Select committee: Women and Equalities Committee

Recommendation 24

Third report- Reform of the Gender Recognition Act Published 21 Dec 2021 Paragraph 189 Addressed to Government Equalities Office
Recommendation (the committee's words)
We commend the work undertaken by NHS England to open more gender identity clinics and welcome the announcement of the opening of a further two pilot clinics. We are, however, concerned to learn that waiting times for these clinics continue to be lengthy. There also appears to be a lack of clarity from NHS England over whether these pilot clinics will continue to remain open long-term. We recommend that the GEO works closely with the Department for Health and Social Care and NHS England to ensure that NHS England maintain the five pilot gender identity clinics unless or until the time that more permanent facilities with greater capacity, geographical scope and powers can be established. No facility should be closed without another opening in its place to ensure waiting times are reduced. Given that NHS England has opened five pilot clinics in the last two years, the Equalities Minister should secure additional funding to ensure significant steps will be made over the next two years to reduce waiting list times. The Minister should work closely with NHS England to continue to open facilities in under-resourced areas to tackle lengthy waiting lists and provide other much needed services including mental health services. We would urge it to consider opening clinics in the West Midlands and the South West of England, given the lack of services in those regions.

From: Women and Equalities Committee, Third report- Reform of the Gender Recognition Act (HC 977), paragraph 189, 21 December 2021

Government response

The government responded to the whole report on 24 March 2022 (deadline 21 February 2022).

Summary written by Accountability Index from the government's response. It is not the government's own words.

The government states that its September 2020 position on the Gender Recognition Act "is right and appropriate" and that it will not change the legislation, while pointing to administrative improvements such as the fee cut and digitisation.

  • On the diagnosis of gender dysphoria, the government declines to remove it, saying the requirements ensure the process is "rigorous", but says it will amend the reference to a "disorder" via a remedial order "in due course".
  • It does not consider it necessary to change the statutory declaration, and considers it "equitable" for spousal consent to remain, as it is a safeguard for the non-transitioning spouse.
  • It says the digital application process is in testing and "will be operational by summer 2022", and that applicants can still use the paper process if they prefer.
  • It does not consider a formal healthcare strategy for transgender and non-binary people necessary, while DHSC says it is "happy to provide the Committee with annual updates" on the pilot clinics' progress and waiting times.

Read the government's response ↗ Report an error