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Feminism: Sex and gender discussions

Any referral stats on the Tavi?

3 replies

whatnow41 · 24/06/2020 21:22

Just got embroiled in to an online debate. As usual! I've found the referral rate quoted in 2019 as 75% female, but do we know what proportion of them (or all referrals) go on to begin treatment with hormone blockers? We know that 'nearly 100%' of those in hormone blockers go on to take cross sex hormones, I'm just trying to work out the drop out rate before that.

As in, some woke bloke thinks that once they get referred, only the genuinely trans ones will get treated. I just want to understand how many reach the Tavistock and decide not to proceed further. Thanks as always.

OP posts:
DuDuDuLangaLangaBingBong · 25/06/2020 01:45

I’d like to know this too - I don’t think they are compiled anywhere tho.

Perhaps we could brainstorm a FOI request?

Not sure how to phrase it, I think there is a bit of an art to getting it right?

We know how many children have been referred each year thanks to previous FOI and GIDS now have those figures on their website.

What we need to know is how many new patients they’ve seen each year since day, 2013

and how long the average wait was from referral to first appointment?

Those two, along with the already published total referral numbers should tell us how many drop out without being seen?

And then we’d also need to know how many ‘age out’ of GIDs whilst on the wait list, and subsequently have their first appointment at an adult GIC instead.

How would we phrase that bit? I think at the moment the wait list is long enough that you’d need to be referred before the age of about 14 to get cross sex hormones from GIDS (2 plus years wait for assessment appointment, referral to endocrinologist, 1 year on blockers = close enough to 18 to transfer care to adult service (the only private service willing to prescribe to under 18s are GenderGP aka the Webberleys, whose credibility is shot to shit both inside and outside trans circles. I think Susie Green has a pet European doctor that parents can fly their kids to see for a hormone prescription (obvs not during lockdown).

There is some published stuff on referrals from GIDS to the prescribing endocrinologists (at UCH?) I will try and dig it out.

The answers will be far too late to win your online debate but at least we’ll have the answers for the next one!

whatnow41 · 27/06/2020 15:13

I've used a bit from the other thread on quotes from Dr Aiden Kelly.

“We are putting responsibility back on the family because we don’t have the evidence base to say ‘it’s these kids or it’s these kids’, or how we can pick out which kids should go forward and which kids shouldn’t. “

So the doctors don’t actually choose or use any medical knowledge to decide which children proceed on to a medical pathway of taking hormone blockers and then cross-sex hormones. They push the responsibility back on to the parents, and literally anyone can go on the medical pathway if the child states they want to, as their parents don't have to agree.

OP posts:
OldCrone · 27/06/2020 16:15

You could have a look at their FOI log and see if anyone's asked this.
tavistockandportman.nhs.uk/about-us/contact-us/freedom-of-information/foi-disclosure-log/

These are some FOI responses to queries similar to yours.

GIDS Hormone Blockers Prescribed 2018/19 & 19/20

The response says: "The Tavistock and Portman NHS FT does not prescribe puberty blockers or any other medication linked to the treatment of young people presenting to GIDS. This is the domain of endocrinologists who are employed by other NHS Trusts." Then goes on to say that it would be too expensive to search individual files to see how many patients have been prescribed them.

GIDS Waiting List, Discharges, Hormones Administration

The response again is that it would be too expensive to search all the files: "We confirm that this information is held by the Tavistock and Portman NHS Foundation Trust, but that the cost of collating the data would exceed the appropriate limit that is provided within the Freedom of Information Act 2000."

GIDS 2019 Accepted Referrals and Under 15s Endocrinology Referrals

Response: Everyone referred in 2019 is still on a waiting list, so no numbers are available.

There are lots of requests along these lines, but I couldn't find any with any useful numbers in them.

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