NEW:Tavistock Gender Identity Development Service (GIDS) Executive - leadership team - to be ‘disbanded’ in response to CQC’s ‘inadequate’ rating of service & decision in Keira Bell judicial review on whether under 16s can consent to treatment with puberty blockers @deb_cohen 1/
“In response to the CQC report and the breadth of existing actions flowing from the Judicial Review judgment we are proposing to take immediate action to strengthen management arrangements for the service and increase our clinical and operational capacity to deliver change” 2/
This will see “a new Interim GIDS Management Board, chaired by the Divisional Director for Gender. This will replace existing senior management structures in GIDS and will provide a single point of accountability for both improvement programmes and existing service delivery.” 3/
This board will be accountable to a new ‘GIDS Oversight Committee’ chaired by Tavistock CEO Paul Jenkins. 4/
“A consequence of these arrangements is that the current GIDS Executive team will be disbanded. Its members will have roles in workstreams and projects relevant to their skills and experience... The Service Director will have a place on the GIDS Interim Management Board.” 5/
The Tavistock and Portman Trust also plan to recruit “a range of clinical and operational experts from outside the service, and in most cases from outside the Trust to increase our capacity to manage and deliver change at pace.” 6/
This current job advert to work in GIDS highlights that job will see applicant offering psychological treatment and therapy “for issues relating to a range of mental health conditions.” m.pulsejobs.com/psychological-… 7/
NEW: Tavistock’s Gender Identity Development Service rated ‘inadequate’ by CQC after inspecting GIDS in autumn. CQC say inspection prompted by concerns reported by healthcare professionals & Children’s Commissioner, who’d been given evidence by me&@deb_cohen for @BBCNewsnight. 1/
This is a long thread. Bear with it if you can. Inadequate is the CQC’s lowest safety rating. This means that a service is ‘performing badly.’ GIDS’ smaller clinic based in Leeds was also rated inadequate. GIDS had been rated good at its previous CQC inspection in 2016. 2/
Since then, concerns have been raised about the service: @BBCNewsnight revealed how some GIDS staff had raised serious concerns about safeguarding, the speed of assessments, and whether patients’ other difficulties were always adequately explored. tinyurl.com/y7frzsr6 3/
Court has resumed after lunch. Barrister for endocrinologists explains:
For UCL, median age for blockers 14.6, for cross sex hormones 17.4, youngest 10
For Leeds, median age for blockers 16, cross sex hormones 17.2, youngest 12
Of 145 patients referred to Leeds, 38 experienced delays to treatment. On two occasions pressure was seen to be coming from parent and choice not freely made. Barrister says evident there is no immediate access to treatment after referral
Barrister for endocrinologists says the relevant information on risks/benefits is very different for stage 1 (blockers) and 2 (cross sex hormones). ‘It’s no answer to say the majority of patients do go from stage 1 to stage 2.’
Citing Dutch team again, “concerns have been raised that blocking treatment itself may increase the persistence of gender dysphoria”, but adds that we don’t know this yet.
Medium and long terms consequences of starting blocker treatment, it’s argued, include:
Inability to orgasm, compromised cognitive function, lifelong need for medication, repeated surgical intervention.
Case being made by Bell is that the blocker is not fully physically reversible, as claimed.
THREAD: In May '19 @BBCNewsnight requested a copy of a 2005 review of the Gender Identity Development Unit - now GIDS - via the FOI Act. Many months later, we’ve now published some its findings and recommendations:
WATCH: bbc.in/33ixth5
READ: bbc.in/30vvJiO
1/
The review was carried out by Dr David Taylor, then medical director of the Tavistock and Portman NHS Foundation Trust, between May and October 2005. Its findings were published internally in January 2006. He spoke with members of the team, the wider Trust & endocronologists
2/
Dr Taylor stresses that staff were doing all they could to help their patients, who were often very distressed. They took the work very seriously. But, his report went on to detail several areas that he believed needed addressing.
3/