@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 1/ The 🏴 government decided pediatric gender care in England would be a monopoly contract (a Labour minister, in 2008), despite all other NHS patients officially being entitled to a choice of providers, & second opinions on diagnoses & treatment, & gave it to GIDS, which has…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 2/…always advocated that trans minors & their families must have no alternative source of care, & subsequent Tory ministers have personally put their signature on renewals of it, and even personally rejected proposals for improvement that have been put forward by NHS England…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 3/…as a result of wider & public consultation. They & their civil servants listen only to GIDS on trans minors - it was GIDS advised against <18s being allowed #GenderRecognition in 2004, & since, on the basis that no one under 18 can be certain of their gender identity, just…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 4/…as many other staff at their trust wrote⬇️ to the press in 2002 (when the first instigator of this case, psychoanalyst Susan Evans was on staff too) that no trans people should be allowed that recognition but needed therapy… theguardian.com/theguardian/20…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 5/…to "cure" us instead. Yet GIDS proved incapable of defending its super-conservative protocol in court - no doubt because GIDS has always expected challenges to be from patients seeking care more like that elsewhere, arrogantly ignoring that services in countries where the…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 6/…challengers in this case have been operating in the past knew that only their approach was defensible from that direction, & worked with their patients rather than attempting conversion therapy by delay & frustration & ignoring #UNCRC, children's rights, not least to…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 7/…bodily autonomy. It is also on the English government that NHS England, despite being a co-defendant, wasn't in court, leaving no one there to speak for other vital services that rely upon the Gillick principles (which GIDS misuse since they deny parents the right to…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 8/…consent whereas Gillick is only supposed to be used when an <16yo refuses to involve their parents or parents disagree with the patient) in order to care for some of their patients. Could they not see the potential threat despite the lawyer acting for the claimants having…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 9/…a long history of anti-abortion & birth control cases & those backing his cases trying very publicly to use trans minors' care as a wedge issue in the US & elsewhere, or is the current English government - whose ideological backing largely comes from US think-tanks that…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 10/…are strongly anti-LGBT, anti-abortion, anti-birth control, anti-women's bodily autonomy generally, anti-NHS & anti-EU - secretly intending to travel in that direction too, after trans minors' care has been used as a wedge issue to open the way.
And was it down to 🏴…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 11/…government pressure that the 🏴 Children's Commissioner, legally responsible for protecting UNCRC rights, wasn't in court to speak up? Why does that government-appointed official choose to never speak up on the rights of trans minors under that UN convention, & under…
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 12/… EA2010, even when a threat to them is a clear threat to other minors too, & the UN oversight committee for that convention has been specific that trans minors are included in its protections, if anyone ever had any doubt?
Yes, the 🏴 government is very much guilty on this.
@73inlancs@janethooton_@ErinInTheMorn@fifi_EY 13/ And of course this ruling is oddly identical to the threat made by the Equalities Minister shortly after she'd met with The Heritage Foundation, whose ex-staffer serving in the Trump Dept HHS was attempting in court to have all protection for US trans healthcare removed 🤔
@Quibilah1@NyssaDogFriend@tomgabion 1/ Worse than that. She was before agonists started being provided during puberty (written endo policy then was nothing until puberty was completed) so her assessment didn't use the 🇳🇱 written, globally standardised diagnostic tools🖼that GIDS's peer clinics had been using for…
@Quibilah1@NyssaDogFriend@tomgabion 2/…years & which GIDS trialed in their "audit" (which was never about the attributes of the agonists) & then adopted.
Worse yet, the case was started by a psychoanalyst who left GIDS even further back (2004) who claims GIDS were referring to endo too quickly even then.
@Quibilah1@NyssaDogFriend@tomgabion 3/ In fact, back then, GIDS's endo provided nothing. Their function was to scare families who were too pushy/sure (in GIDS' opinion). In Di Ceglie's 1998 book the endo says she advised that post-medical transition, sexual release was impossible.
@NyssaDogFriend@tomgabion@Quibilah1 As I understand it the case demands that Tavi (that's adult & minors') stop medical treatment & provide psychoanalysis. If that were granted, even pending appeal, it could have devastating effects.
