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Clinician Roles 2000-2013, Prescribing Puberty Blockers

Reference: 24-25466

Date response sent: 28/01/2025

Details of enquiry

Regarding the “Tavistock and Portman NHS Foundation Trust and the Northern School of Child and Adolescent Psychotherapy”.

  1. What roles / tasks would be / were expected to be performed by clinicians in the Trust between 2000 and 2005 as part of their role.
  2. What roles / tasks would be / were expected to be performed by clinicians in the Trust between 2006 and 2013 as part of their role.
  3. Did clinicians prescribe puberty blockers and/or cross-sex hormones in either or both of these time periods?

Response sent

  1. What roles / tasks would be / were expected to be performed by clinicians in the Trust between 2000 and 2005 as part of their role.

We do not hold this data.

Clinicians would cover a wide range of duties, which would differ according to both their team setting, and their experience.

Records of Clinician’s job descriptions past and current are not held centrally, and do change over time. These would have been held in individual staff files or otherwise by the line manager.

  1. What roles / tasks would be / were expected to be performed by clinicians in the Trust between 2006 and 2013 as part of their role.

We do not hold this data.

Clinicians would cover a wide range of duties, which would differ according to both their team setting, and their experience.

Records of Clinician’s job descriptions past and current are not held centrally, and do change over time. These would have been held in individual staff files or otherwise by the line manager.

  1. Did clinicians prescribe puberty blockers and/or cross-sex hormones in either or both of these time periods?

We no longer host the children and young people’s Gender Identity Development Clinic – GIDS.  This closed on 31 March 2024.

GIDS clinicians did not prescribe hormone blockers nor cross sex hormones.

GIDS clinicians referred patients to the Endocrinology team at UCLH (University College London Hospitals), and LGI (Leeds General Infirmary) who assessed their suitability for hormone blockers or cross sex hormones.

If assessed to be appropriate for the patient, the endocrinologists at UCLH and LGI would write to the patient’s GP recommending that they prescribe hormone therapy for the patient, as they did not prescribe these medications directly for patients.

The Trust did not routinely receive information on which patients received these prescriptions, nor whether they were taking and continuing to take them.

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