The report by Dr Hilary Cass into the care of children and young people who are questioning their gender identity or experiencing gender dysphoria should awaken Britain to a serious deficiency in the way it treats young people. The present generation is one of the least happy on record, and the incidence of mental ill-health is running far ahead of the capacity to deal with it. Gender confusion makes the headlines because of a bitter ideological wrangle between advocates of so-called gender theory and their opponents. This is made worse by attempts to gain political advantage for and against what is called “woke”, initially referring to those who had “awoken” to the implicit racism of American society, now more often used pejoratively.