1. Som facts:
(a) All Patients have a right to refuse treatment by any hc worker - tho they may have to wait longer for treatment

(b) The WHO has removed being trans from the ICD-11 chapters on mental disorder because the Drs with expertise do not recognise it as limiting …
2. … life, prospects or thinking, if it is treated. Treatment may vary from counselling to gander reassignment

(c) Treatment focuses on the particular patient, within strict ethical practice-based guidelines to ensure the best outcome for the individual /
3. ( d) Some TP have related mental health problems (anxiety, depression) due to social stigma. Patient centred treatment usually resolves those by helping a TP to ascertain the best way forward for themselves

(e) No empirical study has shown any benefits from …
5. … not treating where the person understands the benefits &/or risks of transition or treatment in their particular circumstances

(f) 98%+ of TP who transition & receive gender reassignment treatment (which may or may not include some gender reassignment surgery) say…
6. … they’re very or extremely satisfied with the gender reassignment treatment or surgery they have received - a higher rating than any other hc set of treatments & procedures

(g) In the US where T hc is paid for privately, around 8% will detransitioner but many will later …
7. … retransition

(h) most US detransitioners cite issues related to lack of family, social or workplace rejection, or a need to raise funds for transition related hc.

(i) In the Uk, w/ l social healthcare, far fewer detransition. /
8. (j) most UK de/re-transitionets say it is usually due to gender reassignment surgery not being as successful as they had hoped. In the end far less than 0.5% permanently detrans.

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More from @stephenwhittle

Feb 20
1. I wish to explain the history of TPs inclusion in the Equality Act 2020,
- Why the Eq Act does not require a person to have a GRC
- How TP’s inclusion came about
- Why it takes the current form
&
- if it adds anything new to what protections were already in place by 2010 /
2. But first I wish to explai. why the Eq Act has no requirement for a TP to have a GRC before they are protected

A TP is required to demonstrate evidentially that they have permanently lived in their affirmed gender role for the 2 years prior to applying for Gender Recognition/
3. TP would not be protected from discrimination, harassment or victimisation during those 2 years if a GRC was required for them to be protected by the Eq Act.

We all see on here the hostility of GC activists to TP - some of whom might choose to discriminate …
Read 21 tweets
Feb 19
1. This allegation is l defamatory

My wife or I have never sought for any colleagur to lose their job or even be disciplined for their views

Many disgraceful comments about my wife on here by people who have never met her or me
& know nothing about us/2
2. Dear friends of ours; a former colleague (we are both now retired) & her spouse hold GC views

We all prefer not to live in echo chambers & are mature enough to accept our differences, & be grateful for the things that bind us.

My colleague & I spent many years working …/
3. … together. She & I both attended the same high school, & both studied law as mature students at evening classes at our University

I was a supervisor on her great PhD which analysed how the Court of Appeal overturned far too many rape convictions on technical grounds. /
Read 7 tweets
Feb 16
The Tribunal did state that @MForstater was not qualified to act as an expert in this case

I can see why

Dr Upton did not follow P into the changing area to harass them

Dr U was already in the changing room when the claimant P entered

Dr Upton had no problem with P using …/
2. … the room to change in

But as the Dr was already in the process of changing, P, who objected to the Dr using the room, could have just waited outside for a few minutes until the Dr left the changing room.

But P didn’t - instead they entered in, in order to harangue Dr U.
3. As P deliberately sought Dr U out, in order to harass them about their use of the room, if anyone was entitled to raise a complaint of harassment at a tribunal it seems to me it would be Dr U.

But like so many Trans people Dr U tried to keep it low key & raised a …
Read 6 tweets
Feb 16
1. This is a a Civil claim for discrimination, not a Criminal Trial

Dr Beth Upton did het job as instructed & is NOT on trial for anything

I believe the Court should not have allowed Dr Upton to be named a co-respondent as Dr Upton is not the employer of Nurse Peggie /
2. Being neither the employer, or a provider of goods, services, housing or facilities to Peggie IMHO at a prelim hearing the Court should have insisted Upton was not named a co-respondent.

Dr Upton is at most, a witness to the events, who followed the lead of NHS Fife
3. NHS Fife made a correct call in telling Dr Upton they should use the women’s facilities once she had permanently transitioned to living as a woman

It is up to Peggie (P) to show that NHS Fife treated her differently from either
- a man in their employment, OR /
Read 10 tweets
Feb 6
1. Excellent 🧵👇🏼

It is the service provider who gets to decide who uses their services, within the law’s framework
Part of that framework is the Equaluty Act 2010 which requires there not to be discrimination against people on the basis of their gender reassignment. /2
2. Single sex services providers can choose to use, or NOT TO USE an exemption in the Act
It is the service providers choice but … if made they can be asked o explain what makes them believe the exclusion of a TP is both a proportionate & legitimate response …. /3
3. … to the various service user needs

The TP has needs as well as the non-TP.

Staff rarely strip naked when changing in hospital changing areas - often Theatre changing areas are mixed by reason of space restrictions alone. /4
Read 6 tweets
Dec 29, 2024
1. @chester_fence - happy to respond directly. Apologies - I couldn’t find the original post so didn’t see a reference to your article.
To understand the data you need to understand the history & development of the UK’s NHS TM’s & genital reconstruction surgery (grs) 👇🏼🧵
2. The UK’s FTM network (which I ran until 2008 & edited the newsletter) was set up in 1979 after I wrote to the 14 TM I knew, when I was asked to buddy a guy, who had dreadful grs & was suicidal.

By 2000 the network had about 600 members. But others were still isolated. …
3. Before 2000, TM grs in the UK was performed primarily by 1 NHS surgeon in London ; Mr P. A l NHS surgeon in England aled tried it once with disastrous results; never again.

TM grs was only opted for by the isolated & ill informed.

When I became a legal academic in 1993, I …
Read 23 tweets

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