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NHS review of adult 'gender' services

89 replies

ArabellaScott · 14/08/2024 09:07

https://www.bmj.com/content/386/bmj.q1788

Starts in September. Headed by Dr David Levy.

'NHS England is carrying out a review of adult gender dysphoria clinics with a remit to explore “broad concerns and issues” reported by “concerned clinicians” during the Cass review of gender identity services for under 18s.
Their concerns reflect similar problems found with services for under 18s, including limited time for assessing patients, expectations that hormones would be prescribed, and lax consent procedures.
The review of adult clinics, announced last week, is expected to last two years and will start in September. It will be led by David Levy, medical director for Lancashire and South Cumbria Integrated Care Board, with support from a panel of expert clinicians, patients, and stakeholders, including representatives of the Care Quality Commission, royal colleges, and professional bodies, NHS England announced in a letter to Hilary Cass, chair of the review of gender identity services for under 18s.1

Adult gender services to be scrutinised after clinicians raise concerns

NHS England is carrying out a review of adult gender dysphoria clinics with a remit to explore “broad concerns and issues” reported by “concerned clinicians” during the Cass review of gender identity services for under 18s. Their concerns reflect simi...

https://www.bmj.com/content/386/bmj.q1788

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Original poster
ArabellaScott · 20/12/2025 22:33

Oldandgreyer · 20/12/2025 19:32

Can we ask the prime minister: Do you think all departments in the NHS should stop keeping records?

Don't go giving him ideas.

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Oldandgreyer · 20/12/2025 19:32

Can we ask the prime minister: Do you think all departments in the NHS should stop keeping records?

Sammidge · 20/12/2025 18:53

I knew David Levy quite well in the NHS. He never struck me as a chap with strong guiding principles but he was a decent man with a low tolerance for poor medical practice.

MelOfTheRoses · 19/12/2025 19:58

ArabellaScott · 19/12/2025 17:45

I'm minded of this:

https://www.tumblr.com/edinburghath/163521055802/trans-health-manifesto

'We will express our needs, and they will be met. We will change our bodies however we want. We will have universally accessible and freely available hormones & blockers, surgical procedures, and any other relevant treatments and therapies. We will end the medical gatekeeping of our bodies'

Never to be forgotten.

Original poster
ArabellaScott · 19/12/2025 17:45

I'm minded of this:

https://www.tumblr.com/edinburghath/163521055802/trans-health-manifesto

'We will express our needs, and they will be met. We will change our bodies however we want. We will have universally accessible and freely available hormones & blockers, surgical procedures, and any other relevant treatments and therapies. We will end the medical gatekeeping of our bodies'

Post by @edinburghath

💬 7  🔁 121  ❤️ 213 · TRANS HEALTH MANIFESTO · INTRODUCTION Following the centuries-long repression of trans lives at the hands of the state, the next stage in the UK government's war of bureaucrat…

https://www.tumblr.com/edinburghath/163521055802/trans-health-manifesto

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Original poster
ArabellaScott · 19/12/2025 17:42

https://goodlawproject.org/the-levy-review-has-been-published/

'Good Law Project’s trans rights lead, Jess O’Thomson, cautiously welcomed a number of the recommendations, while noting that there are still issues of concern.
“The review identifies the major barriers to accessing trans healthcare,” O’Thomson said, “and the serious impact this is having on patients. Urgent action is needed, and many of the recommendations – if properly resourced – would significantly improve provision. It is concerning that NHS England, in its response, does not commit to an increase in resources to enable these recommendations.
“Some of the recommendations may also be problematic – requiring, for example, that first appointments are conducted by senior clinicians may impose additional barriers to accessing care. And it is vital that GPs do not use this as an excuse to withdraw longstanding healthcare arrangements for existing patients.
“The obvious solution,” O’Thomson continued, “is to adopt an informed consent model of trans healthcare, provided at primary level, rather than relying on gatekeepers.”'

Ooh, they don't like those 'gatekeepers', do they? Otherwise known as 'data' and 'evidence' and 'reality'.

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Original poster
ArabellaScott · 19/12/2025 10:13

BettyBooper · 19/12/2025 09:47

Nothing from Wes about the complete lack of outcome data. But the waiting times are too long!

What is wrong with these people??!

Why are MNetters more concerned about the outcomes for trans people that their so-called allies?

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They are either scared - of backlash/litigation - or they are actively complicit.

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Theeyeballsinthesky · 19/12/2025 09:48

ArabellaScott · 19/12/2025 09:18

https://www.bbc.co.uk/news/articles/cy8j27nm9pro

Trust the bbc to single out that bit to garner sympathy 'these poor ppl having to wait' and ignoring the rest of the report which points out the absolute scandalous lack of evidence/data/follow up for this so called 'treatment'

BettyBooper · 19/12/2025 09:47

ArabellaScott · 19/12/2025 09:31

https://questions-statements.parliament.uk/written-statements/detail/2025-12-18/hcws1214

Statement from both houses.

Nothing from Wes about the complete lack of outcome data. But the waiting times are too long!

What is wrong with these people??!

Why are MNetters more concerned about the outcomes for trans people that their so-called allies?

