News | Professional Association for Trans Health Ireland

Statement on Reported Failures of the NGS and Need for Systemic Reform

Written by PATHI | 30 April 2025 13:57:08 Z

The Professional Association for Trans Health Ireland (PATHI) is deeply concerned, but not surprised, by the recent article published in The Journal that highlights the experiences of individuals who have faced inappropriate and harmful treatment within the National Gender Service (NGS) in Ireland. We extend our solidarity and compassion to those who have bravely come forward to share their stories. No one seeking gender-affirming care should be met with disrespect, gatekeeping, outdated practices or abuse. For some years now, Ireland has ranked at the bottom of EU states’ provision of gender-affirming health care – this has to end.

PATHI is an all-island multidisciplinary organisation representing, supporting, and connecting professionals working to strengthen the health, rights, and wellbeing of all trans and gender diverse people across Ireland. Our mission is to advocate and promote the advancement of health and wellbeing for all trans and gender diverse people across Ireland. We believe in a model of care that is person-centred, evidence-based, and rooted in respect for the autonomy and lived experiences of those seeking support. 

Reports of invasive, dehumanising assessments and systemic delays are not only distressing; they are unacceptable and in contravention of the principles underlying Ireland’s national standards for health and social care services, which require a rights-based approach to person-centred care that enhances safety and wellbeing, delivered in a timely, sensitive and accountable manner.

We welcome the HSE’s indication of reform in the model of care for gender-affirming healthcare, provided the HSE is open to collaboration with all stakeholders: the community, their families, relevant support organisations, and all healthcare professionals.

This new model must include:

  • A shift away from pathologising models of care toward an informed consent approach in line with international best practice;
  • Transparent and accountable standards of practice;
  • Investment in training for healthcare professionals to ensure trans-inclusive, trauma-informed care;
  • Ongoing community involvement and oversight in shaping services that reflect real needs.

PATHI will continue to advocate for a healthcare system that treats trans people with the dignity and respect every person deserves. We call on the HSE and St John of Gods to investigate these issues thoroughly and take meaningful action to rebuild trust within the community.

To anyone affected by these issues: you are not alone. We are here, we are listening, and we will continue fighting for your right to safe, affirming, and accessible healthcare.

For media inquiries or further comment, please contact us at info@pathi.ie.

Photo Credit: The Journal