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Feminism: Sex and gender discussions

GIDS being sued by their safeguarding lead.

786 replies

ItsAllGoingToBeFine · 07/07/2020 14:54

(Text from their crowdfunder)

My Details

My name is Sonia Appleby. I am a qualified social worker (1981); adult psychoanalytic psychotherapist (I992); MSc. in health psychology, (research) and MBA. I have a long career safeguarding and protecting children in social care, health and as a children’s guardian in public and private proceedings.

I am currently the Named Professional for Safeguarding Children and the Safeguarding Children Lead at the Tavistock and Portman NHS Foundation Trust. I am therefore still employed by the Trust against which I am bringing my claim.

What is Safeguarding?

In all NHS trusts and organisations there are professionals such as myself, who work with other internal departments and external agencies to ensure there are 'root and branch' systems to keep patients and service users safe. This means responding to patient/service users' personal experiences, also including their environmental, familial, community/peer circumstances and sometimes any of the aforementioned domains could require the intervention of other professionals in different agencies. Safeguarding children and young people also concerns ensuring there is a sufficiently, healthy culture that does not unwittingly contribute to potential harm regarding the people who use and deliver NHS services.

Safeguarding within the Trust

My primary task is to ensure that clinicians protect their patients/service users from avoidable harm and are also able to recognize and appropriately respond to situations where under 18s are in need of safeguarding. My secondary task is challenge practices which are either harmful or could lead to harm. The Trust is commissioned by NHS England to deliver a National Gender Identity Development Service (GIDS), which provides services for children and adolescents diagnosed with gender dysphoria. The treatments available also include "puberty blockers".

I have sought to ensure the principle of ''safeguarding children and young people'' is upheld whilst service users are being assessed and treated within the GIDS service.

My Claim

I lodged a whistle-blowing claim in November 2019 at the Central London Employment Tribunal. Since then I have made 2 applications to amend my claim as new information came to light.

In my claim, I allege that because I made "protected disclosures" to my line manager regarding concerns raised by GIDS staff ( that the health or safety of patients was being, had been or was likely to be endangered), I was subjected to detriments.

I allege these detriments are:

i) the Tavistock misused it's own procedures to besmirch me and therefore jeopardize the role of safeguarding within the Trust;

ii) there was an unwritten but mandated directive from the Tavistock management that safeguarding concerns should not be brought to my attention despite being the Trust Safeguarding Children Lead;

iii) and, clinicians were discouraged from reporting safeguarding concerns to me.

I also allege various other detriments.

Further to disclosures made to Newsnight by former staff, BBC Newsnight produced a programme focusing on the allegation that the Trust did not want to report any concerns to me. www.bbc.co.uk/news/health-51806962

and you can watch it here

OP posts:
Melroses · 16/06/2021 11:32

YG continues to go through the job description to set out SA's responsibilities.

Melroses · 16/06/2021 11:31

YG - it mentions providing 'support and advice to other individuals'
SA - yes. there are some problems with this job description - it was actually drafted in 2011 with a review date in 2013. difference with the previous was that previous medical director was also Named Dr...

Melroses · 16/06/2021 11:27

YG - asks whether duties of the role are quite proactive?
SA - yes. Role is to be proactive, visible and provide trust w safeguarding assurance

Melroses · 16/06/2021 11:23

YG - Your responsibility is across the whole of the Trust's work?
SA - yes.
YG points to job description in the bundle

Melroses · 16/06/2021 11:15

SA "if there are issues in terms of sig risk" or we take part in a serious case review these are things that require me to escalate in terms of information

Melroses · 16/06/2021 11:13

SA - "i've always endeavoured to work as closely as i possibly can to mu line manager"
YG - but you wld agree i'm sure that you have only ever been subject to fairly light touch management?
SA - regard myself as being an accountable person...

'i have to be accountable and in an ideal world i wld like to have a very close relationship with my line manager' and keep them up to date with key decision making i have to make, and that's what i've been used to. Bear in mind by time cases reach me they are v serious

Melroses · 16/06/2021 11:11

YG - wld it be fair to say during that time youve developed your role and a significant amount of autonomy?
SA - agree in so far as all safeguarding leads... obv need to work to degree with autonomy - get on w daily business - but working in isolation can be quite dangerous...
So wouldn't say i worked in a wholly autonomous way

Melroses · 16/06/2021 11:09

YG - you yourself are a v experienced clinician?
SA - i have been a clinician for very many years
YG - adult psychoanalytic therapist for at least 24 yrs
SA - yes. Confirms she has been a professional witness and also a children's guardian
Been employed by Tavi since 2004

Melroses · 16/06/2021 11:07

YG - Did DB send you any other transcripts?
SA - No.
YG - There's a third one - Dr Bristow...?
SA - i don't think DB sent me Dr B's transcript. I think he (Dr Bristow) may have given me those directly. He certainly gave me other documents

Melroses · 16/06/2021 11:06

YG: Was there a tiem when either AS or AH said they wld send you their transcripts?
SA - They may have done, but I'm not sure whether to the best of my knowledge i received anything at that time. The first time I received them was on 15th Dec from DB.

