NHS England and Scottish government reject WPATH

👏🏻👏🏻👏🏻

Thank Christ for that

The Welsh Government mention WPATH a few times in this report from 2021.

https://www.gov.wales/sites/default/files/consultations/2021-07/recommendations-of-the-independent-lgbtq+-expert-panel_0.pdf

For trans youth, puberty blockers are prescribed to prevent the irreversible physical effects of puberty that can cause significant distress and may require them to undergo more invasive procedures such as surgery as an adult. Authoritative international clinical guidelines support the use of puberty blockers for trans youth, as one component of a holistic model of care.

The "Authoritative international clinical guidelines" come from WPATH.
https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_English2012.pdf?_t=1613669341

We are concerned by the High Court’s judgment in Bell v Tavistock and Portman NHS Trust in December 2020 and subsequent measures to restrict access to these critical medications at GIDS, include requiring decisions about treatment for under-16s to be subject to a court order. These measures risk further undermining the health and wellbeing of trans young people, and have been condemned by expert medical bodies.

The 'expert medical bodies' include WPATH, with a link to this document.
https://www.wpath.org/media/cms/Documents/Public%20Policies/2020/FINAL%20Statement%20Regarding%20Informed%20Consent%20Court%20Case_Dec%2016%202020.docx.pdf?_t=1608225376

Without the fig leaf, what we have is naked bollox. I.e. a rotten NHS and at least some rotten incompetent or unethical doctors.

But reading through this thread, it seems some parts of the NHS (Scotland, Nottingham etc) are still clinging to the fig leaf.

What do Amanda Pritchard and Caroline Lamb say about this state of affairs?

"Be kind" I would say is now the last remaining argument.

No clinical underpinning, no philosophical underpinning, no reality underpinning anything they say.

And we are supposedly the bigots.

They've disowned their figleaf and claim they don't rely on it. So what do we have now?

Good grief, this situation is incredibly evil.
WPATH guidelines are a fig leaf, behind which unethical or incompetent doctors and the NHS are hiding, declining to take responsibility for their own clinical decisions by saying they are simply following guidelines.

The trans Community is a tiny part of the population

But also

We are "informed by a wide variety of sources"

Say what now? 👀

More from that report:

'6.2 Reputational risk

The presence of the WPATH information on the NGICNS website resulted in 43 articles appearing in a range of mainstream media including the Times, the Daily Mail and Sunday Mail, the Daily Telegraph, the New York Times, LBC, the Scotsman and the Daily Express. The media sentiment was rated 94% neutral and 6% negative.

News coverage all referenced NGICNS and NHSScotland; NSD was mentioned in
some articles as a result of a quote from the Director but no articles mentioned NSS.

Social media coverage was small at under 500 mentions/shares relating to the incident, however the sentiment was 55% negative on social channels.

NHS Scotland was the prominent organisation referenced.

In addition, the fact that the guidance on the consultation documentation was not followed may have damaged the relationship between the network and WPATH.

NHS Scotland is likely to have been negatively impacted by this adverse event. While NGICNS is mentioned in coverage it is less likely to be a household name and therefore not as associated with any negative reaction.

Information gathered as a result of this investigation suggests there is a strong
likelihood of similar incidents taking place for managed networks in future, and
therefore there is an ongoing risk to reputation if no action is taken.'

In relation to any possible detriment of someone accessing 'child sex abuse imagery':

'.1 Risk of harm to patients/public

There is no evidence of harm to patients or members of the public as a direct result of NGICNS hosting the WPATH documents on its website.

While the child abuse imagery referenced in the media enquiry does not sit on any NSS website, NSS Digital and Security colleagues have referred the end point website to Police Scotland for further investigation.

The Lead Clinician for NGICNS has raised concern about the potential for risk to patientn care while NGICNS website is offline, as the site hosted key resources for service users.

To mitigate this risk, service users are being signposted to other organisations which can provide information while the NGICNS website is offline.

The Director of NSD has identified a potential ongoing risk of clinical information being hosted on network sites inappropriately, when there are other outlets (such as NHS Inform) that exist to house patient-facing information.
Therefore it appears there are decisions required to the role of network communications activities in providing clinical information to patients and the public.'

'the child abuse imagery'

Is it clear enough yet?

https://www.nss.nhs.scot/media/3889/foi-000234-appendix-3-ngicns-website-adverse-event-review-report-v2.pdf

'While the child abuse imagery referenced in the media enquiry does not sit on any NSS website, NSS Digital and Security colleagues have referred the end point website to Police Scotland for further investigation.;'

Adverse Event Review Report:
NGICNS website content

June 2022

The NHS are still directing healthcare professionals to WPATH, directly to the Standards of Care v8. That link has been updated with SoC version 8, after NHS Scotland had to self refer to Police Scotland because of the content of the SoC.

This also links directly to the SoC 8.

https://ncth.nhs.uk/other-gp-guidance

Which contains the Eunuch guidance, etc.

So this page:

https://www.cntw.nhs.uk/services/northern-region-gender-dysphoria-service-specialist-service-walkergate-park/information-for-professionals/

Links directly to the WPATH SoC 8. Which does include the Eunuch gender links that meant NHS Scotland had to report/refer themself to Police Scotland. The difference, I suppose, that the SoC 8 were directly uploaded/embedded onto an NHS website, whereas here the NHS are merely linking to the SoC that contain the links to the Eunuch Archive with the CSA material.

Yes, this is huge.

Apologies for all the posts, I wanted to ascertain how mch WPATH has informed 'gender' care in Scotland.

