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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:
OhHolyJesus · 17/07/2020 14:59

I'm totally broke but I have this and Keira Bell's crowdfunder when I have some cash. All power to you Sonia if you're reading, this is so, so important and I'm thrilled you are doing this.

wifflewafflebiscuit · 17/07/2020 14:52

Sad that this is happening, but glad it's finding daylight. Off to pledge now.

Apollo440 · 17/07/2020 14:30

Please support this. Stopping children making life altering decisions that they may regret has to be our no.1 priority.

LastTrainEast · 17/07/2020 14:24

okay finally got somewhere there to sort it, but I wonder if it happens often.

LastTrainEast · 16/07/2020 23:21

Has anyone else pledged money to crowd-justice for this and not had it taken? They are ignoring enquiries about it.

christinarossetti19 · 09/07/2020 19:34

It never used to be at the Tavi and other departments and services aren't implicated.

It seems that GIDS has been conducting itself in a very particular way.

TehBewilderness · 09/07/2020 19:12

Is 'innovative' the latest euphemism for giving off label drugs to children to see how it will effect them?

HandsOffMyRights · 09/07/2020 08:51

Bumping for those who wish to support this important case.

christinarossetti19 · 08/07/2020 21:32

I'm sure that they do track it as a metric.

I do understand why people don't want to donate to CJ at the moment (neither do I) but as Allison Bailey pointed out they are hosting a number of important feminist crowdfunders at the moment - Maya, RRS, Allison.

Tricky.

MoltenLasagne · 08/07/2020 21:03

Thanks for sharing, I've donated without the "recommended" tip for crowdjustice. I wonder if they track that as a metric?

christinarossetti19 · 08/07/2020 19:41

Thanks, although I think that Kirkup's description of the Safeguarding Lead's role is only partial.

It's not only to 'ensure that whistleblowers' concerns about the safety of vulnerable children are heard and addressed'. Whistle blowing should be the last resort, when an individual believes that the usual safeguarding procedures haven't been implemented properly.

That's the meat of Appleby's case - that clinicians were discouraged from referring safeguarding cases to her when they normally would and that that was a mandated but unwritten directive from management that safeguarding concerns shouldn't be brought to her attention.

StandUpStraight · 08/07/2020 18:22

Kirkup, thanks phone.

StandUpStraight · 08/07/2020 18:22

James Kirkuk writing in The Spectator today on this issue and Sonia Appleby’s case, and essentially asking - what is it going to take for an inquiry to actually happen here?
www.spectator.co.uk/article/Are-whistleblowers-being-silenced-at-the-NHS-gender-clinic

christinarossetti19 · 08/07/2020 17:23

Thanks SarahTancredi, that's really kind of you to explain all that.

SarahTancredi · 08/07/2020 17:15

Yes and there was Also neither a confirmation or denial from JF as to whether they had anything to do with the advise too.

I emailed gg about the outcome of the verita investigation and asked if they were aware and planned to review their guidance. After 2 or three Emails where they refused to acknowledge any of the issues I raised they then told me they would no longer discuss it with me.

SirSamuelVimesBlackboardMonito · 08/07/2020 17:08

Pretty sure AC also advised Girl Guiding on their trans policy. Which, predictably, is "let transwomen and transgirls do what they want, and for god's sake no one tell the parents".

SarahTancredi · 08/07/2020 17:05

I don't know if Ainee challenor has been involved with GIDs but they were involved with the Lib Dems which a poster above mentioned in regards to the chair of the Tavistock. Can't comment on time line however.

But the guidance that stonewall and mermaids etc ( allsorts guidence) has not been pulled as far as I know evev though AC was ( still may be who knows, some remain unlisted ) a member of the trans advisory board for stonewall.

There is an 80 page verita investigation document that declares AC as incompetent wrt safeguarding.

Xanthangum · 08/07/2020 16:58

Agreed @rogdmum. I'm not suggesting there's no need, just the current business model is flawed.

She has met her £10k target by the way.

christinarossetti19 · 08/07/2020 16:57

Thanks all.

SarahTancredi is AC Amiee Chancellor? Sorry, I don't know what EHRC stands for. Has AC had links to GIDs?

rodgdmum yes that's what's bemuses me. I used to work in mental health and interventions for people with bodily dysphoria or dysmorphia were always psychological. It's beyond comprehension how this aspect of the service has been neglected, possibly wilfully it would seem.

rogdmum · 08/07/2020 16:02

Xanthangum I would strongly argue that there is absolutely a need for GIDS clinics, just not in the current format. If you listen to detransitioners, so many say that they wish they’d had better therapy to understand themselves or get into underlying issues or help manage their gender dysphoria and all of that is completely and utterly lacking in the current system which primarily focuses on assessing suitability for the medical path.

I’d possibly argue that this would put even more demand on their service because it would be far more time consuming and parents like me who won’t touch GIDS with a barge pole would want to use their service!

Unfortunately, such an attitude is currently considered “transphobic” by many.

Xanthangum · 08/07/2020 15:54

There's also the existential question - if all or most gender-questioning young people are given a watch-and-wait diagnosis, eventually someone will ask whether there is a need for this clinic at all.

So the picture painted is of a very valuable service; albeit one that is being overrun by demand.

Demand coming from the 'success' other organisations have had in encouraging more and more kids to go straight to asking for puberty blockers...

SarahTancredi · 08/07/2020 15:52

And some how they always seem to have more than one protected characteristic too.
Age
Race
Disability etc

So its also very hard to question someone is is not only potentially speaking from multiple places of discrimination but they are given the benefit of the doubt because no one wants to be seen as racist/homophobic/disablist.

Which is kinda discriminatory in itself as people who are black/gay/autistic etc are not only perfectly able to act within the confines of the law and do not need to be allowed to flout safe guarding or act inappropriately in order to participate in life . But instead holding them to these pretty average standards is seen as discriminatory instead.

Its bizarre.

BingBongSong · 08/07/2020 15:52

Only £45 from their target now Smile.

SarahTancredi · 08/07/2020 15:40

There also seems to be a lot of linkage with people. For instance the head if the ehrc is someone who worked for stonewall.

AC started off in the greens and ended up with the lib dems. AC Also worked fir stonewall and GI I believe and then was involved in an lgbt club called prism.

The same few people have their fingers im all the pies

ScrimpshawTheSecond · 08/07/2020 15:38

It has always been regarded as a centre of innovation

Perhaps this is part of the problem? Innovation in medicine is going to be tricky, isn't it?

There will be a balance between risk/benefit and safety with any new treatment - if a service is being lauded for its 'innovative' approach, perhaps it suggests the 'safety' approach is being subtly denigrated, and thus the usual safeguards are tending to be disregarded. Drugs being used off-label, and using new and still-developing theories as a basis for treatment sound like relatively risky approaches in terms of treatment.

Has the service been somehow encouraged towards the riskier pathway and away from the safer pathway? Have they been pressurised into taking more risks and for some reason into avoiding the diligence and safeguarding that should be fundamental to any HCP?

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