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NHS England pauses new prescriptions of cross-sex hormones for under-18s

NHS England will consult for 90 days on removing hormone treatment as routine for under-18s after a review found evidence supporting its use is weak.

  • On Monday, NHS England paused new referrals for 16- and 17-year-olds and launched a 90-day public consultation, following an NHS review that concluded evidence does not support continued hormone use for under-18s.
  • Following the Cass review, policy shifted with a 2024 ban on puberty blockers for under-18s after Baroness Hilary Cass urged 'extreme caution' and a clear clinical rationale.
  • Patients currently receiving treatment can continue but must have individual clinical reviews with their clinical teams, as oestrogen and testosterone cause irreversible changes like breast development or voice deepening.
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Evening Standard broke the news in London, United Kingdom on Monday, March 9, 2026.
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