Charles Flanagan (Laois-Offaly, Fine Gael)
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239. To ask the Minister for Health the number of children referred from Ireland to a clinic (details supplied) for gender identity treatment in each of the past ten years. [52287/22]

Frank Feighan (Sligo-Leitrim, Fine Gael)
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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.

Charles Flanagan (Laois-Offaly, Fine Gael)
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240. To ask the Minister for Health if he will outline the contractual relationship and service agreement entered into between Our Lady's Children's Hospital Crumlin and a clinic (details supplied); and if such an agreement remains in place to date. [52288/22]

Frank Feighan (Sligo-Leitrim, Fine Gael)
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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.

Charles Flanagan (Laois-Offaly, Fine Gael)
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241. To ask the Minister for Health if representatives of a clinic (details supplied) attended on site at Our Lady's Children's Hospital Crumlin for the purposes of treating children with gender identity issues; and if so, when; and under which legal arrangement. [52289/22]

Frank Feighan (Sligo-Leitrim, Fine Gael)
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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.

Charles Flanagan (Laois-Offaly, Fine Gael)
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242. To ask the Minister for Health if he will outline the process, practice and procedure in respect of medical and psychological assessment undertaken in respect of children referred by the HSE to a clinic (details supplied). [52290/22]

Frank Feighan (Sligo-Leitrim, Fine Gael)
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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.

Charles Flanagan (Laois-Offaly, Fine Gael)
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243. To ask the Minister for Health if he will outline the nature and form of appropriate and accepted published long-term scientific studies or sources relied upon in respect of referrals of children from Ireland with gender identity issues to a clinic (details supplied). [52291/22]

Frank Feighan (Sligo-Leitrim, Fine Gael)
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The Programme for Government commits to create and implement a general health policy for transgender people, based on a best practice model for care, and to deliver a framework for the development of national gender clinics and MDTs for children and adults.

A steering committee produced a report on the development of HSE transgender identity services in 2020. The committee included representatives of all stakeholders, including advocacy representatives, and was chaired by Dr Siobhan Ni Bhriain on behalf of the chief clinical officer. 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. The committee agreed a job description for a consultant psychiatrist in child and adolescent psychiatry in CHO 7 and CHI to develop the service for those aged under 18 (and to replace the current system of psychological support provided by the Tavistock Clinic). The consultant psychiatrist would develop and lead a MDT to support the delivery of gender identity services. Subsequently, this position was advertised twice but has not yet been filled.

In lieu of the consultant psychiatrist and MDT, 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 Tavistock 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.

Minister Donnelly and Minister Butler recently held a constructive meeting with a number of clinicians from the National Gender Service. Further meetings are planned with the HSE and other stakeholders to hear their views and proposals.

My fellow ministers 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.