Neasa Hourigan (Dublin Central, Green Party)
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562. To ask the Minister for Health the current number of children and young people referred by the HSE to the Tavistock Centre in London for treatment as of August 2022. [45894/22]

Stephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, it has been referred to the Health Service Executive for direct reply to the Deputy.

Neasa Hourigan (Dublin Central, Green Party)
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563. To ask the Minister for Health the revised care plan for children and young people referred to the Tavistock Centre for treatment following the publication of a review (details supplied); and if he will make a statement on the matter. [45895/22]

Neasa Hourigan (Dublin Central, Green Party)
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564. To ask the Minister for Health the status of his plans for the provision of care for trans children and young people; the staffing levels and current funding available for such services; and if he will make a statement on the matter. [45896/22]

Frank Feighan (Sligo-Leitrim, Fine Gael)
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I propose to take Questions Nos. 563 and 564 together.

The Tavistock Clinic provides psychological assessments for Irish children seeking gender identity services, under the Treatment Abroad Scheme. The TAS enables a public healthcare consultant to refer a patient to the public health service in the EU, UK or Switzerland for treatment not available in Ireland. Once the criteria are met, the HSE is obliged to fund the care. A NHS-commissioned review of the clinic has recommended closure and a move to a local/regional approach to service provision, in line with other paediatric services.

The HSE is reviewing the NHS report and assessing the potential impact for existing pathways of care and service delivery. The HSE national clinical advisory and group lead for mental health meets regularly with Tavistock Clinic to discuss waiting list issues. The HSE has not received any complaints about the services provided by the clinic. The HSE is actively seeking services in other countries to replace the Tavistock Clinic.

The Department received a report on the Cass report from the Office of the National Clinical Director and Lead for Integrated Care in the HSE, which is currently being considered. 

The report of the steering committee on the development of HSE transgender services was published in 2020. The report acknowledged the additional funding made available to develop services in recent years. It advised on the development of seamless interfaces between agencies providing gender services and developed a job description for a consultant psychiatrist in child and adolescent psychiatry to lead on the development of a services for those aged under 18 years.  Subsequently, this position was advertised twice but has not yet been filled. 

Minister Donnelly and Minister Butler recently held a constructive meeting with a number of clinicians from the National Gender Service. They intend to meet with the HSE and other stakeholders to hear their views and proposals.

Minister Donnelly, Minister Butler and I are committed to working with the HSE to provide a gender identify service that meets the health needs of children and young people.