Adult GIDS has an affirmation only policy. They do nothing to explore whether there could be underlying reasons for your distress and it is effectively a screening service to rule out physical barriers to medical transition. Tullip would not have had to “forcefully” argue for the surgery- the surgery is seen as the solution for gender dysphoria in an area where patients are effectively viewed as clients.
Look at the language used for the Indigo Pilot Clinics. They talk about informed consent, but it is framed in a client based environment where the individual chooses their “options”:
”Communication is key to helping you understand the services and options available to you. To support you throughout your journey with us, you will be assigned a care navigator. They will have lived experience as a trans or non-binary person as well as an understanding of pathways, services and resources available both within Indigo and more widely across Greater Manchester.
Care navigators are uniquely positioned to make your experience as easy, efficient and relevant to your needs as possible.”
indigogenderservice.uk/our-services/services-we-offer/care-navigation
It’s all warm and fuzzy and completely surface level. Where’s the in depth psychological assessment to ensure the medical pathway is suitable for each individual?
Where is the sense of caution when for hormones, you can be approved on your second visit (from the age of 17):
”We can recommend and support your own GP to start hormone therapy at your second appointment if:
you’re diagnosed with gender incongruence at your second visit;
you feel confident that you’ve understood the information we’ve shown you, including the possible risk and side effects of any treatment options;
you’re feeling ready to start hormones;
it’s medically safe for you to do so.”
indigogenderservice.uk/frequently-asked-questions
This model of acceptance on a vulnerable adult’s say so is utterly irresponsible and it needs changed. The govt is pushing ahead with this approach more strongly than ever due to the long waiting lists for the adult service. There is no will there for change. The Keira Bell case made it clear the courts will not rule for a blanket change, that litigation needs to be carried out at an individual level.
There is much focus on childrens services, but none on the adult service. What is going to happen when thousands of these current adolescents time out of children GIDS and are moved to the adult side? They have been brought up in a world of affirmation by schools, social media, their peer group without any chance to desist. Do they then suddenly become competent to make decisions as young adults when they are moved to a “client” based service?
I don’t think so. I firmly believe the adult GIDS service needs a complete overhaul and that in the current environment the only way to achieve this is through individual litigation. Tullip has been badly faked and I wish him the best of luck.