That is an excellent article. It's a shame that the writer felt they had to resign from their job before they could fully air their concerns. Marcus seems like just the kind of person GIDS needs.
I wonder if it has occurred to trans pressure groups that medical and/or surgical intervention for a group of people who have not been adequately assessed is likely to lead to larger numbers of patients in that group reporting poor outcomes. The NHS will only fund treatment that can be demonstrated to improve health and well being. In years to come we might find that audit of the current treatment protocols provides data which suggests puberty blockers, cross section hormones and surgery result in worse outcomes than no medical (as oppose to mental health) intervention at all. These treatment options may then be withdrawn altogether. This would be a travesty as there are undoubtedly some patients who do benefit and in the absence of other options I think it should remain available to those with severe gender dysphoria but ONLY when a thorough assessment has been carried out.
There is also the issue of prescribing of medication that has not been tested in this cohort of patients. I know that clinicians can prescribe off label but to do so in children with the intention of altering their physical development speaks to me of incredible arrogance and complete lack of concern for the patients future health. I guess the patients are referred to adult services when they turn 18 so this clinic will never have to deal with the fall out.
In an ideal world it would be good to see research into alternative treatments that focussed less on altering the body but until the trans lobby stops labelling it as conversion therapy it is unlikely to happen.