Lucy Bannerman,
The Times. Thank you for your truth-telling.
This feels like a watershed, right on the front page in the Times.
What a relief to see it being exposed for discussion.
However, happy to be corrected, the Times front page article helpfully contains concerns from credible and informed critics (GIDS doctors) that the problem is ‘rushing’ kids through the NHS gender identity clinics system. It is also helpfully stating that the role of the advocacy charities is being overstepped beyond what may be in patients’ best interests.
BUT this article not quite getting to the absolute root of the problem if it implies that the problem is only rushing kids through to medication, hormones and surgery. (Whether this is rushing them due to a lack of resources in the NHS or due to the political pressure the NHS is being put under by the political lobby behind this ideology.. these are very worrying but not the full story).
The true root of the problem seems to be that there isn’t a true set of ‘trans kids’ out there. The problem is not that other ‘non trans’ kids’ are being caught up in treatments that should only be reserved for these few true cases. (Though it sounds very much like this is happening which is a very serious system failure. This demands a very serious reset of how these services are working with greater oversight). The Times is absolutely correct to highlight this.)
But I think the problem is that: the is medical interventions which are life changing are based on sexist stereotypes, they are homophobic, we know the rate of desisting is very high in children and young people and yet we know that they are being given treatment with permanent effects.
Patients should be told the truth: that they can live how they want, dress how they like but they can’t truly change sex. They should be told there is nothing wrong with being a ‘masculine’ woman or ‘feminine’ man. Also that there is nothing wrong with being lesbian, gay or bisexual.
Therefore to enable a healthy conversation around this (next step..) the NHS, the law courts, Parliamentarians and society need to get everyone to fucking well start to apply the normal level of safeguarding and normal medical ethics and normal legal standards of consent to these kids, that we would apply to other kids.
The major corporate bandwagon supporters need to realise and say publicly that this is a complex area and with good intentions they have been misled into holding a position not in the best interests of children. We all need to say that this genderist political ideology should be unlinked from lesbian gay and bisexual rights campaigning because it is the opposite of supporting them and should have its own advocacy lobby advocating on trans issues.
Remedying this requires everyone to advocate for more NHS investment: in a Watch and Wait approach, with investment in the provision of abundant professional talking therapies to children and young people who feel troubled by gender issues.
But I don’t personally think we should be giving out affirming medical (blockers) hormonal surgical interventions to anyone under 25. (Apparently that’s when the brain fully matures if natural puberty is allowed to happen...)
Because we know so many children and young will desist from having these feelings or holding these identities. Because we know so many of them are already vulnerable because of other issues they are dealing with in their lives.
Because at these young ages they can’t consent meaningfully to the loss of their own healthy sexual function, the loss of their own natural fertility, to bringing about possible osteoporosis, to bringing about a lowering of their own IQ, vaginal atrophy and possible need to hysterectomy, massive surgical risks; or multiple painful daily dilations of a hole in their body, and a load of other horrible effects from blockers, hormones and surgery.
This Times cover splash also makes current NHS pilots such as this one in Manchester look very concerning: www.mumsnet.com/Talk/womens_rights/3549494-Plans-for-radical-trans-health-service-model-to-be-rolled-out-across-England
The aim here seems to be to take services for trans people out of the very specialist professional setting (gender identity clinics) and into more general primary care level (GP care) in community settings and delivered by trans people themselves wherever possible.
Actually I think, some adults over 25 are vulnerable and they still absolutely need neutrality, expertise and experience in their medical and psychological care.
Why would these patients benefit from being offered treatments by generalists who don’t have the experience to scratch the surface of what is going on first? Why would they benefit from the involvement of people who want to validate their own choices?
I think that competent adults can of course make their own choices including around long term blockers use, taking hormones and having surgery, but the system needs a lot of tightening up to ensure that adults with underlying psychological needs are helped with those, rather than ‘affirmed’ as first approach.
There will be a major backlash coming, but the Times have really started a long overdue conversation. Very relieved to see this happen.

Sorry for the massive post.