Select committee: Women and Equalities Committee

Recommendation 26

Third report- Reform of the Gender Recognition Act Published 21 Dec 2021 Paragraph 197 Addressed to Government Equalities Office
Recommendation (the committee's words)
There is undoubtedly an urgent need for more trained and specialist clinicians who have the knowledge and understanding to work in the growing number of gender identity clinics. We welcome NHS England’s funding of a programme in gender dysphoria medicine. However, we are concerned that NHS England do not have enough specialist staff needed to run new clinics. We believe that there is a need to encourage NHS staff and medical students into this field in order to address the significant waiting times many people accessing these clinics face. The Department of Health and Social Care should work with NHS England to attract more trainee doctors to specialise in gender identity healthcare.

From: Women and Equalities Committee, Third report- Reform of the Gender Recognition Act (HC 977), paragraph 197, 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.

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