the report questions the long—term impact of puberty—blockers and other hormone treatment and says more holistic care is needed and the other main stories on today's programme. the murder of four—week—old ollie davies — his father is jailed for a minimum of 22 years. showing off some of the proceeds of a £54 million benefit fraud — a gang of bulgarian nationals is convicted of the largest scam of its kind in england and wales. and in a break with a century old tradition — there'll be prize money for gold medal athletes at this yea r�*s paris olympics. and coming up in sport on bbc news.

aston villa forward rachel daly, part of england's euro 2022 winning side, announces her retirement from international football. good afternoon. a major report into gender services for young people says that medical interventions given to the under 18s are based on "remarkably weak evidence." the report's author — dr hilary cass — says the long—term impact of using puberty blockers and hormones, which make people's appearance either more masculine or more feminine, is uncertain and should only be given with "extreme caution." she suggests that young people who are questioning their gender might be having their other healthcare issues — such as autism or mental health — overlooked. the report stresses it is not intended to undermine trans identities, but to improve the care of the growing number

of children and young people with gender—related distress. our health editor hugh pym reports. it isa it is a landmark review with a stark conclusion that children had been let down because of remarkably weak evidence on medical interventions in gender care. this report follows an interim review, which has already led to major changes. gender services, provided by the controversial tavistock clinic in london, ended last month. two new centres in london and liverpool have been set up. the use of drugs to stop the onset of puberty has now stopped until further research is done. the author of the report says hormone treatments should in future be used with extreme caution bought 16-18 be used with extreme caution bought 16—18 —year—olds, and argues that children were let down by the quality of services. it is children were let down by the quality of services. it is unusual for us to give — quality of services. it is unusual for us to give a _ quality of services. it is unusual for us to give a potentially - quality of services. it is unusual for us to give a potentially life | for us to give a potentially life changing treatment to young people

and not know what happens to them in aduu and not know what happens to them in adult hood. that has been a particular problem that we haven't had the follow—up into adult hood to know what the results of this are. that is the reason why i have said that we must improve the research base. ., �* , ., ., ~ base. cieron bell started taking ube base. cieron bell started taking puberty blockers _ base. cieron bell started taking puberty blockers aged - base. cieron bell started taking puberty blockers aged 16 - base. cieron bell started taking puberty blockers aged 16 after. base. cieron bell started taking - puberty blockers aged 16 after being referred to the tavistock. she then took legal action, arguing she was not challenged enough at the clinic and regretted her decision. a lawyer responded to the review findings. whilst it is very reassuring for young — whilst it is very reassuring for young people who are going through gender—questioning and their parents. _ gender—questioning and their parents, hopefully there will be a new service developed that will meet their needs appropriately. it is unfortunate for many young people that it _ unfortunate for many young people that it comes too late. they live with _ that it comes too late. they live with the — that it comes too late. they live with the ongoing consequences of preclinical treatment. their lives are forever— preclinical treatment. their lives are forever changed.— are forever changed. expanding

uender are forever changed. expanding gender services _ are forever changed. expanding gender services is _ are forever changed. expanding gender services is another - are forever changed. expanding gender services is another key. are forever changed. expanding - gender services is another key focus this review. recommendations include a separate pathway for young children and their families, allowing early discussions to take place, a follow—through service for 17-25 place, a follow—through service for 17—25 —year—olds, and assurances that the same standards of care as other parts of the nhs will be provided. sonia wanted to transition from the age of 15, but she found she couldn't get access to care and was put on a waiting list. by the age of 18, she hadn't had a first appointment and was transferred to aduu appointment and was transferred to adult services. after hearing there would be another long wait, she opted to go private until she could be seen by the nhs. sonia says the long delays were hard to cope with and she hopes they will soon be chances. ., , , changes. hopefully with the review and its findings, _ changes. hopefully with the review and its findings, young _ changes. hopefully with the review and its findings, young trans - changes. hopefully with the review| and its findings, young trans people of today in the generation can have a more human and a more respectful

