I must now deal with a postponed division relating to the motion regarding trans healthcare. On Wednesday, 3 December, 2025 on the question, "That the motion be agreed to", a division was claimed and in accordance with Standing Order 85(2), that division must be taken now. Will the Deputies claiming a division please rise?
Trans Healthcare: Motion (Resumed) [Private Members]
The following motion was moved by Deputy Marie Sherlock on 3 December, 2025.
That Dáil Éireann:
recalls that it is now a decade since the passage of the Gender Recognition Act 2015;
notes that:
— trans healthcare in Ireland is consistently ranked as the worst in Europe, with over 2,000 people on a waiting list for healthcare;
— stories from transgender people constantly highlight how Ireland's flawed healthcare system is not working, with invasive and insensitive scrutiny from the current National Gender Service; and
— the previous Programme for Government committed to a stronger model for trans healthcare in line with the World Professional Association for Transgender Health (WPATH) international best practice guidelines, but the current Programme for Government has watered down those commitments to the point where they are meaningless;
recognises that:
— there is a need to change the current approach to transgender healthcare in Ireland; and
— the Health Service Executive has initiated a new clinical programme for gender healthcare, is developing an updated clinical model, and has established a Clinical Advisory Group; and
calls on the Government to:
— provide a model of gender-affirming care in primary care settings, with a focus on General Practitioner-led (GP) care, based on informed consent as per WPATH and world Health Organization guidelines, and international best practice;
— replace the National Gender Service with a new national clinical programme for trans healthcare in Ireland, with integrated care pathways, recognising a key role for GPs, and the major need for recruitment of specialists providing gender affirming care;
— ensure that the new national clinical programme:
— is developed in collaboration with transgender people;
— has specific responsibility and oversight for governance and training, alongside ensuring transgender healthcare is based on informed patient consent;
— provides comprehensive training for healthcare professionals in gender-affirming care;
— has a comprehensive network of GP's providing that care in primary care community-based settings; and
— further provides appropriate resourcing of specialist gender affirming care and the expansion of gender affirming surgical services, so that the majority of trans persons requiring surgery do not have to travel abroad;
— confirm a timeline for the introduction of the new clinical programme for trans healthcare;
— establish guidance and facilities to allow for trans healthcare for young people aged under 18;
— implement a ban on conversion therapies that is inclusive of trans identities and healthcare;
— implement the recommendations of the 2018 Government Review of the Gender Recognition Act 2015, including to allow for the recognition of non-binary people and simplified non-medicalised gender recognition for young people under 18; and
— ensure that the bodily autonomy of intersex children and adults is respected.
Deputies Michael Collins, Michael Fitzmaurice, Danny Healy-Rae, Paul Lawless, Carol Nolan, Richard O'Donoghue and Peadar Tóibín rose.
As fewer than ten Members have risen, I declare the question carried. In accordance with Standing Order 87, the names of the Deputies dissenting will be recorded in the Journal of the Proceedings of the Dáil.
Question declared carried.
Cuireadh an Dáil ar athló ar 10.45 p.m. go dtí 8.47 a.m., Déardaoin, an 4 Nollaig 2025.
The Dáil adjourned at 10.45 p.m. until 9 a.m. on Thursday, 4 December 2025.