Connect with us

News

Northern Ireland to participate in trial assessing puberty blocker use

A forthcoming trial aims to evaluate the potential risks and benefits associated with the use of these medications in minors experiencing gender dysphoria.

A clinical trial assessing the effects of puberty-blocking drugs on children questioning their gender is set to include Northern Ireland as a participating site.

Dr Hilary Cass speaking to reporters in 2024.  She has short, dark, curly hair and dark-framed glasses.  She is wearing a blue cardigan over a black and white patterned top, with a navy beaded necklace.
Consultant paediatrician Dr Hilary Cass has led a number of reviews into gender identity services

This development comes after a review of Northern Ireland's gender identity services, led by Dr. Hilary Cass, which examined the current state of these services.

Dr. Cass emphasized the importance of thorough assessments for children and young people before they are placed on any medical pathway for gender transition, considering their overall well-being.

The review was commissioned by Health Minister Mike Nesbitt, who tasked Dr. Cass with evaluating the existing gender services in Northern Ireland.

Dr. Cass, a consultant in pediatric disability and former president of the Royal College of Paediatrics and Child Health, brings extensive expertise to the review.

Previously, she conducted a similar review for NHS England, examining the gender services available to young people.

The NHS England review highlighted significant gaps in research and a lack of robust evidence supporting medical interventions in gender care for children.

Specifically, Dr. Cass's review found insufficient evidence to confirm the safety and effectiveness of puberty blockers, which temporarily pause puberty.

Researchers at King's College London are currently undertaking a clinical trial involving approximately 220 children under 16, exploring the impact of these drugs on their overall development.

The trial aims to investigate the physical, social, and emotional effects of the medication on the participating children.

However, the trial has sparked controversy, with some campaigners expressing concerns about its potential risks and ethics.

According to Dr. Cass's review, Northern Ireland is poised to participate in this trial as a research site.

To facilitate this, Dr. Cass noted that significant staff training, changes to clinical processes, and establishment of research infrastructure would be necessary.

She also stressed the need for comprehensive training on all aspects of the research protocol, including preparatory work with young people being considered for puberty blockers.

Dr. Cass underscored the urgency of engaging with the King's College London team leading the trial.

The Belfast Health Trust operates the Brackenburn Clinic, which provides services for adults with gender dysphoria and a separate service, Knowing Our Identity (KOI), for young people.

The clinic currently supports around 150 adults, with 25 new patients each month, and approximately 60-80 children and young people referred to the KOI service annually.

Plans are underway to merge under-18 and adult services into a single "Lifespan Gender Identity Service" to address the growing waiting list for gender services in Northern Ireland.

Dr. Cass was asked to assess whether the proposed changes to services for young people in Northern Ireland align with the recommendations from her previous review in England.

Her review involved meetings with staff and users of gender identity services in Northern Ireland, gathering insights into the current state of these services.

Dr. Cass observed that standardizing services in Northern Ireland with those in England would be beneficial, given the complexities and controversies surrounding this area of medicine.

She emphasized the importance of establishing a safe, standardized clinical pathway from assessment to treatment.

The review called for more research into the characteristics of children seeking treatment and the outcomes for each young person.

Dr. Cass noted that referrals from Child and Adolescent Mental Health Services (CAMHS) have helped facilitate early mental health treatment for young people in Northern Ireland.

However, some CAMHS staff expressed frustration about delays in accessing the KOI service for children and young people on their caseload.

The review highlighted the need for comprehensive assessments that capture the individual needs of young people, enabling tailored interventions before any medical pathway is considered.

Mike Nesbitt, a man with short, grey hair and glasses, at an event in Stormont last month.  He is wearing a black suit, a blue shirt and a navy tie with a yellow stripe. He is standing in front of a window in a white room.
Health Minister Mike Nesbitt appointed Baroness Cass to review Northern Ireland's gender services and thanked her for her work

The review acknowledged that a small subgroup of children may experience persistent gender incongruence and require ongoing support, possibly including medical interventions.

Dr. Cass stressed the importance of supporting parents in keeping options open and managing distress to avoid premature or inappropriate social transitions.

The review included several recommendations, with a key suggestion being that clinical practice in Northern Ireland should align with that in England.

Dr. Cass noted that the proposed Lifespan model should facilitate a smoother transition from children's to adult services for 17-25 year olds.

Health Minister Mike Nesbitt expressed gratitude to Dr. Cass and her team for conducting the review during their visit to Northern Ireland in November.

Nesbitt hoped the report would provide assurance that the new Lifespan Gender Service complies with Dr. Cass's 2024 review and that investing in additional psychological and psychiatric support is the right approach.

In July, Nesbitt faced criticism from some unionist politicians after allocating over £800,000 to gender identity provision in Northern Ireland.

News

GB men’s curling team suffers upset defeat to Italy

At the 2026 Winter Olympics, Great Britain’s men’s curling team mounted a comeback against Italy following a disappointing beginning, ultimately falling short in their inaugural match.

Despite a valiant comeback, Team GB ultimately fell short as Italy held their composure to secure the win in the final end.

A dismal start to the match proved costly for Team GB's men, as they suffered their first defeat of the Winter Olympics at the hands of host nation Italy, despite a spirited fightback in the packed Cortina Curling Stadium.

