5. Will the Cabinet Secretary provide an update on the development of a gender identity service for Wales? OAQ52424

Thank you for the question. I feel strongly that transgender people should be able to have their healthcare needs met as close to home as possible. I remain committed to improving transgender care in Wales, both through primary and secondary care. In addition to the improvements that I outlined in my written statement recently, I can confirm that the senior clinician for the Wales gender identity team is now in post.

It is entirely unacceptable that there have been delays of 12 months before introducing this new service, and this creates problems in terms of inconsistency in information provided to people who require this service, with some being told that there is no service available, whilst, in reality, the clinic in London continues to be available to people from Wales until the new service is up and running. Can you explain why there has been this delay, and will you ensure that accurate information is shared with people who ask for gender identity services in this transitional period?

Yes. This is a real issue of concern to people across Wales, and I am deeply frustrated at the time that it has taken us to date. I would want to see a much swifter rate of progress for the future. Some of that has been about recruiting the right staff in the right place, but frankly, the frustrations, I feel, don't compare to people who have had their healthcare interrupted. That is the point of this. I am significantly unhappy that some people have had their current ways of accessing healthcare within Wales interrupted. There is absolutely no reason for any of the announcements that I have made to be used as a reason to make health services more difficult to access. The improvements that I expect in primary care are frankly no more than any of us expect for ourselves—to have normal primary healthcare needs provided within our local community.

We are reaching a point where we have an answer to provide that local healthcare need on a consistent basis. Nobody should stop treating patients at this point in time in the way they currently access care, and, indeed, the specialist care, we expect more of that to be delivered in Wales in the future, and the senior clinician in the Wales gender team should be able to help make progress on that already. So, I'm unhappy with our lack of progress. I continue to meet people from the transgender community and have correspondence from them and, indeed, our healthcare service will continue to meet with stakeholders and the most important people of course—transgender people themselves.

Cabinet Secretary, the development of the gender identity service for Wales will make it much easier for transgender people to access services and support locally, without the need to travel further afield. Can you say a little bit more about your commitment to setting up a network of GPs with a particular specialism in gender identity to ensure local access? You've touched on this with Siân Gwenllian. It's clearly an important area. Can you say a little bit more about how you would see that operating in practice?

Yes. We've already agreed funding for somebody to be hosted by Cardiff and Vale health board to respond to the immediate prescribing needs, because that's often the real crunch point, where some GPs don't feel confident in prescribing after a hospital-led service has actually started a course of treatment. We should eventually reach a point where we have a wider network, but the first point will be to ensure that an employed GP, directly employed by the health board, is available to fill the gap that we recognise that currently exists as we want to develop that wider service, because, as I say, this is a regular healthcare need that we should be able to meet within local healthcare, and it is not a point of credit to our service that we have not been able to do so to date.