GPs will be paid for trans hormone prescriptions - Sussex

[Igneococcus]

I don't quite get it, supposedly it is “not designed to promote the initiation of hormonal treatment in general practice" but also "The document adds that any decision to start hormone therapy is “at the discretion of the individual GP”.
Also it seems non-binary people also need hormones.

www.thetimes.co.uk/article/eb0eb198-b1f3-11ec-8570-b43daaf58ea1?shareToken=bda8d448f411c2d44f782d823721d844

I saw a tweet thread about that training too - it is about ideology not evidence based medicine.

@Kudupoo - I'm hoping the Mike Webberly findings will throw some "WTF?" into that particular mix.

Agree, no one has expertise. There are no guidelines because there is no decent evidence. So, that raises the question - "WTF are we doing?"

Meanwhile "Gynaecology waits soar by 60% during pandemic"

www.bbc.co.uk/news/health-60941950

refusing care to trans people is transphobia

Refusing care to women is misogyny. Your point?

@JessPlaysGames

refusing care to trans people is transphobia

Play those games elsehwere, Jess.

@JessPlaysGames

refusing care to trans people is transphobia

Of course it is, which is why no one is suggesting refusing care. But care does not mean prescribing drugs that will harm someone.

I treat trans patients exactly as I treat any other patient. I support patients' rights to make decisions that I might disagree with. However, as the prescriber of any drug, the responsibility rests with me to ensure that the drug is more likely to help patients than harm them. I won't prescribe a drug that I believe will do more harm than good to anyone. If I treated trans people as less deserving of this protection than other patients, that truly would be transphobia.

@MissLucyEyelesbarrow - agree, seems to me that saying "no" is regarded as being transphobic.

Saying "there is no evidence that this is effective" or "I do not have the expertise, I will refer you to a specialist" or "I do not think this treatment is appropriate for you" or "sometimes it is better to do nothing than to rush into something" is good care - difficult to deliver and it requires skill to build a therapeutic relationship and communicate the "why" so the patient buys in...but it's what GPs do daily for all sorts of people with all sorts of conditions.

Trans people being told "no" is not transphobic. Treating trans people with unproven medicine, without expertise, without a diagnosis - well, that would do harm. Harming trans people is transphobic.

Perhaps the solution here is for the trans community to reduce their expectations and have a little faith that most of society wants them to be well and happy. which would mean changing the narrative from SW et al