably weak” and that pressing questions remained about potential long-term risks. This month, following recommendations by Dr. Cass, N.H.S. Hormone therapies, including estrogen and testosterone, are still available to teenagers in England aged 16 and up.
Persons: Hilary Cass, . Cass Organizations: Health Service, N.H.S Locations: England, Europe, N.H.S
The Question of Transgender Care - The New York Times
  + stars: | 2024-04-18 | by ( David Brooks | ) www.nytimes.com   time to read: +2 min
It is about what the health care approach should be, and how best to help the growing number of children and young people who are looking for support from the N.H.S. For reasons that are also not clear, adolescents who were assigned female at birth are driving this trend, whereas before the late 2000s, it was mostly adolescents who were assigned male at birth who sought these treatments. One is that greater social acceptance of trans people has enabled people to seek these therapies. A third is that the rise of teen mental health issues may be contributing to gender dysphoria. In her report, Cass is skeptical of broad generalizations in the absence of clear evidence; these are individual children and adolescents who take their own routes to who they are.
Persons: Hilary Cass, Cass Organizations: National Health Service, Britain’s Royal College of Pediatrics, Child Locations: England, Cass
The National Health Service in England started restricting gender treatments for children this month, making it the fifth European country to limit the medications because of a lack of evidence of their benefits and concern about long-term harms. England’s change resulted from a four-year review released Tuesday evening by Dr. Hilary Cass, an independent pediatrician. “For most young people, a medical pathway will not be the best way to manage their gender-related distress,” the report concluded. In a related editorial published in a medical journal, Dr. Cass said the evidence that youth gender treatments were beneficial was “built on shaky foundations.”The N.H.S. England’s move is part of a broader shift in northern Europe, where health officials have been concerned by soaring demand for adolescent gender treatments in recent years.
Persons: Dr, Hilary Cass, Cass Organizations: National Health Service Locations: England, Europe
Palantir, the software company founded by billionaire Peter Thiel, on Tuesday won a major contract in Britain to help overhaul the technology system of the country’s state-run health service, overcoming concerns about a firm known for its military-related work in the United States securing such a sensitive role involving patient data. The National Health Service said Palantir had been awarded the seven-year contract, worth 330 million pounds, or about $415 million, to build a new platform that integrates data from across the N.H.S. Called the Federated Data Platform, the system is intended to make it easier to share patient information and analyze wider health trends across the sprawling health service. Palantir was a controversial choice, as some doctors, civil society groups and members of Parliament had raised concerns about giving the company responsibility for building what could eventually become one of the world’s largest repositories of health data. Palantir was awarded the contract in partnership with Accenture, the business consulting firm, PwC, NECS and Carnall Farrar.
Persons: Peter Thiel, Palantir, Thiel, Donald J, Trump’s, Carnall Farrar Organizations: Tuesday, National Health Service, Federated, Accenture Locations: Britain, United States, England, Wales
That level of improvement shows that adjustments on the fly can produce a quick fix, but there is usually another problem waiting around the corner. At the King George, doctors cannot discharge patients quickly enough because there is nowhere to send them for longer-term therapy. In Britain, local councils, not the National Health Service, are responsible for social care. Given the need to overhaul primary care and social care, some experts argue the best thing the N.H.S. At Queen’s, even with the recent improvements, patients suffering from mental health issues can be stranded in the emergency room for more than 36 hours.
Persons: Merritt, King George, Mr, Edwards, Organizations: National Health Service Locations: E.R, Queen’s, Britain
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