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NHS to open detrans clinic

59 replies

fromorbit · 08/08/2024 10:10

Amazing news:

NHS to launch first service for trans patients wanting to return to birth gender
Cass Review found children were being hurried down pathways involving powerful drugs and medical interventions

NHS officials said the next step was to “define an NHS pathway for those individuals who choose to detransition” because currently no guidance on how to care for them exists.
The health service said: “There is no defined clinical pathway in the NHS for individuals who are considering detransition. NHS England will establish a programme of work to explore the issues around a detransition pathway by October 2024.”
It said this would include examining the rate at which patients detransition and their reasons for doing so, as these are currently unknown, and would recognise “that individuals who choose to detransition may not wish to re-engage with the services they were previously under” as per the recommendations.

Dr Cass said a lack of long-term data made it impossible to know how frequently people detransitioned, although anecdotally it was “increasing”.
The lack of long-term evidence was also why the review said puberty blockers should not be prescribed outside of a clinical trial.
That trial is now set to begin from early 2025, the NHS confirmed, with the first patients enrolled from April next year.

https://www.telegraph.co.uk/news/2024/08/07/trans-first-service-detransition-cass-review-birth-gender/

NHS to launch first service for trans patients wanting to return to birth gender

Cass Review made recommendations including providing care for people who had changed their minds after transitioning

https://www.telegraph.co.uk/news/2024/08/07/trans-first-service-detransition-cass-review-birth-gender

OP posts:
Dumbo12 · 08/08/2024 13:03

I wonder if the NHS will be expected to "detransition" this who have used private clinics to "transition". I am aware that botched, foreign cosmetic surgery is dealt with by the NHS (infection etc)

Snowypeaks · 08/08/2024 12:58

Speedweed · 08/08/2024 10:47

It's really good news, and makes a lot of sense and hopefully will mean that troubled children and young people get better care, rather than just being discharged.

But my god, the financial waste to an overstretched NHS of people who choose go down the navel gazing pathway, costing a lot of NHS money and resources on an ongoing basis, and who are then going down another pathway, taking up more precious NHS money and resources....I find that appalling, given the situation is down to their choice. Is my thinking unreasonable?

No, not totally unreasonable but their choices were manipulated by others for their own reasons.

I would direct my ire at all the people and organisations who pushed them into it, emotionally manipulated the parents, gave the children & young people unrealistic ideas about the results of the process, alienated them from their families, coached them on what to say to game the system, etc.
They are the ones who should be picking up any NHS bills.

Createanewname · 08/08/2024 12:45

VotingNotGloating · 08/08/2024 11:19

Whilst thus is true, there is (mostly) good evidence base for the original treatment, whether it 'failed' or not. That is not true if gender affirming care. So yes, it is a unconscionable waste of resources.

Show quote history

Also healthcare doesn't generally cause patients harm or necessitate expensive lifelong follow up unless it's a question of life or death. I dont see why gender surgery is offered on the NHS tbh when something like IVF is often not.

Thelnebriati · 08/08/2024 11:55

I wonder if detransitioning happened very often in the last century, and what the percentage is now? The original protocol was for people to live in their acquired gender for two years, and pass a panel because it was always supposed to be a permanent change. There isn't even a mechanism for people to detransition in the Gender Recognition Act, they have to apply to the panel and change their legal gender again.

VotingNotGloating · 08/08/2024 11:19

StickItInTheFamilyAlbum · 08/08/2024 11:15

Moral hazard but overall…

People regain weight after weight loss surgery or NHS supported diets. It doesn't mean that they shouldn't be treated.

Some people with diabetes (whatever type) go through periods of being able to control it and times when they don't/can't. We still treat them.

People who live with substance overuse disorders can go into remission and then relapse…

There are many examples of expensive healthcare where the recipients might relapse and accrue further costs. The NHS is a shared risk healthcare payer and in many ways, this works.

Show quote history

Whilst thus is true, there is (mostly) good evidence base for the original treatment, whether it 'failed' or not. That is not true if gender affirming care. So yes, it is a unconscionable waste of resources.

StickItInTheFamilyAlbum · 08/08/2024 11:15

Speedweed · 08/08/2024 10:47

It's really good news, and makes a lot of sense and hopefully will mean that troubled children and young people get better care, rather than just being discharged.

But my god, the financial waste to an overstretched NHS of people who choose go down the navel gazing pathway, costing a lot of NHS money and resources on an ongoing basis, and who are then going down another pathway, taking up more precious NHS money and resources....I find that appalling, given the situation is down to their choice. Is my thinking unreasonable?

Moral hazard but overall…

People regain weight after weight loss surgery or NHS supported diets. It doesn't mean that they shouldn't be treated.

Some people with diabetes (whatever type) go through periods of being able to control it and times when they don't/can't. We still treat them.

People who live with substance overuse disorders can go into remission and then relapse…

There are many examples of expensive healthcare where the recipients might relapse and accrue further costs. The NHS is a shared risk healthcare payer and in many ways, this works.

Beowulfa · 08/08/2024 10:53

It's shameful that detransitioners have had no medical help until now. But at least some data can be collected going forwards. Will this be a world first?

Speedweed · 08/08/2024 10:47

It's really good news, and makes a lot of sense and hopefully will mean that troubled children and young people get better care, rather than just being discharged.

But my god, the financial waste to an overstretched NHS of people who choose go down the navel gazing pathway, costing a lot of NHS money and resources on an ongoing basis, and who are then going down another pathway, taking up more precious NHS money and resources....I find that appalling, given the situation is down to their choice. Is my thinking unreasonable?

heathspeedwell · 08/08/2024 10:38

Brilliant news. Shame the Telegraph didn't use 'detransition' in the headline. it's a word we're all going to be hearing a lot more of.