"2. Marked changes in the types of patients being referred which are not well understood: There has been a dramatic change in the case-mix of referrals from predominantly natal males to predominantly natal females presenting with gender incongruence in early teen years. Additionally, a significant number of children are also presenting with neurodiversity and other mental health needs and risky behaviours which requires careful consideration and needs to be better understood."

"3. Scarce and inconclusive international evidence to support clinical decision making: This has led to a lack of clinical consensus and polarised opinion on what the best model of care for children and young people experiencing gender incongruence and dysphoria should be; and a lack of evidence to support families in making informed decisions about interventions that may have life-long consequences."

"4. Long waiting times for initial assessment and significant external scrutiny and challenge surrounding the clinical approach and operational capacity at GIDS: This has all contributed to the service provided by the Tavistock and Portman NHS Foundation Trust being unable to meet the scale of rising demand and provide the level of appropriate care."

That report found that:

"Regional centres should be led by experienced providers of tertiary paediatric care to ensure a focus on child health and development, with strong links to mental health services. These will generally be specialist children's hospitals."

"They should have established academic and education functions to ensure that ongoing research and training is embedded within the service delivery model."

"The services should have an appropriate multi-professional workforce to enable them to provide an integrated model of care that manages the holistic needs of this population."

"Staff should maintain a broad clinical perspective to embed the care of children and young people with gender uncertainty within a broader child and adolescent health context."

Tavistock is to be "decomissioned," and "service providers will take over clinical responsibility for seeing children and young people on the national waiting list as well as providing continuity of care for the GIDS open caseload at the point of transfer."

As the UK pulls back on gender reassignment and sex changes for minors, the US is going full steam ahead. President Joe Biden calls anyone who doesn't advocate for sex changes for kids bigoted and anti-trans. He drapes the White House in trans colors and encourages parents to "affirm your kids."

As states ban the practice of child sex changes, Biden sics his Department of Justice on them to force them to allow children to undergo harmful, life-altering medical treatments all in service to making girls look more like boys and boys look more like girls. He's even a bit obsessed with it, speaking directly to "trans kids" over and over again throughout his presidency.

Musk has taken a stand repeatedly against gender ideology, going so far as to change policies at Twitter so that gender ideology could be spoken about openly, whereas the previous owners made no bones about the fact that they were fully on board with the trans agenda.