Looks like 'all of it' is the answer.

A segment at the start of a recent Gender: A Wider lens about where WPATH came from:

s

(Time stamped to run from the 7 and a half minutes point.)

Minutes of last meeting. I see Dr Cass was there and gave a presentation. Attended by various activists, including a rep from LGBTYS.

'Dr Cass noted discussions between Scottish Government/NHS Scotland and NHS England were ongoing regarding its announced puberty hormone suppression study in children and young people as a treatment option for gender dysphoria. '

https://www.gov.scot/publications/national-gender-identity-healthcare-reference-group-minutes-december-2023/

For discussion of the actual WPATH leak document, there is also this thread that pulls together reaction to it.

https://www.mumsnet.com/talk/womens_rights/5021764-wpath-leaks?page=1

Thanks fromorbit. This does have the potential to be a big discussion. We knew about NHS England and Dr Cass but NHS Scotland seems a very curated answer meant to obscure the reality that they don’t want to admit.

Ah, here's an update from late last year.

https://www.gov.scot/publications/national-gender-identity-healthcare-reference-group-update-winter-2023-to-2024/pages/work-taking-place/

'Updating the 2012 Gender Reassignment Protocol

In 2012, the Scottish Government published the Gender Reassignment Protocol (GRP), one of the first of its kind in the world, which aimed to improve and standardise gender reassignment clinical pathways in NHS Scotland.
NHS National Services Scotland (NSS) provides advice and services to the rest of NHS Scotland. NSS’s National Services Division (NSD) supports the planning, commissioning and coordinating of high-quality, person-centred specialist services, networks and screening programmes.
In 2021, the Chief Medical Officer wrote to the NSD, proposing a review and update of the 2012 GRP. A draft update has now been submitted by NSD to the Scottish Government for consideration. The Scottish Government has agreed with NSD on further work which is required to take place prior to publication of a revised protocol. This work is being undertaken collaboratively with the Scottish Government.'

They can deny, pretend, dissemble or lie - but they've now been found out.
World wide children have been harmed by a combination of queer theory activism, predatory adults and deeply dangerous doctors and others who have abandoned fundamental medical ethics.

'NGICNS and NHS National Services Scotland are now working to review and update this clinical protocol. An updated GRP will be delivered in summer 2022. '

I don't think it ever was, was it? I wonder if that's because without WPATH SoC there is no 'framework' to base it on.

If the NHS are no longer basing treatment guidance on WPATH, what has replaced it?

Here's a 2017 Report

Scottish Public Health Network (ScotPHN)
Health Care Needs Assessment of Gender Identity Services

'Guidelines

The principal guideline identified was by the World Professional Association for
Transgender Health (WPATH), which publishes standards of care for the health of
transgender people(1). This guideline outlines clinical care and interventions to be offered to transgender people, including providing criteria for hormone treatment and surgery, and outlining the role and competencies for mental health professionals. The most recent version of this guidance (WPATH7) advocates a flexible approach to care and states that gender nonconformity should not be seen as a pathological process, and was the first set of standards to explicitly state there should be access for non-binary individuals. However, as yet there is no international guidance on how to diagnose non-binary people with gender dysphoria, or indeed how to assess people for the new diagnosis of gender dysphoria rather than the old diagnosis of transsexualism.

A contrast to the WPATH approach is outlined by Cavanaugh et al, who support the use of an informed consent model of care where transgender people have the right to choose their own treatments without needing input from a mental health professional (78). They state that the WPATH guidelines are not flexible enough and rely upon mental health assessments, whereas the informed consent model could provide better care through taking a collaborative approach where a mental health professional does not make decisions about treatment. A variety of other guidelines on providing healthcare for trans people were identified(79)(80)(81).

In a useful review of transgender healthcare, Wylie et al advocate the use of the
WPATH guidelines (although it is noted that the number of the authors are on WPATH) (12). In this review they highlight that most healthcare for trans people can be provided in primary care. Further, they outline three important themes in the literature on models of care for transgender people - the leadership role of the trans community, need for multidisciplinary services, and use of partnerships. In Scotland, the 2012 gender reassignment protocol provides the main source of guidance on interventions for changing gender and is based on the WPATH approach(13).'

NHS Scotland's gender services are based on a 2012 Gender Reassignment Protocol, which is easily downloadable if you google those terms.

There was a proposal in the past couple of years to update this, but as far as I can tell that hasn't yet happened. Happy to be corrected! The Scotgov website/s are awful to navigate, it could be I've just not found the updated Protocol.

https://www.gov.scot/publications/nhs-gender-identity-services-strategic-action-framework-2022-2024/documents/

'Gender Reassignment Protocol January 2012

'The protocol incorporates recommendations
from the 7th edition of The World Professional Association for
Transgender Health (WPATH) Standards of Care, September
2011.'
...
7
Appendix 3 – Treatment criteria
Within this section you will find information on criteria for the referral and prescription of hormone therapy (including hormone management) and surgical procedures. Further more detailed information and evidence-based clinical guidance can also be found in The World Professional Association for Transgender Health (WPATH) Standards of Care for the Health of Transsexual,
Transgender and Gender Nonconforming People, 7 th Version (September 2011)'
...
'Hormone Therapy
Criteria for the prescription of hormone therapy
The GIC must first ensure patients meet the following eligibility and readiness criteria as adapted from the WPATH Standards of Care 6 before taking the decision to refer the appropriate clinician prescription of hormones'

NHS bosses and pesky women right now. Live footage