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Dr Hilary Cass: Puberty blockers

21 Feb 2026

The four-year Cass Review, carried out for NHS England recommends limiting the use of puberty blockers to research settings for children and adolescents being treated for gender incongruence or dysphoria.  Audio

Saturday 21 February 2026

8:11 KT Tunstall's generation defining sound

A black and white photo of singer songwriter KT Tunstall wearing stripey clothing, bowing in front of a striped wall.

Singer songwriter KT Tunstall Photo: Destroy All Lines

Scottish singer-songwriter KT Tunstall went viral before going viral was even really a thing.

In 2004 a chance live performance of her song Black Horse and the Cherry Tree on British TV show Later ... with Jools Holland catapulted her career overnight. That track made it onto her multi-million-selling debut album Eye to the Telescope which also features the generation defining hit Suddenly You See - known for being featured in The Devil Wears Prada.

To mark the 20th anniversary of the album and to celebrate KT's New Zealand shows in May, Susie Ferguson asks her about breaking into the music industry, going deaf overnight and discovering siblings she never knew existed.

8:30 Dr Neil Melvin: 4 years of war in Ukraine 

The war between Russia and Ukraine is grinding towards its fourth anniversary.

Despite another round of peace talks this end there's been progress, but no breakthrough, despite sustained pressure from US President Donald Trump, particularly on Ukraine. 

Ukraine's president  Volodymyr  Zelensky said it was 'not fair' he was being asked to compromise more than his Russian counterpart Vladimir Putin.

The key sticking points are territory, who would monitor a ceasefire and fate of a key nuclear power plant.

Mihi Forbes speaks to Dr Neil Melvin, he's the Director of International Security at  RUSI - the Royal United Services Institute in London.

Dr Neil Melvin is Director, International Security at the Royal United Services Institute (RUSI)

Dr Neil Melvin is Director, International Security at the think tank RUSI, an expert on the war between Russia and Ukraine and its wider ramifications for the region. Photo: Supplied / RUSI

9:05 Dr Hilary Cass: Puberty blockers

The findings of an independent report in the UK prompted the Health Minister Simeon Brown to press pause on new prescriptions of puberty blockers for treating gender incongruence or dysphoria in children and adolescents. The ban was to take effect just before Christmas, but an urgent High Court injunction has called a halt to the new regulations and a judicial review is set down for May.

The four-year Cass Review, carried out for NHS England concluded there is "not enough evidence" regarding the safety or long-term impact of puberty blockers for children and adolescents with gender incongruence or dysphoria. The review recommended these drugs be limited to research settings for this group. 

The report also urges unhurried holistic care, caution around irreversible treatments, and the recognition of complex factors such as mental health, neurodiversity and social media as possible contributors to the rise in young people questioning their gender.

Report author Baroness Dr Hilary Cass is a paediatrician and former president of the Royal College of Paediatrics and Child Health in the UK.  She joins Susie live from the UK.

Photo: Roger Harris - UK Parliament 2026

9:35 Michaela Brake and Lisa Burd: No Tears on the Field

No Tears on the Field is the latest film from award winning documentary maker Lisa Burd. 

It tracks a women's rugby team in Taranaki for a season, delving into the diverse backgrounds of some players, while examining the history of the women's game, which is one of the fastest growing sports in the country. 

It's an authentic and inspiring watch that examines the grit and determination of building a sport and a team despite the personal struggles and challenges of the film's core characters. 

Mihi Forbes speaks to Lisa Burd and decorated Black Ferns super star Michaela Brake, who among many accolades has two Olympic gold medals in her trophy cabinet and who also got her start in rugby in Taranaki.

10:05 Percival Everett: reimagining Huckleberry Finn with Taika Waititi

Susie speaks with Percival Everett, Pulitzer prize-winning author of the phenomenon James, about the process of reimagining Mark Twain’s classic Adventures of Huckleberry Finn, being adapted into a film produced by Stephen Spielberg and directed by Taika Waititi.

They also discuss satire, power, freedom and race, and the place of language, books and reading in the current political climate. 

