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Health Research Authority

High Court rejects challenge to PATHWAYS; HRA response — routine NHS ban unchanged

Jul 31, 2026
Editorial illustration of the Royal Courts of Justice in London

On 31 July 2026, the Health Research Authority published its response to the High Court’s decision on the PATHWAYS legal challenge. Mr Justice Chamberlain refused permission to apply for a judicial review and refused the application to stop the trial.

Mixed / setback for stopping the trial. Campaigners who wanted PATHWAYS halted did not succeed at the permission stage. That is a setback for that challenge. It is not a lifting of the routine NHS ban on puberty blockers for gender dysphoria / incongruence in children and young people. PATHWAYS remains a research trial, not a return of standard clinic care.

The HRA said PATHWAYS Trial had the necessary approvals to begin recruiting participants in line with the approved research protocol.

Official source

- HRA, 31 July 2026: Our response to the outcome of a legal challenge of the PATHWAYS Trial

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