OldCrone · 19/12/2025 09:42

Shedmistress · 19/12/2025 08:48

And not one whistleblower from any of these clinics? Not one?

There were some who spoke to Hilary Cass about their concerns about how the clinics were run.

Cass said that during the course of her three-year investigation into children’s gender services, she was approached by a number of staff members working in adult gender clinics. They reported inadequate consent processes, limited explanation of the risks involved in treatment, “chaotic” administrative processes, “out of control” waiting lists, an absence of national treatment guidelines regarding use of hormones and a lack of systematic processes for follow-up.

Cass was told that patients were not always informed of “the irreversibility of some of the effects” of treatment. Some clinicians told her they were concerned that their colleagues failed to correct or challenge patients’ “magical thinking”, “ie unrealistic beliefs about what could achieved through medical transition”, she wrote in the letter sent in May and published on the NHS England website earlier this month.

NHS plans review of adult gender services following Cass criticisms | NHS | The Guardian

NHS plans review of adult gender services following Cass criticisms

Workers in adult gender clinics allege ‘chaotic’ administration and ‘out of control’ waiting lists

https://www.theguardian.com/society/article/2024/aug/15/nhs-plans-review-of-adult-gender-services-following-cass-criticisms

Original poster
ArabellaScott · 19/12/2025 09:31

https://questions-statements.parliament.uk/written-statements/detail/2025-12-18/hcws1214

Statement from both houses.

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Original poster
ArabellaScott · 19/12/2025 09:21

I notice the report cited the DSM, whereas I understood the NHS use the ICD?

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Original poster
ArabellaScott · 19/12/2025 09:19

'Dr Levy will now chair a new national improvement programme for adult gender services, starting in 2026'

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Original poster
ArabellaScott · 19/12/2025 09:19

'Unacceptable waits for unacceptable treatments based on unevidenced theory'

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Shedmistress · 19/12/2025 09:16

ArabellaScott · 19/12/2025 09:14

Who would apply to work in one? Activists. Only activists.

A reminder Jon Arcelus of WPATH is head of Nottingham gender clinic.

Glasgow's Sandyford really struggled to recruit a gender person. I got the distinct impression nobody would touch the job with a bargepole.

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Oh I know but this is all utterly mindblowing.

BettyBooper · 19/12/2025 09:15

There is a massive focus on the length of waiting time and how awful that is while at the same time acknowledging there is no outcome data!

They're offering treatment for something they can't define, that they don't know is actually effective, that they have no clue about outcomes for...

But hey the waiting times for this 'treatment' are too long.

WTAF. This is insane.

Original poster
ArabellaScott · 19/12/2025 09:14

Shedmistress · 19/12/2025 08:48

And not one whistleblower from any of these clinics? Not one?

Who would apply to work in one? Activists. Only activists.

A reminder Jon Arcelus of WPATH is head of Nottingham gender clinic.

Glasgow's Sandyford really struggled to recruit a gender person. I got the distinct impression nobody would touch the job with a bargepole.

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MrsOvertonsWindow · 19/12/2025 09:09

Shedmistress · 19/12/2025 08:47

Call me a suspicious old fuddy duddy but is there no data because they shredded/deleted/erased it so that the new trial HAD to proceed? I mean, they can't ALL BE COMPLETELY INSANE can they?

When your version of "healthcare" revolves around political ideology, basic medical standards just don't apply. The details in that report of what is missing in terms of medical standards are stark.
The trouble is this is all part of the political activist NHS where ideology and rainbow trails matter more than ethics, data and patient wellbeing.

Beowulfa · 19/12/2025 08:50

This kind of nation-wide, tax-payer funded scandal should have Private Eye all over it. So disappointed by them.

Shedmistress · 19/12/2025 08:48

And not one whistleblower from any of these clinics? Not one?

Shedmistress · 19/12/2025 08:47

Call me a suspicious old fuddy duddy but is there no data because they shredded/deleted/erased it so that the new trial HAD to proceed? I mean, they can't ALL BE COMPLETELY INSANE can they?

Original poster
ArabellaScott · 19/12/2025 08:35

ItsCoolForCats · 18/12/2025 16:59

Sex Matters take https://sex-matters.org/posts/updates/the-levy-review-of-adult-gender-services/

I dont know if I completely agree with their position.

This report is scandalous. I read it as a 'fucking hell its all a con' which was put through a politification engine.

No medic could read that and not pick up on the enormity of the issues? The gaping holes, the lack of any evidence base?

I wonder if this is how a senior healthcare person who is also mindful of the risks of litigation would write such a bombshell?

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Original poster
ArabellaScott · 19/12/2025 08:25

MrsOvertonsWindow · 18/12/2025 17:47

These are the clinics who've refused to provide Cass with the outcome data she wanted so the outcomes for all the children who've moved into adult services could be looked at rather than having to experiment on anotther vulnerable cohort.

Of course, what this review shows is that they keep no data of any sort. And have no consistent standards and all the clinics are outside the normal NHS standards.

Yet the NHS continues to pour millions of ££ into both adult and children's services despite a complete lack of coherent, ethical medical practice.

There should be disciplinary and sackings for what's been uncovered.

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Lawsuits. This seems to amount to criminality to me. Negligent, reckless, deluded, at the very best.

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