Photo: Rich Barr

10:25 Gyles Beckford on Trump's tariffs

President Donald Trump has been left fuming over the U.S Supreme Court ruling that he didn't have the power to introduce his controversial global tariffs and there is now talk of restitution.

RNZ's Business Editor Gyles Beckford speaks to Mihi about what this might mean for New Zealand. 

US President Donald Trump speaks during a press conference in the Brady Press Briefing Room of the White House in Washington, DC, on February 20, 2026. US President Donald Trump will hold a press conference Friday to discuss the Supreme Court's ruling against a major part of his tariffs, spokeswoman Karoline Leavitt said. (Photo by Mandel NGAN / AFP)

President Donald Trump taking questions in the White House briefing room Photo: MANDEL NGAN/AFP

10:34 Vampire love stories with blind author Steffanie Holmes

Stepping into the world of medieval sword collections and vampire love stories, Kaipara coast's Steffanie Holmes is the author of over 50 books - and she's legally blind. 

The trained archeologist and best-selling author went down the less traditional route of self-publishing, selling over a million copies around the world, and now she helps other authors navigate the world of publishing through an online community called Rage Against the Manuscript.

Steff speaks to Mihi Forbes about her latest paranormal romance book A Grave Mistake, making mead on her off-the-grid property, and which heavy metal song is best to walk down the aisle to.

Author Steffanie Holmes sits in a magical looking old book shop.

Author Steffanie Holmes Photo: Charles Brooks Photography

11:05 Doug Allan: Life Behind the Lens 

Doug Allan, OBE has been on more than 100 filming expeditions in some of the most challenging locations on earth.

Doug Allan, OBE has been on more than 100 filming expeditions in some of the most challenging locations on earth. Photo: Doug Allan

His lens provided the pictures for Sir David Attenborough's words. 

A BAFTA and Emmy award-winning wildlife cameraman, who started his professional life diving for pearls, Doug Allan's work is seen on renowned shows like Planet EarthThe Blue Planet and Life.  

His close encounters with nature have both enthralled and terrified. From polar bear cubs in the Arctic to orcas chasing stingrays in Northland, Doug Allan has filmed it all during a career spanning four decades. 

Back in New Zealand for a speaking tour of the South Island, Doug joins Mihi to share stories from his Life Behind the Lens

11:25 Sorry Not Sorry: David Williams

Apologies come in all forms.  But how often are they sincere?

A participatory performance show, Sincere Apologies examines famous apologies.  Fifty real apologies are sealed inside fifty envelopes and distributed to the audience, who read them aloud.  They range from a Prime Minister’s apology to the Stolen Generation to BP’s statement following an oil spill. Others tap into pop culture, including Kanye West's "apology" to Taylor Swift. 

Sincere Apologies is on at Auckland's Q Theatre next month. It's the show's first time in New Zealand.

Photo: Lucy Parakhina

11:45 Gardening in foul weather with Hannah Zwartz

Gardening expert Hannah Zwartz

Gardening expert Hannah Zwartz Photo: Supplied

Gardens around the country have faced a battering in the wild weather of late, so our gardening expert Hannah Zwartz is back, this time to teach us how to deal with the weather effects, as well as the seasonal pests and disease that come with changing temperatures. 

Hannah has over 30 years' experience gardening professionally, including looking after the herb and succulent areas at Wellington Botanic Garden and running community market gardens in the Hutt Valley.

An extremely close up shot of tiny whitefly on part of a tomato leaf. The whitefly look like incredibly small moths. Most are out of focus, but one is in focus with it's wings visible beside one of the veins of the leaf.

Greenhouse whitefly feed on plant sap, weakening plants and promoting the growth of sooty moulds. Photo: Craig Robertson / Bioeconomy Science Institute

 

Playlist

Song: Black Horse and a Cherry Tree
Artist: KT Tunstall
Time played: 8.35


Song: Yours Eternally 
Artist: U2
Time played: 9.35


Song: November Rain
Artist: U2
Time played:10.55


Song: Suddenly I See
Artist: KT Tunstall
Time played: 11.58