Doesn't he mean that clinical intervention may go ahead if/once deemed appropriate only after adequate investigation/assessment/talk therapy?
I'm open to the possibility that I've misinterpreted Marshall's letter and the way it's presented. However, I doubt that I'm alone in falling foul of the implied double negatives myself and the MoU is of little value if it wasn't being practiced at the main referral centre (GIDS).
This document supports therapists to provide appropriately informed and ethical practice when working with a client who wishes to explore, experiences conflict with or is in distress regarding, their sexual orientation or gender identity.
Nor is it intended to stop psychological and medical professionals who work with trans and gender questioning clients from performing a clinical assessment of suitability prior to medical intervention. Nor is it intended to stop medical professionals from prescribing hormone treatments and other medications to trans patients and people experiencing gender dysphoria.
www.rcgp.org.uk/policy/rcgp-policy-areas/lgbt.aspx
iirc, what was protested in the consultation was the absence of the talking therapies and counselling. If I'm wrong about this then I confess that I'm truly baffled.
The Equality and Human Rights Commission was also concerned that the proposed legislation lacked a sound evidence base, and that it risked preventing “legitimate and appropriate counselling, therapy or support which enables a person to explore their sexual orientation or gender dysphoria” and “criminalising mainstream religious practice such as preaching, teaching and praying about sexual ethics”.
sex-matters.org/posts/sex/sex-matters-statement-on-conversion-therapy/