1. (a) Patient data is patient data. It is not the Health secretary’s data, nor even NHS England’s data.
Clinics were correct in not disclosing data without having the express permission of the patient.
(b) In a letter to Adult GIC’s this week, NHS England’s National & ..,
2. … Medical Directors (John Stuart & James Palmer’ stated:

“In her final report, Dr Cass has also expressed significant disappointment and concern that it had not been possible during the lifetime of the review to progress a key plank of its research programme due to a…
3. … “lack of cooperation from the adult GDCs.

As you will recall … the Secretary of State for Health and Social Care granted an order under s22(5) of the Gender Recognition Act to enable data to be disclosed for a TIME-LIMITED period for the sole purpose of the data …
4. … linkage study … with an ‘opt out’ option for individuals who do not wish to have their data used as part of the study.
“… despite the best efforts of the research team, the necessary cooperation from the clinical leads within the Gender Dysphoria Clinics was not, ..,
5. .. forthcoming.
At the end of the letter there are some ‘Immediate Actions’ for the GICs, one of which is
1.“you prepare your adult GDCs** to fully participate with the data linkage study and avoid the need for MANDATORY direction in this respect. Further details will be ..,
6. … communicated shortly“

In an online meeting with Hilary Cass, at which I was present, Dr Cass ‘promised’ that ‘data linkage which impacted privacy rights under Gender Recognition Act’ would not continue once the final report was complete.

Yet, here are NHS England …
7. … proposing to enforce this data linkage. They cannot if you object

The data link study looks at whether transition leads to a Gender recognition certificate, as ‘evidence of successful treatment”

That implies if a GIC patient doesn’t obtain gender recognition the
8. .. treatment & transition has not been successful.

As I research showed most people only apply for a GRC when needed eg to marry, adopt or retire.

I advise ALL GIC clinic patients (including PAST) patients who do not wish their data to be used in this way to write to …
9. … their GIC a short letter stating

“I do not give my permission for any aspect of my patient data to be submitted to, or collected for, the purpose of any research without my express permission in writing being obtained in advance”.

I also suggest that all who are able ..,
10. .., to meet the current criteria, apply for Gender Recognition as soon as possible.

I am encouraged that the Tribunal’s service say an increase of applications has increased the waiting time for gender recognition to 30 weeks.

But I remind you: Privacy protections …
11. … regarding a GRC application come into being on application, not award.

This won’t protect patient data without a letter, but it gives a potential criminal charge if data regarding your application or award is disclosed without your express permission. That will help ..,
12. .., the GIC doctors continue to refuse ti hand over your data

Finally the letter from NHS England’s National & Medical Directors refers to Gender Identity Clinics as Gender Dysphoria Clinics - in other words trying or stupidly not knowing but a re- psychopathologisation!
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More from @stephenwhittle

Apr 10
1. Trans peeps & allies. I recommend listening to Dr Cass on the Today programme

There are problems with Cass, but it has, at least, acknowledged a need for a properly funded service - something we have called for, for 25 yrs.

Download Chrome here.apps.apple.com/app/id53588682…
2. Personally I will not be responding to gloating posts by GC/Sex Realist/T E R F’s & their transphobic reactionary allies. Doing so just gives oxygen to their flames.

Let them have their imagined moment of glory.

We would better spend our time co-ordinating to improve…
3. … our expertise so that we can claim a place at the table

We do that or we won’t be able to argue for better funding & expertise within all levels of gender identity healthcare including: child & adult mental health, child & adolescent gender clinics & adult gender clinics
Read 8 tweets
Apr 9
1. Jon, the people who follow you will say “no - don’t respond, she lies, is a bad faith actor, is stupid” etc.

They dismiss 50 yrs of my adult life & 30yrs of my professional training, experience & skills with their keyboards because they are bad faith actors.

I’ve spent…
2. … 30 yrs studying the trans community here & abroad.

Some will say I have a vested interest & so cannot be objective when I study TP - but that’s the equivalent of saying an African-American academic cannot study the experience of African-Americans, or a gay academic …
3. … cannot be an objective observer as to the gay experience of law & policy.

I have been primarily concerned in my academic & legal to see what law & policy can & cannot achieve for the excluded. The communities I have worked with have been asylum seekers, Dalit & the …
Read 26 tweets
Apr 8
1. My ‘angry’ last question to Jon Pike @runthinkwrite was “how you are going to deal with our permanent existence”
(which is as non-angry as it is possible to be) is not banal.

The people, Jon wishes to discuss with the IOC so as to have them placed in some sort of side…
2. … competition, are not abstract. They are real & are not going to fit his solutions,

Will something like the Paralympics for these people might work? No it won’t.

There are very few of these people who have ever had the opportunity to take part in sport at anything…
3. … beyond school or the level of the most amateur recreational activities - so I’m certain you could not drum up enough competitors from these people.

These people would form so many potential categories, that it is highly likely that every participant would be a …
Read 12 tweets
Apr 4
1. Of course it does - for several reasons

The judiciary avoid jailing those for minor offences esp if perceived as being a ‘problem’ in the system

Those jailed are likely to be more serious offences so serving longer sentences. …
2. … We know Sex Offenders mat claim to be trans - thinking
— it will reduce their libido
— it will make it easier to access women & children in a safer way
When the NHS ran the prison medical system, expert clinicians used to weed these out with expert treatment. …
3. But a lack of expert clinicians in the current prison medicine means this no longer happens.

As we know at least 30% of those jailed have mental health issues: psychosis, sociopathy, depression, addiction etc
Person medicine cannot cope & cannot afford experts to deal …
Read 4 tweets
Apr 3
1. According to Office for National Statistics, in the year ending March 2023, in England & Wales (E&W) 191,186 sexual assaults (including rapes) (SAs) were reported to the police.
.,,
2. Let’s look in depth - the crime survey for E&W showed that fewer than 1 in 6 victims of SA by penetration reported the crime to the police.
On that basis probably ONLY 1 in 6 of all SAs were reported which would mean 1.2million SAs took place in 22-23.
3. 98% of SAs ie 1,176,000 were by men & 2% ie 24,000 were by women.

Population of E&W is 60million, 67% aged 16-70.

Therefore of approx 20mill men, & assuming some are multiple offenders, 1 in 20 men commit a SA in any year.

Similarly, it would mean 1 in 835 women…
Read 6 tweets
Apr 2
1. 200k sexual assaults are committed each yr by men - of 28million adult men that means 1 in every 140 men commits a SA annually

4k SA by women are reported each year, so in a population of 28million adult women, 1 in every 7000 commit a SA annually

There are …
2.…. 140k trans women in the UK & less than 10 reported sex assaults each year ie 1 in every 14000 trans women commit a SA annually

So why not concentrate your efforts on the real issues - how we educate our boys for a start
3. Iso I ask in what way have I been uncivil to women - how many times must I say that:

—I have spent 50 yrs being a feminist,
— I spent 30 of them teaching feminist law.
— I acknowledge women have justifiable concerns about the misogyny of men -

But not about trans women
Read 4 tweets

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