I found it actually displayed on a table in the Trafalgar Square Waterstones yesterday for the first time - there were only 2 copies left so I bought one for a friend. Hags was available but on the shelf downstairs - a shame it wasn't out on a table given how recently it was published and how it's been promoted on the Waterstones and Blackwells websites as a "most anticipated" book this year.
I'm so happy that they're finally making it into stores, just such a shame it's more than a month after all the rave reviews in the papers.
Anyway I finished it this morning - what a read. I agree that it's a healthcare and governance story, but it is also a trans story because there was such a strong sense of mission and purpose driven by the kudos they got and the money they were bringing in that enabled the top brass to turn a blind eye when clinicians were jumping up and down to be heard. It seems like lots of people spoke up over and over again - at one point something like half of the entire clinical team were making complaints in various directions - but because everything was discussed people felt that action would be taken and then somehow it never was.
It had a lot of similarities with other procedural downfall books I've read over the years like about Enron, Theranos, Lehman Brothers etc but this is so much worse because literally thousands of hugely distressed children were involved.
Every page was a jaw dropper but the two that really stood out for me were a) that little to no actual talking therapy was going on - only in the context of assessment for the single "treatment" was available, puberty blockers, and that led in 99% of the cases to cross sex hormones so it wasn't a "time to think" at all. and b) that the entire evidence base for puberty blockers rests on the Dutch studies which aren't even applicable to what they were doing and have methodological problems of their own (switching the surveys given to children before and after etc). On this shaky foundation, thousands of physically healthy children may have (or may not! Because no data was collected!) become life-long medical patients and many will now be infertile.