transition that it doesn't feel demeaning or demoralising or like it is taking years upon years ofjust waiting. is taking years upon years of 'ust waitinu. ,, ., . , waiting. nhs england centre will be an implementation _ waiting. nhs england centre will be an implementation plan. _ waiting. nhs england centre will be an implementation plan. for- waiting. nhs england centre will be an implementation plan. for sonia, j an implementation plan. for sonia, it is the detail and the delivery which will count. hugh is with me. what's the reaction been this morning? there has been a pretty broad welcome for this very comprehensive peace of work by dr hilary cass running to several hundred pages. the prime minister has said that he wanted to welcome it and thank dr cass that it was full of care and compassion in what was being put forward. and she said extreme caution that have to be used when it came to long—term treatment and changes have already been made by nhs england in response to the interim report. wes streeting, labour plasma cal spokesman, has either raised serious concerns that

are pretty scandalous. he has questioned why only weak evidence was used to justify interventions and why clinicians were silenced or made to feel they couldn't speak out. i think there will be continuing debate on all this. many groups and campaigners are studying the fine print. as we heard there, i think it is fine to talk about a plan and recommendations and implementing them, but will resources be put forward to fund these extra clinics which are being created to provide the extra care? thank you very much. hugh pym there. a man who murdered his four—week—old son has been jailed for a minimum of 22 years. michael davis's son ollie was found unresponsive at the family home in leicester in 2017. he had a broken neck as well as dozens of other injuries. our midlands correspondent phil mackie is outside loughborough court. a very distressing case, what was heard in court? i a very distressing case, what was heard in court?—

heard in court? i am afraid some awful detail _ heard in court? i am afraid some awful detail was _ heard in court? i am afraid some awful detail was read _ heard in court? i am afraid some awful detail was read out - heard in court? i am afraid some awful detail was read out in - heard in court? i am afraid some| awful detail was read out in court today about the extensive injuries that this little baby boy, barely just four weeks old, ollie davis, in 2017 suffered at the hands of his father michael davis. they include severe fractures across his body. he ultimately died from a broken neck. sentencing him, thejudge said he had inflicted a truly appalling set of injuries during a series of violent and sustained attacks, which would have caused all the intense pain. he was jailed for life, must serve a minimum of 22 years before eligible for parole. and all�*s mother was also jailed for seven years for causing or allowing the death of a child. after the sentencing hearing, we heard from detective inspector mark parrish from the east midlands special operations unit. . , . the east midlands special operations unit. ., , ., ,., the east midlands special operations unit. ., _ the east midlands special operations unit. ., ,, ., unit. ollie was a newborn baby who relied on his _ unit. ollie was a newborn baby who relied on his parents _ unit. ollie was a newborn baby who relied on his parents for— unit. ollie was a newborn baby who relied on his parents for everything| relied on his parents for everything he heeded~ — relied on his parents for everything he needed. it was their duty to love and protect— he needed. it was their duty to love and protect him. instead, he was let

down _ and protect him. instead, he was let down any— and protect him. instead, he was let down any most horrendous ways imaginable. due to the amount of injuries— imaginable. due to the amount of injuries ollie suffered, a medical expertise — injuries ollie suffered, a medical expertise needed to examine those injuries— expertise needed to examine those injuries is— expertise needed to examine those injuries is taken more than six years— injuries is taken more than six years for— injuries is taken more than six years for this investigation to come to court— years for this investigation to come to court and — years for this investigation to come to court and for ollie's parents to be held _ to court and for ollie's parents to be held accountable for his death. there _ be held accountable for his death. there has— be held accountable for his death. there has already been an interim safeguarding report published in two leicester social services, who had extensive knowledge of both parents before ollie was born. it was reach that they had failed to take the necessary assessments. none would have suspected this may have happened, though. we have had a rather sad statement read out in behalf of kelly driver's family straight after we had from the police. they described ollie as perfect in every way and said he will be forever in their broken hearts. . ~ will be forever in their broken hearts. ., ~ , ., five people have admitted stealing more than £50 million in what prosecutors say

