We are all about open debate here but the Senator must be careful of the Standing Orders relating to the Kerins case that we have adopted in the context of naming people who are not in the Chamber to defend themselves. I would just make that point. The Senator is aware of the Standing Order.

Have I mentioned somebody who is not here?

No. If the Senator is making allegations, however, she has to be very careful.

I have not made any allegations.

The Senator is saying this clinic been subject to numerous reports about its level of care and that therefore-----

This is documented.

I am just saying-----

I understand the Cathaoirleach's concern. I would not be coming in here to voice any untruths that have not been stated in a report elsewhere. I assure him of that.

I am just urging caution.

I thank the Cathaoirleach.

Second, there has not been routine or consistent data collection, which has made it impossible to accurately track the outcomes of clinical intervention in solving gender dysphoria. Third, due to the explosion in demand, the clinic has not been subjected to best practice quality controls, which are usually required before a new treatment is approved.

This interim report has prompted a call for an urgent inquiry into the service from the British Secretary of State for Health and Social Care, Mr. Sajid Javid, amid fears that the system is failing children and that vulnerable children are wrongly being given gender hormone treatment. Mr. Javid was particularly alarmed by the pressures on staff to adopt an unquestioning affirmative approach to physically transitioning children over any form of psychological care or assistance. A concern among UK clinicians is that this recourse to the clinical approach is becoming a form of gay conversion therapy as a result of frequent cases of people who started identifying as trans after months of experiencing-----

The Senator's time is up.

Do I not get extra time?

I gave the Senator extra time.

May I finish briefly?

Please.

I was made aware of an incident in this country a few weeks ago where a teenage boy came out as gay in confidence to a group of his female friends. They responded by saying that, if he liked boys, he must be a girl and, therefore, must be transgender. He rejected this, saying that he had never felt like a female and that he was simply attracted to men. As a result of his not accepting his friends foisting a gender identity on him, his female friends in whom he had confided broke contact and refused to speak to him. This scenario was never envisaged by those who fought for equality - a gay man being pressured to change his gender in order to have his sexual orientation become straight. A debate is in order so that we can find out the Minister's view on the Cass review and discuss the level of care that we in this Chamber want Irish children to receive.