I don't trust GIDS/Tavi/NHS an inch to defend the case to the optimum.
@NyssaDogFriend@tomgabion@Quibilah1 The case law (NW Lancashire judgment) is NHS trans treatment must not be restricted to talking, must be by individual clinical need (not grouped), & hormones & surgery must be available. It doesn't specify a minimum age. Obviously, GIDS has always ignored that so won't use it
@NyssaDogFriend@tomgabion@Quibilah1 The Gillick doctrine is backed up by UNCRC. But the England Children's Commissioner, responsible for enforcing that, will not support trans treatment. Neither will the UK pediatric or endocrine professional bodies. Psychiatric one might, if their involvement was required.
I hope all doctors know to not place us on records as 3rd gender without specific, informed, written consent
@drkamillak@BBCFutureMedia@BBC@ZariaGorvett@PrimaryCareNHS It is not just that passing a medical history of trans on to other medical staff when it is irrelevant is "stigmatising"; many cannot be trusted with it because their UK professional bodies refuse to incorporate our care in their resources, so they can panic & mistreat patients
@drkamillak@BBCFutureMedia@BBC@ZariaGorvett@PrimaryCareNHS The one cited trans patient himself is explicit about that very danger🖼- "let me focus upon your trans identity rather than your kidney disease" - yet the article, & the doctors cited, sail on regardless
@SkLumos@JABenson_Author@CritFacts Too late now. GIDS enforced an 🏴 monopoly denial of all such intervention 1989-2015. A 1999 audit found they didn't even record data to distinguish transsexualism. Instead they mixed in never-trans GNC kids in order to "prove" most "desisted" so none should have interventions.
@SkLumos@JABenson_Author@CritFacts As the 🌏 largest pediatric gender clinic, its head chaired the HBIGDA/WPATH Children's Cmte, standing against interventions. But their peers were clear it was easy to distinguish suitable patients. Here (📽️1995) is 🇳🇱 head Prof Cohen-Kettenis
@SkLumos@JABenson_Author@CritFacts Eventually, peer clinics, years after they started providing agonists (🇳🇱 in 1989-US in 2005) got fed up with GIDS saying it was unsafe because GIDS couldn't tell which patients would remain trans, so gave them a standardised diagnostic test. GIDS trialed it, & capitulated
She's been drawn into a group that's been doing the same since the 70s, initially inspired by US "warnings" that trans women were taking over feminism, but Germaine Greer included it in her 1970 'Female Eunuch'. The matriarch got a post as…
@JohnDiesattheEn@BookBeckBecca 2/… Prof of Politics in Australia & it largely died down until she retired back here & made rolling back trans human rights progress her retirement project. They've tied in with all sorts of right-wing, church, etc., allies & now, in UK have the UK 'Guardian', Murdoch's…
@JohnDiesattheEn@BookBeckBecca 3/…'Times', 'Sun', & 'Sunday Times', the Barclay Bros' 'Telegraph' & 'Spectator', the 'Mail', The BBC & Channel4, the Koch Bros' 'Spiked', the "communist" 'Morning Star', 'Breitbart', & 'The Economist' all singing the same tune. Murdoch's rags do the same in Australia.
@AdrianHarrop 1/ Doctor, the NHS website teams addressed #NHSGenderID meetings (RIP), seeking feedback, & I talked & emailed with them. I believe Mermaids did too. It became clear that they could only describe what NHSEngland provides, & pretty much only in terms the monopoly provider uses.
@AdrianHarrop 2/ …Or perhaps even what they (GIDS) approve. As you know, GIDS sees itself as the victim of buffeting between "extreme & powerful" advocates for affirmation & "reasonable concerns", especially since it was dragged to at last become the last such clinic to provide agonists…
@AdrianHarrop 3/…in 2015, after having lied to patients for 20yrs that they might get them, when their contract with their endocrine service provider explicitly banned any help until puberty was completed. That pressure was actually from their peer clinics. The portrayal of lack of…