is the biggest case of benefit fraud seen in england and wales. all of them are bulgarian nationals based in north london. they're due to be sentenced next month. here's our social affairs correspondent, michael buchanan. this is some of the almost £54 million stolen from the welfare system. two of the gang treating taxpayers' money like confetti, celebrating their role in one of britain's biggest benefit fraud operations. investigators found £750,000 in cash in one of the gangs homes. this was a sustained attack on a system that is supposed to protect the most vulnerable in our society. but instead, this gang used it as a cash machine to fund their lavish lifestyles. the group of three women and two men are all bulgarian nationals. they operated out of the wood green area of north london for a four and a half year period

before their arrest in may 2021. the gang made thousands of fraudulent claims for universal credit, forging documents like tenancy agreements to support either real or stolen ids. if a claim was rejected they'd simply reapply, sometimes repeatedly, until it was granted. stealing so much money for so many years raises serious questions for the government. when universal credit was introduced, the government said its have been designed to reduce fraud in the welfare system. that simply didn't happen. fraud increased and billions and billions of pounds were lost annually. the department for work and pensions said the gang had used a sophisticated combination of legitimate and fake documents to make it appear that they were eligible for benefits when they were not. the gang are all due to be sentenced next month. prosecutors will also attempt to confiscate as much money and other assets as they can. michael buchanan, bbc news. at the public inquiry, a leading supporter of the subpostmasters campaigning forjustice has said he had doubts over the post office's

approach to the truth. lord arbuthnot said he was also "frustrated and annoyed" with the government's response to his letter raising subpostmasters' concerns about the faulty horizon accounting software. here's zoe conway. he has been called the supposed masters at�* most trusted voice. conservative peer lord arbuthnot. —— supposed masters' most trusted voice. he started writing to ministers 15 years ago. the truth, the whole truth _ ministers 15 years ago. the truth, the whole truth and _ ministers 15 years ago. the truth, the whole truth and nothing - ministers 15 years ago. the truth, the whole truth and nothing but l ministers 15 years ago. the truth, l the whole truth and nothing but the truth... in the whole truth and nothing but the truth... :: :: ' ., ., truth... in 2009, he wrote to the business secretary _ truth... in 2009, he wrote to the business secretary peter - truth... in 2009, he wrote to the i business secretary peter mandelson asking the government to intervene. a morejunior minister asking the government to intervene. a more junior minister wrote asking the government to intervene. a morejunior minister wrote back, saying the post office was run at arms length. saying the post office was run at arms length-— arms length. there is a sort of democratic — arms length. there is a sort of democratic deficit _ arms length. there is a sort of democratic deficit that - arms length. there is a sort of democratic deficit that is - arms length. there is a sort of. democratic deficit that is popping up democratic deficit that is popping up here if the government is refusing to take responsibility for

it. also, the risks of owning a dangerous dog, you cannot see that the dangerous dog has an arm's—length relationship with you. if the dangerous dog behaves badly. the inquiry heard that in this letter to a government minister in 2012, the then chief executive paula vennells had said that in every case where a sub—postmaster had been prosecuted, the courts had found any post office's favour. the lead counsel to the inquiry, jason bure, had this to say about that. that counsel to the inquiry, jason bure, had this to say about that.- had this to say about that. that is a false statement _ had this to say about that. that is a false statement that _ had this to say about that. that is a false statement that in - had this to say about that. that is a false statement that in every i a false statement that in every instance — a false statement that in every instance the courts have found in our favour — instance the courts have found in ourfavour. it instance the courts have found in our favour. it isjust not true. would — our favour. it isjust not true. would you _ our favour. it isjust not true. would you have known at the time that that _ would you have known at the time that that was a false statement? no, i wouldn't. lord _ that that was a false statement? no, i wouldn't. lord arbuthnot _ that that was a false statement? no, i wouldn't. lord arbuthnot was - i wouldn't. lord arbuthnot was -la ed in i wouldn't. lord arbuthnot was played in the _ i wouldn't. lord arbuthnot was played in the itv _ i wouldn't. lord arbuthnot was played in the itv drama - i wouldn't. lord arbuthnot was played in the itv drama by - i wouldn't. lord arbuthnot was | played in the itv drama by alex jennings. he first started fighting for the supposed masters as a conservative mp when he became aware