Melroses · 16/06/2021 11:05

G to question SA now. Asks SA to confirm she came by the interview transcripts via Dr Bell?
SA: Yes.
SA confirms these are transcripts of interviews with Dr Sinha as part of GIDS review. SA confirms she also contributed to the review

Caorthann · 16/06/2021 11:00

KE statement at para 30: "Whilst working at Leeds GIDS I received support from Sonia for a complicated safeguarding issue that I had. Sonia was extremely professional, knowledgeable and
helpful. In hindsight I wish I had contacted Sonia about other complex safeguarding cases"
twitter.com/hannahsbee/status/1405097502634876936

Melroses · 16/06/2021 11:00

SA explains that she pointed out to DB and said wasn’t prepared to send the docs to solicitor without the two people concerned – Dr Spiliadis and Dr Hutchinson – knowing a) I had them and b) I wld forward them to my lawyer.

Melroses · 16/06/2021 10:58

AP - when did you first read them?
SA - Jan '20. Thought they had been lost when bought a new phone.

Caorthann · 16/06/2021 10:57

Kirsty Entwistle is the next witness. YG chooses not to cross examine

One of the other major factors that meant that I could not sustain working at GIDS was the failure of social care to provide support to the young people I referred. As the children come from all over the North of England I was dealing with several different social care teams trying to get support for my patients who were either doing risky things, living in risky situations or in contact with risky people. In none of my cases was input from social care secured.
How is it possible to undertake a gender identity assessment when young people are living in these circumstances and sometimes even more extreme? I do not believe that GIDS can claim to function effectively when it is part of a broader system that is failing to provide adequate support and protection for children and young people.
I also believe that there are clinicians at GIDS who are putting vulnerable children on the medical pathway when they are not receiving proper input from CAMHS and Social Care with regards to mental health problems and complex family and housing difficulties.

medium.com/@kirstyentwistle/an-open-letter-to-dr-polly-carmichael-from-a-former-gids-clinician-53c541276b8d

Melroses · 16/06/2021 10:55

SA explains DB sending Dr Anna Hutchinson transcript on 15th Dec 2019 - and sending the email to herself.
AP - did you read transcript at this time?
SA - no. didn't have time. sent at 8pm
AP - what d we see next?
SA - Dr Bell sending me other transcript.

Melroses · 16/06/2021 10:50

THREAD: DAY 3 - Sonia Appleby v Tavistock and Portman Trust employment tribunal.
Hannah Barnes
@hannahsbee
·
38m
SA - Sonia Appleby
YG - Yvette Genn, Tavi counsel
AP - Anya Palmer, SA counsel
EJG - employment judge Goodman
Hannah Barnes
@hannahsbee
·
38m
Kirsty Entwistle is the next witness. YG chooses not to cross examine
Hannah Barnes
@hannahsbee
·
19m
Pause while emails sent about supplementary evidence etc
Hannah Barnes
@hannahsbee
·
13m
AP - no questions other than whether contents of witness statement are true?
KE - Yes. Para 13 - typo - the word 'before' is missing.
Other than that it is all true
Hannah Barnes
@hannahsbee
·
12m
End of witness involvement
Hannah Barnes
@hannahsbee
·
10m
KE statement at para 30: "Whilst working at Leeds GIDS I received support from Sonia for a complicated safeguarding issue that I had. Sonia was extremely professional, knowledgeable and
helpful. In hindsight I wish I had contacted Sonia about other complex safeguarding cases"
Hannah Barnes
@hannahsbee
·
10m
Claimant Sonia Appleby (SA) is next witness
Hannah Barnes
@hannahsbee
Replying to
@hannahsbee
SA says she wld like to make changes to P.57 - shd read as 4th June, not May. linked to P.53

Melroses · 16/06/2021 10:48

Sonya Appleby is next witness.

Melroses · 16/06/2021 10:46

twitter.com/hannahsbee/status/1405090511447277575

Day 3 - Hannah B is live tweeting.

NonHypotheticalLurkingParent · 16/06/2021 10:39

Is it possible that this is because the orthodoxy that trans people push is one that was formulated by the right to split the left, not one that has organically grown from trans people trying to work out what is best for them?

No, I don't think so. It's come about from a complete lack of understanding what safeguarding is.

Melroses · 16/06/2021 10:35

Yes, it works in the same way as "transphobe"; distracting from the evidence and reducing the witness to defending themselves from petty accusations.

Tibtom · 16/06/2021 10:35

"FindTheTruth

YG - but you’re not taking great issues and don’t know what actions were taken after you left the service
AS - yes
YG - will you take it from me that there were quite significant actions taken after this
AS - can’t answer that question.

End of YG cross examination

Is it not important that ‘significant actions’ were made. Doesn’t that prove the service was not competent if significant changes were made. Those significant actions were undertaken for a reason."

Not was wrong at all and anyway we took significant action to change all the definitely not wrong things after you left.

Caorthann · 16/06/2021 10:34

The origins are unethical, these issues replicate. Any health and social care speciality still so reliant on the claims made by John Money and Harry Benjamin is going to have safeguarding issues.

Tibtom · 16/06/2021 10:32

'liar' is being used because 'transphobe' would be too obvious in this setting as simply a means to silence critics.

JediGnot · 16/06/2021 10:23

@JustcameoutGC

I don't get the TRA cavalier attitude to safe guarding. If they get what they want, self ID and abolition of single sex spaces, all it will take is a few bad actors taking advantage of the very very obvious gaping holes in safe guarding this creates for there to be a huge backlash, which will affect the whole trans community.

If I was advocating for what they are, I would have safeguarding front and centre.

Is it possible that this is because the orthodoxy that trans people push is one that was formulated by the right to split the left, not one that has organically grown from trans people trying to work out what is best for them?
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