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@trans_mum 1/ Hmmm. Given the govt minister laid down unchanged (not improved) future rules for care at GIDS in a parliamentary statement late in 2018, and the rules have to signed off by the minister, because it is a specialised commission, I'm not sure anything will improve.
@trans_mum 2/ Dr Cass is at Evelina at St Thomas', Although she was UCH trained, so might be somewhat independent of the UCH/GIDS mafia, but Evelina (as with all UK children's hospitals, unlike abroad) has never tried to offer care for trans minors, so…
@trans_mum 3/ She was head of RCPCH, which has only once done anything trans-children inclusive, in stark contrast to its US counterpart, & slight contrast to its European pediatric endocrinology counterpart. Zero at its conferences, in its journals, it's overseas outreach.
@trans_mum 4/ All they did was one day conference 2 years ago (after her presidency), which was 50% a showcase for GIDS, but Mermaids & the Dutch service got to present too.

Her current successor is UCH & very GIDS-linked. He oversaw their assessment of agonists (so one presumes he…
@trans_mum 5/…backs their use) after for years being against allowing trans minors access to any interventions. During his reign, I cannot see anyone but GIDS being allowed to say how trans children get treated.

It's difficult for me to see anyone RCPCH as independent on trans children.
@trans_mum 6/ NICE is essentially "evidence-based", which is a problem with this care, especially if they are persuaded to restrict their gathering to the UK in order to exclude the possibility of liberalisation. The transphobic stuff from Oxford & the BMJ might loom large. I would…
@trans_mum 7/…expect the BMJ people to follow the review's work closely & keep pushing their demand that the care only be on a research basis until evidence which it would be ethically & practically impossible to produce is published - ie forever. So never devolved to GPs as is needed.
@trans_mum 8/ Would a minister of this new government approve such a restriction if NICE recommended it?

It might be that only both being president of their respective royal college at the same time fully accounts for the number of things Dr Cass has done with the transphobic Dr Gerada🤔
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