Stop the NHS Puberty Blocker Trial
The NHS has approved a £10 million clinical trial of puberty blockers despite serious ethical, scientific, and safeguarding concerns. Genspect opposes this trial and is calling for evidence-based approaches that protect vulnerable young people from experimental medical interventions.
Join Us in London
Stand with us outside the Department of Health to demand an end to the PATHWAYS trial.
Everyone welcome – from all political parties & campaign groups, and none.
Why We Oppose the PATHWAYS Trial
The trial raises profound ethical, scientific, and safeguarding concerns that have not been adequately addressed.
No Detransition Safeguards
The words “detransition” and “regret” appear nowhere in the trial protocol—despite being the most well-documented adverse outcomes of puberty blocker treatment.
98% Proceed to Cross-Sex Hormones
The trial protocol acknowledges that blockers disrupt natural recovery, with 98% proceeding to sterilising cross-sex hormones. This is not a neutral “pause.”
Insufficient Duration
Regret typically takes 7–11 years to manifest, yet the trial runs for just two years. It cannot measure the most predictable long-term harm it will cause.
Neurodivergent & LGB Youth at Risk
Children with autism, ADHD, and same-sex attraction will not be excluded—despite these being identified as factors leading many to later regret transition.
Activist Diagnostic Criteria
The trial adopts the ICD-11 diagnosis of “gender incongruence”—a vague, activist-created label that pathologises natural gender non-conformity in children.
Data Linkage Study Abandoned
The NHS refuses to track outcomes for 9,000 children already treated at the Tavistock before enrolling hundreds more.
Join the Movement to Protect Puberty
For Organisations
Memorandum of Understanding
Display the MoU compliance badge to show your commitment to protecting healthy adolescent development.
Sign the MoUStatement of Concern
Add your name to publicly oppose the use of puberty blockers for gender-distressed minors.
Add Your NameTake Action: Contact Your MP
Make your voice heard. Contact your Member of Parliament to express your concerns about the PATHWAYS trial.
Find Your MP
Identify your local representative using the official Parliament website.
Find Your MPWrite Your Letter
Use our template below or personalise your message for greater impact.
Send It
Email or post your letter. Contact details are on your MP’s official page.
Template Letter to MPs
A ready-to-use letter raising concerns about the NHS puberty blocker trial. Personalise it with your own views for maximum impact.
Dear [MP’s name],
New puberty blockers trial to begin after UK ban
https://www.bbc.com/news/articles/c2k4jg0wkj4o
I am writing as your constituent to express my deep concern about the upcoming trial of puberty blockers on the most vulnerable children. This is called the Pathways Trial and will be conducted by Kings College London – https://www.kcl.ac.uk/research/pathways-trial.
I believe this trial should not go ahead due to unresolved questions regarding its safety, long-term effects, and the ethical implications of administering such treatment to minors as young as 10.
You may not be aware of the backgrounds of the children likely to be involved in this experiment. We do know some of the details of those children referred to Gender Identity Services at the Tavistock Clinic from Hannah Barnes’s book “Time to Think” and it is fair to assume that the new cohort of children will have similar life experiences:
- 70% of referrals had more than 5 comorbidities such as abuse, depression, self-harm, suicide attempts, anxiety, eating disorders or ADHD
- 90% of natal females and 80% of natal males reported being same-sex attracted or bisexual
- 35% had Autistic Spectrum Disorder compared with less than 2% of children in the general population
- 25% had spent time in care compared to less than 0.67% of children in the general population
- 42% had lost a parent through death or separation
We cannot in all conscience permit further experimentation on the most vulnerable children in society.
Wes Streeting, Secretary of State for Health and Social Care, announced an indefinite ban on puberty-suppressing hormones for under-18s in December 2024. Now he is promoting a trial of the drugs he outlawed – how can this possibly be justified?
Tavistock whistleblowers Sue and Marcus Evans wrote to Wes Streeting on 24 November 2025 saying “Please don’t spend more money on this shallow, harmful medical trial, instead we urge you to invest holistically in the children’s futures and take care of the people already harmed.” That is the way to go, with no need for further experimental drug treatment.
Since the Cass Review was published in April 2024, even more evidence has been published about the dangers of puberty blockers. One example is the US Department of Health and Human Services’ comprehensive report “Treatment for Pediatric Gender Dysphoria – Review of Evidence and Best Practices” published 19 November 2025. This lengthy and detailed systematic review builds on the work of the Cass Review, and comes to a chilling conclusion:
“While no clinician or medical association intends to fail their patients—particularly those who are most vulnerable—the preceding chapters demonstrate that this is precisely what has occurred.”
I urge you to raise this matter with Wes Streeting and call for the immediate suspension of the trial. We cannot “fail the most vulnerable” ever again.
Thank you for representing my views.
Yours sincerely,
[Your Name]
Briefing: Puberty Blockers, Detransition & the NHS Trial
Research findings and lived experiences from those harmed by puberty blockers.
Puberty Blockers, Detransition and the NHS Trial
This briefing debunks seven common myths about puberty blockers, presents evidence from research and detransitioner testimonies, and offers clear policy recommendations for evidence-based approaches to gender distress.
Created in collaboration with Beyond Trans users who have shared their experiences with Genspect.
Read the BriefingResearch, Analysis & Resources
Comprehensive analysis and advocacy materials on the PATHWAYS trial.
An Open Letter from Genspect to Dr Hilary Cass
We urge reconsideration of support for this trial. Putting children into an experiment that suppresses their development, based on a trial designed around short-term outcomes, cannot meet ethical standards in any era, least of all post-Cass.
Read the Full LetterVoices of Detransitioners
Beyond Trans service users who have taken puberty blockers share their messages to young people considering taking part in the trial. Share their words on social media using the quote cards below.
Watch & Learn More
Expert analysis and discussion on the NHS puberty blocker trial.
Beyond Gender: The Pathways Trial
This episode features Carrie Clark. It examines how the £10 million study ignores evidence of harm, fails to include detransitioners, and raises serious questions about the ethics of further experimentation.
Webinar: Necessary Evil or Medical Scandal in the Making?
Carrie Clark and guest speakers Professor Michael Biggs, Dr Louise Irvine and psychotherapist Sue Evans discuss the NHS puberty blocker study. January 2025.
Support for Detransitioners
Beyond Trans is the only specialist support service for detransitioners in the UK, providing free therapeutic programmes to people who feel distressed or ambivalent about their transition.