of the plight of his constituent, jo hamilton. she was out today's hearing, but she was not the only one he spoke up for. irate hearing, but she was not the only one he spoke up for.— hearing, but she was not the only one he spoke up for. we would not have not one he spoke up for. we would not have got as — one he spoke up for. we would not have got as far— one he spoke up for. we would not have got as far as _ one he spoke up for. we would not have got as far as we _ one he spoke up for. we would not have got as far as we have - one he spoke up for. we would not have got as far as we have without | have got as far as we have without him supporting us. i don't really know whether he understands just how much love and respect he has got from supposed masters, but he really should know that —— from sub postmasters. the truth is all that matters. justice is all that matters. justice is all that matters-— matters. justice is all that matters. , ,, , ., ., matters. in his witness statement to the inquiry. — matters. in his witness statement to the inquiry. lord _ matters. in his witness statement to the inquiry, lord arbuthnot - matters. in his witness statement to the inquiry, lord arbuthnot says - the inquiry, lord arbuthnot says that one of the many terrible facets of this whole story is that it has taken so long. he says he recognises the day—to—day struggles of the government to speed up the payment of money to sub postmaster victims and overturn hundreds of convictions, but he also says that too many people have died before we

reached this point. ifind it difficult to stop thinking of them. zoe conway reporting there. the time is 13:1a. our top story this afternoon. a landmark report into gender services says young people are being let down by a lack of medical research and fear of open debate. and coming up... britain's most successful gymnast max whitlock announces he'll retire after the paris olympics. coming up in sport on bbc news. the champions league continues after a thrilling start to the quarter finals, with nothing to separate the holders manchester city and real madid after their first leg in spain. in the us, the parents of a boy who shot and killed four classmates in the state of michigan have each been sentenced to at least ten years in prison. it's the first time the parents

of a us school gunman have been convicted. earlier this year, a jury found james and jennifer crumbley guilty of involuntary manslaughter. their son ethan is serving life in prison without parole. john sudworth reports. neitherjames norjennifer crumbley pulled the trigger but in a country where gun violence in schools is all too common, this was a legal first. it is the sense of this court, mr crumbley, that you serve 10 to 15 years with the michigan department of corrections. the two now face at least a decade in prison for involuntary manslaughter as a result of the mass shooting carried out by their son. in 2021, they bought ethan crumbley, then 15 years old, a semi—automatic handgun as an early christmas present. a few days later, he took it to school in his backpack and shot dead four of his fellow students. last year, he was sentenced to life in prison without parole.

but prosecutors claimed his parents also bore responsibility, arguing that they had failed to keep the gun secure and that they had been indifferent to the clear warning signs of their son's deteriorating mental health, with his diary entries suggesting they had ignored his desperate pleas for help. and, as she sent them to jail, thejudge agreed. but these convictions are not about poor parenting. these convictions confirm repeated acts, or lack of acts, that could have halted an oncoming runaway train. gun control campaigners hope the long sentences handed down will resonate across america in any home where children live in close proximity to guns. they were certainly welcomed by some of the relatives of the victims. ultimately, the responsibility was in their hands. they are the parents. they are the ones that control

their son, and they have the power to do what needs to be done. and they didn't do that. legal experts caution that one case will do little to stem epidemic gun violence. but those frustrated by the lack of political action may take some comfort in the message being sent by a us court. john sudworth, bbc news, new york. for the first time ever, athletes who win a gold medal at the upcoming paris olympics will also receive prize money. world athletics says each winner will get $50,000 us dollars — orjust under £110,000. the global governing body also made a "firm commitment" to extend the prize money to silver and bronze medallists at the los angeles games in four years' time. our sports correspondent is andy swiss — prize money is a break with a long—standing tradition, why are they doing it? the modern olympics has been going

