the tavistock�*s chief executive says it means they can once again send young people worried about their gender identity for puberty blockers treatment after careful checks and discussion. at the heart of that is respecting what young people know about their own minds, their own bodies. and i think that's a really important principle. with all the clinical safeguards you need in cases of this kind, but respecting the autonomy of young people at the same time. working obviously with their parents and families. keira bell's lawyer says they are disappointed by the ruling, but he believes the case has already ensured much more scrutiny of these life—altering decisions. the case has been hugely significant in terms of medical treatment for children with gender dysphoria, and not only in this country but around the world. in this country, the nhs has updated its advice on the reversibility of puberty blockers. an extra layer of protection has been put in place for children