Following victories in their first two matches, including a win over the Swedish rink that beat them in the gold-medal match four years ago, Team GB entered their second high-profile encounter in as many days in a confident position.

However, a disastrous opening end, in which Italy stole four points, left Team GB trailing and facing an uphill battle in front of a boisterous home crowd.

The British team, currently ranked number one in the world, gradually regained their footing and managed to level the score by the ninth end.

Ultimately, Italy maintained their composure in the final end to emerge victorious, winning 9-7 and adding Team GB to their list of scalps, which already included the Swedes.

"We had to dig deep and play some solid curling, but unfortunately, it wasn't enough to get us over the line," Team GB lead Hammy McMillan said in an interview with BBC Sport.

With seven wins from nine round-robin matches guaranteeing a spot in the semi-finals, Team GB remains in a strong position, although fewer wins may still be sufficient to advance.

The women's team is set to take to the ice next, facing South Korea in their second match at 13:05 GMT, while the men will return to action on Saturday against the Czech Republic at the same time.

Team GB is at the forefront of curling's technological advancements.

Embracing what sets you apart can be a powerful asset, according to some athletes.

A daily guide to the Winter Olympics is available for those looking to stay up-to-date with the action.

The looks of shock on the faces of Team GB's curlers told the story of a disastrous opening end.

With a stone in play, Mouat attempted a risky shot in an effort to claim two points, but it backfired, resulting in none of Team GB's stones in the house and four Italian stones in position.

However, the Scottish quartet, ranked number one in the world, quickly regained their composure and got back to their game.

The teams exchanged singles before a impressive final throw by Mouat, aided by a measurement to determine which stone was closest to the button, allowed Team GB to claim two points and narrow the gap to 5-3.

Another excellent team effort, which included a well-judged throw by Mouat, a solid sweep by Hammy McMillan and Bobby Lammie, and Grant Hardie's strategic expertise, forced Italy to concede a point in the fourth end, reducing the deficit to a single point at the break.

Italy blanked the sixth end and added two points in the seventh to rebuild their lead, but Team GB fought back with two points of their own, remarkably levelling the score with one end remaining after a steal.

The match came down to the final end, but Italy held their nerve to secure the win, prompting a deafening roar from the crowd.

"It's an incredible experience, and we need to get used to it," McMillan added, describing the electric atmosphere as "surreal" and "cool," more akin to a football match than a typical curling crowd.

Continue Reading

News

Scotland Kicks Off Nations League Against Slovenia

Uefa has released the schedule for the Nations League, with Scotland set to begin their campaign on 26 September with an away match against Slovenia.

Uefa has released the schedule for the Nations League, with Scotland's campaign set to begin on 26 September with an away match against Slovenia.

The team's six group stage games will be played within a three-month period, culminating in a match against Switzerland on 16 November.

The fixture list was announced following Thursday's draw, which placed Scotland in a group with Switzerland, Slovenia, and North Macedonia.

Having been relegated from League A after a play-off loss to Greece last year, Scotland will compete in the second tier of the Nations League this year.

In response to the draw, head coach Steve Clarke noted that the teams in the group appear to be evenly matched.

Clarke reflected on the team's past experience in the competition, stating that it has been beneficial for Scotland.

He emphasized the importance of the Nations League, citing its role in helping the team qualify for Euro 2020, and anticipated a challenging set of matches.

A key matchup in the Nations League will see Scotland face off against Switzerland.

The group stage will determine the teams' fates, with the winner earning promotion, the runner-up entering a play-off, the third-placed team facing a relegation play-off, and the fourth-placed team being relegated directly.

The upcoming group games will mark a reunion for Scotland and Switzerland, who previously drew 1-1 in Cologne at Euro 2024.

Scotland's last encounter with Slovenia was during the 2018 World Cup qualification campaign, when they won 1-0 at home and drew 2-2 away.

The team has not played North Macedonia since the 2014 World Cup qualifiers, when they drew 1-1 at home and won 2-1 away, with goals from Ikechi Anya and Shaun Maloney.

The schedule for Scotland's Nations League campaign begins on 26 September with a match against Slovenia.

The team will then host Switzerland on 29 September, followed by a trip to face North Macedonia on 3 October.

Scotland will then play Slovenia at home on 6 October, before hosting North Macedonia on 11 November.

The final group stage match will see Scotland travel to face Switzerland on 16 November.

The team's home match against North Macedonia is set for 11 November.

The campaign will conclude with an away match against Switzerland on 16 November.

Continue Reading

News

Golfer McIlroy Sinks Bunker Shot at Pebble Beach Pro-Am

At the AT&T Pebble Beach Pro-Am in California, Rory McIlroy achieved an eagle on the 14th hole at Spyglass Hill, capping off his opening round with a score of 68.

During the AT&T Pebble Beach Pro-Am in California, Rory McIlroy achieved an eagle on the 14th hole at Spyglass Hill, contributing to his first-round score of 68.

For further information, Rory McIlroy had a solid opening round, while Hisatsune took the lead.

Access to this content is restricted to users in the United Kingdom.

Continue Reading

Trending