Trans and health: reality bites

If a patient changes their gender identity on their health records, they should sign a legal waiver. It's upto them to request the appropriate sex based medical care because they chose to falsify their medical records.

I agree but apparently that's too difficult and invalidating and doctors don't know how to talk to trans people or something

The caveat to the Darwin awards is that you need to take yourself out the gene pool before you breed, which disqualifies a few late transitioners.

What does the poor nurse do?? Surely that's assault against the nurse?

Nurses and other NHS workers report a high degree of unwanted sexual behaviour (including SA) in the NHS. Despite policies like Zero Tolerance, the culture encourages them not to act on it, far less report it.

The widespread incidents of sexual harassment are revealed in a wide-ranging survey published by the Unison union on the first day of its annual health conference in Brighton.
In the study of more than 12,200 health workers, one in 10 reported unwanted incidents including being touched or kissed, demands for sex in return for favours, and derogatory comments.
Royal College of Nursing chief nurse Professor Nicola Ranger said: “These figures paint an incredibly disturbing picture."
In the survey, sexual assault was reported by 29% of respondents who had experienced harassment, while half said they have been leered at or been the target of suggestive gestures.
One in four who had been harassed said they have suffered unwelcome sexual advances, propositions or demands for sexual favours.

https://www.bbc.co.uk/news/articles/c2jxjepm00zo

I’m embarrassed for these people. Their idiocy knows no bounds.

As far as I'm aware, you don't have to have a GRC to do this, it's just done on request.

This is largely exactly what it's about.

GI is all about eating the cake and having the cake and demanding more cake, and that everyone else gives you their cake too with menaces for refusers.

Surely the common sense short term answer to this is that as pp says, people who ask to change the markers on their medical records to something that is factually untrue sign a form saying that they accept personal responsibility for any negative outcomes that may arise from their having chosen to withhold information regarding their sex from a medical professional, and will be responsible for seeking their own needed health care and screenings. And the NHS's responsibility ends there.

If we're busy claiming that young children can definitely absolutely give informed consent for sterilisation then absolutely adults can be held responsible for their medical decisions. Until some sanity returns to the UK.

So surely they could have it clearly stated prominently at the top of their notes that they have a "gender identity" of M and a "sex assigned at birth" of F or vice versa/whatever, and a clear note of what screening is required based on what they still have, what they've had removed, and so on. That would be brief and easy to understand.

I saw some Reddit discussion from a trans subreddit which suggested parts of the NHS have started shifting to something like this within the last year - or at least the clear separation of sex and "gender".

The OP and I think one commenter had seen this in their records. Everyone was very, very upset about it - that such sensitive information (their sex) should be in their medical records where "anyone" could read it.

Wha really?? Does that actually happen?? What does the poor nurse do?? Surely that's assault against the nurse?

Oh YES. Exactly this. (A reference for Mumsnet old-timers, admittedly, but it's perfect.)

The NHS guidance says trans patients who are excluded from these national screening programmes can request a mammogram or smear from their GP, but family doctors are not routinely trained on how to discuss screening with trans patients or ensure they have the same access to tests, reminders and follow-ups.

Oh look, they're "excluded", AGAIN

Family doctors aren't not trained, they're terrified of saying the wrong thing

So they're "transphobic" if they mention the person's sex, or if they don't

It doesn't matter how many times you bend over backwards, victim mentally will still be claimed

god it’s all so cutted up pear

It really is 😂

God I’m so bored and tired of the endless toddler trantruming of TRA when the logical consequences of their actions dawn on them

TRA - allow us to erase our old identity including the sex we were born completely from NHS

NHS ok - our records now have no way of letting us know that Davina used to be Dave just as you asked

TRA - waaaaaaah I didnt get an invite for sex based cancer screening

no you absolute fuckwits because when you replaced dave with Davina on nhs records, tje nhs will obviously not understand Davina has a prostate

god it’s all so cutted up pear

(Though I also get the point below about tw on estrogen needing breast cancer screening - I’m not sure what the best plan is if it’s both necessary and a fetish - but we should avoid screening that’s not necessary, as a baseline.)

highame… unfortunately there’s a big element of fetishism among some transwomen where being treated as a woman is a sexual turn-on - so by pretending to give this guy a smear the HCP would be participating in a sexual thing for them (aside from the waste of nhs time and money) and you can be sure if everyone was invited for tests intended for women, a subset of transwomen would attend them for this reason.

This.

If they want to have a separate column on their records, fine but it's harmful to them to be removing it. And it's harmful to others because it potentially corrupts data.

Awww bless!

"The NHS shouldn't have given trans people what they asked for because it turns out to be bad for trans people. Giving trans people what they want is transphobic."

I've had it up to here with the sheer bottomless stupidity of the Guardian.

We had a man on here once, calling himself a trans mum, who was really looking forward to getting his smear test letter in the post.

So what about detransitioners? Will they get yet another new NHS number under the current system?

Well, what about this for a solution............

Everyone gets an invite for screening. Wouldn't miss anyone if all us wims had to have prostate checks and DP's were invited for their overies to be given the once over. Can't wait for one of the numpties to come up with this one

I actually don’t think this option should be allowed to change sex on the central system. Because we can’t let people suffer as individuals just because they made indoctrinated choices earlier in life.

Plus it shouldn’t be allowed because people/NHS England changing anyone’s health records permanently, messes up the accuracy of NHS records and data forever. These are used in health research to benefit everyone and so nobody should be able to mess up the data like that.

Well colour me surprised. Change your gender and your sex stays the same. Who'd have thunk it?

I suspect there is no one humungous database, but a fragmented patchwork of systems interfacing across the different services and Trusts. Some of these systems will be pretty old, some will be new, they will be on a variety of hardwares, operating systems and DBMSs - and yes, adding an extra field would not be simple or cheap as it would have to be added EVERYWHERE to ALL systems. It would make the work required to change the date fields from ddmmyy to ddmmyyyy for Y2K look like a walk in the park.

There are estimated to be between 200,000 and 500,000 trans people in the UK.

I think that's realistic if you include all the "non-binary" tweens, teens and young people who will probably grow out of it - it depends what their sources are.

If a patient changes their gender identity on their health records, they should sign a legal waiver. It's upto them to request the appropriate sex based medical care because they chose to falsify their medical records. The NHS and tax payers can't be expected to pick up the bill for the ensuing catastrophic artificially created health crisls.