Also by Marcus Evans
Published on January 17, 2020
'Why I Resigned from Tavistock: Trans-Identified Children Need Therapy, Not Just ‘Affirmation’ and Drugs'
(extract)
My concerns in this field became more acute in Spring, 2018, after I retired from active work as a therapist and joined the Board of Governors of The Tavistock and Portman NHS, which hosts the National Health Service’s Gender Identity Development Service (GIDS) at the aforementioned Tavistock Clinic—a public facility available to everyone in the UK. Almost as soon as I’d joined, I was made aware of the growing controversy over GIDS. A letter had come in from a group of parents complaining that their children had been fast-tracked through GIDS without any serious psychological evaluation. The author of the letter, a mother representing a group of parents, wrote to me in my role as governor, and I replied, circulating copies of that reply to other governors.
Around the same time, Dr. David Bell, a senior consultant at the Tavistock & Portman NHS Trust and a Tavistock governor, was approached by 10 GIDS staff members (amounting to about one-fifth of the London-based service) who had grave ethical concerns similar to those expressed in the parents’ letter—including inadequate clinical assessments, patients being pushed through for early medical interventions, and GIDS’ failure to stand up to pressure from trans activists. As I discovered, this was not the first time such concerns had been raised. Thirteen years previously, psychotherapist Susan Evans (who, full disclosure, is my wife) had raised her own concerns about the thoroughness of the assessment process by some staff.
As a governor of the Tavistock Trust, I personally witnessed attempts by the Trust’s management to dismiss or undermine both Dr. Bell’s report, which he submitted in late 2018, and the letter from parents. This included accusing Dr. Bell of fictionalizing the case studies he described, questioning his credentials, withholding his report from certain governors, and preventing him from attending a meeting to discuss the Medical Director’s response to his report.
I have learned, through long experience with managing clinical areas in the National Health Service, that such efforts to dismiss or discredit serious concerns about a service or clinical approach typically are driven by those seeking to evade accountability and shield their methods from criticism. Such a defensive, self-serving approach would be dangerous and objectionable in any NHS context. It was particularly worrying in the context of a service that treats vulnerable young people in the midst of life-changing, often irreversible decisions that have unknown medical consequences. And so in 2019, I resigned from the Tavistock board of governors, in protest over the Trust’s failure to address the serious concerns that Dr. Bell and parents had raised." (continues)
quillette.com/2020/01/17/why-i-resigned-from-tavistock-trans-identified-children-need-therapy-not-just-affirmation-and-drugs/