128 years and has always been an amateur event. but now as you say world athletics who are in charge of track and field say they will become the first federation to give out prize money. they say they will give $50,000 to each gold medallist this summer and the same amount to each winning relay team and they say that from the olympics in 2028 they will also give out prize money to silver and bronze medallists. lord sebastian coe who is the head of world athletics says this is a pivotal moment and he says that the world has changed and it is worth pointing out that although britain does not financially reward its olympic medallists a lot of countries and many sponsors already do. but this is the first time an entire sport has done it and some people will feel that this goes against the spirit of the games. so it will be interesting to hear what the international olympic committee

have got to say about it.— have got to say about it. thank you, and . police scotland received over 7,000 complaints under scotland's new hate crime law in the first week of operation. the controversial law created a new offence of stirring up hatred against what are known as protected characteristics, including age, sexual orientation, and transgender identity. the "vast majority" of these reports were anonymous, police scotland said, and in most cases "no further action is being taken". despite falling inflation in recent months, many people are still being hit hard by the cost of living. a new survey suggests there were 7.4 million people struggling with bills and credit repayments this january. that's down from almost 11 million lastjanuary — but still almost two million higher than pre pandemic levels. our cost of living correspondent colletta smith reports. it's porridge on the menu today for the hungry tummies at this community hub.

it's an energy boost and a financial boost for the families who depend on the support here. only yesterday i was talking to a local parent that was really worried about how she was going to get her children to school next week, returning to school, because she didn't have bus fare. more than a quarter of the people surveyed by the financial conduct authority said they weren't coping financially. that's less than the number of people who said they weren't coping last year, but still higher than the numbers are struggling before the cost of living squeeze. but they are not seeing that improvement here. absolutely not. it couldn't be worse. people are really struggling, i think, day—to—day. the fca says that single parents and vulnerable people are more likely to be struggling to afford basic bills. i've had to stop charging my chair unless i'm going out. having a disability, i it actually costs a lot more in energy bills. most debt organisations haven't seen a drop in the number of people needing help. we have been seeing things continue

to get steadily worse. so, record numbers of people now coming to us for food bank referrals — 900 people each and every day. we are seeing record numbers of people coming to us needing advice because they are facing or being made homeless. so, from a citizens advice perspective, this crisis is far from over. more than half of those surveyed who had fallen behind on payments said they had avoided speaking to their lender or ignored warning letters. banks and lenders should be making it clear to people that beginning a conversation with them if you are struggling to keep up with your payments won't affect your credit rating. if you change your payments as a result of that, it could affect your credit rating, but so be it falling behind on your payments. it could affect your credit rating, but so would falling behind on your payments. so, when lenders haven't been doing that, we have been working with them to improve, and we have seen over £60 million worth of redress out

to customers in compensation. with so many people still struggling with the basics today, the impact will be felt for a long time ahead. colletta smith, bbc news, in liverpool. millions around the world are celebrating eid today at the end of the holy month of ramadan, but many muslims in gaza who are caught up in the war with israel will have to forego the customary food and celebrations — as our middle east correspondent hugo bachega reports. in the shadow of a war that has killed tens of thousands and left much of their land in ruins, gazans are marking eid, the last day of ramadan. streets that in the past would have been bustling are now empty and destroyed. families who would be celebrating are mourning lost lives. this woman came to remember her son, killed in this war. translation: when i think about last i eid, it was the best one of my life i because my son was beside me in my arms, getting him ready. everything he wanted, i did for him.

i wish he was here with me. in rafah, dozens gathered outside what is left of the iconic mosque. amid the rubble, they laid out their prayer mats. translation: this day for me is heartbreaking | compared to last eid. i look at my children and i feel heartbroken. when i sit with them, i start to cry, feeling sad for the days that have passed. 1.5 million palestinians are sheltering in rafah. israeli officials have vowed to enter this city to destroy hamas, but those plans have faced international opposition amid fears an offensive here would lead to a humanitarian disaster. pressure on the israeli prime minister benjamin netanyahu is growing, even from his closest ally. i think what he is doing is a mistake, so what i am calling for is for the israelis to just call for a ceasefire,

allow for the next six to eight weeks, total access to all food and medicine going into the country. the biden interview happened before the latest proposalfor a ceasefire, but it shows the president's frustration with israel. the deal would see the release of a0 hostages being held in gaza in return for 900 palestinians detained in israeli jails. hamas now needs to give its response. but this is the main hope to bring a pause in the fighting and much needed respite for palestinians in gaza. hugo bachega, bbc news. in russia, thousands of people have been evacuated from their homes after severe flooding. around the region of orenburg, which borders kazakhstan, over 100,000 people have been ordered to evacuate. the region has been affected by worse—than—usual seasonal flooding because of melting snow from the surrounding mountains, which has swelled rivers beyond bursting point. officials estimate that more

than 10,000 homes are underwater. tesco has posted pre—tax profits of £2.3 billion for the year to february. that's nearly a three—fold increase on pre—tax profits the previous year. the chief executive of the supermarket chain said the rise was because inflationary pressures had "lessened substantially" — but said he was conscious "things were still difficult for many customers." let's speak to our business correspondent ben king — what's the reason behind this? as you say tesco have seen profits up as you say tesco have seen profits up and sails up and then increased market share and they did that by taking on the discount retailers at their own game and launching discount programmes of their own. the chief executive spoke about inflation and rising prices and said that overall the pressures were coming down and in fact for 4000

products they were cheaper at the end of the year than they had been at the beginning. but for certain things such as coffee and cocoa were global prices are hide those price rises will stick with us for longer. he said one habit that we picked up during the cost of living crisis, entertaining or treating ourselves at home has continued and that has been reflected in higher sales of some premium ranges that people used to give themselves a treat at home instead of going out.— instead of going out. then, thank ou. after millions in mexico and north america witnessed a total solar eclipse this week, there's been a revival of a 1980s classic which for many was their unofficial soundtrack for the event. bonnie tyler's 1983 power ballad �*total eclipse of the heart�* has

seen a sudden surge on streaming services — and it's reported the singer is expected to make over a million pounds as a result. the england and aston villa forward rachel daly has announced her retirement from international football. the 32—year—old won 84 senior caps for england, and helped the lionesses to euro championship glory in 2022. england manager sarina wiegman said she'd never worked with such a versatile player, who always had a smile on herface, and tried to do her best for the team. max whitlock — britain's most successful gymnast — has told the bbc that the next olympic games in paris this summer will be his last before retiring. the three—time olympic champion is stepping up preparations as he aims to defend his pommel horse title for the last time. he's been speaking tojohn watson. max, great to see you again.

we gather you have some news? i'm excited to say, i suppose it feels still feels a bit weird, i've made a decision and it's the right time for me that the paris 2024 olympics will hopefully be my fourth olympic games, but will also be my final olympic games. i've done the sport for 24 years. i'm 31 years old now. i feel it in my gut and i think you've got to listen to that. yes, it's the right time for me. how have you arrived at this decision, then? ever since i suppose rio olympics, where i was at my peak age, i think i've had questions thrown at me about like, when am i retiring? i think when you get that constantly for eight years of the last bit of my career here, you do naturally think about it. i've wanted to prove people wrong a lot of my way through myjourney. and i've always had the mindset of trying to do this for as long as i possibly can. take us back to the beginning. why was it gymnastics for you? i loved it from day one.

the amount you can learn from a young age in this sport is crazy. and then i almostjust gradually took to the pommel, took to it, loved it, was massively, massively determined to just try and progress and progress. and when you do that from seven years old up to now to 31, that compounds massively. take us back to that moment when you returned from tokyo. your family couldn't be there with you, which was obviously very tough. it was a games like no other under covid restrictions. especially after an olympic games like tokyo, the previous one being a covid games with no audience, i cannot wait for everyone to be able to come out to paris and watch. i think it will be an amazing olympic experience. but also like for willow to get the opportunity, i always said i wanted to try and have children younger while i'm competing at this level and now i've given myself the opportunity for willow to come and watch olympic games, because she couldn't in tokyo. when i'm in arenas competing, willow waits for it to go quiet,

and she calls for me and we do this double thumbs up. i think i'd love to do that in the paris olympics. did you ever think you would be heading into what will be your final olympic games, already placed as britain's most successful ever gymnast? never. but going for my final olympic games, feels very, very strange talking about it. and it's almost hard to articulate what it's like. i'm trying to get my words out in the right way, because it's still fresh, i suppose. i think it's a really nice mindset to be in. i think i'lljust give it all i've got. time for a look at the weather. here's darren bett. there is more rain around but it is going to get warmer. but the rain will not go away entirely and the rainfall we had this month at edinburgh botanic gardens is

noteworthy, 81 millimetres so far.