Helen Webberley Gender GP urges Dr Hillary Cass to adopt WPATH standards of care

[ArabeIIaScott]

https://www.gendergp.com/dr-helen-webberley-open-letter-dr-cass/

'the World Professional Association of Transgender Health (WPATH) has published their Standards of Care version 8.These give very clear and evidence-based recommendations on how to care for transgender people. These recommendations were jointly published by 130 international experts coming together to share their knowledge and expertise and having evaluated the research.
These should be immediately adopted to form the core standards of care that is provided in the UK rather than allow the current UK specialists, who did not take part in the development of these standards, to reestablish their own protocols and care pathways.
One of the allegations that the GMC made against me was that I had failed to follow WPATH guidance, and that of the Endocrine Society. These allegations were not found proved but during their determinations, the Tribunal found ‘that WPATHSOC7 has the status of peer-reviewed expert guidance.’ To not adopt this guidance puts our UK doctors at risk of criticism by their regulator.
The MPTS also found that the University of San Francisco and California (UCSF) Guidelines ‘had the status of peer-reviewed expert guidance’. It was, in other words, ‘the practice accepted as proper by a responsible body of medical men skilled in that particular art’.’ (Para 223)
The WPATH SOC8 and the Endocrine Society Guidelines 2017 and the UCSF Guidelines endorse the use of puberty blockers and gender-affirming hormones* after having extensively reviewed the literature. I see absolutely no reason why you cannot recommend that UK clinicians adopt these excellent guidelines, and start providing care to these patients, today.'
...
'by all means evaluate the data to inform future best practice, but do not withhold care pending your research programmes.'
...
'you are ignoring adopted best practice from across the world. Trans children are dying, and something needs to be done. Today.'

*and also suggest treatment to affirm 'eunuch' gender.

Thanks, I thought it must be a bit more complex than it seemed. I can't see how any NHS body can be still promoting WPATH - I'd have thought as soon as they saw the 'Eunuch' gender stuff and the fact there are child porn site links in their SOC they'd have run away screaming and put out clear statements that they didn't support WPATH.

Of course there are at least two NHS staff high up in WPATH, though. One of whom oversaw the SOC 8, which includes the stuff on Eunuch gender.

Who are they, Arabella?

That is horrendous. Has anyone reported those sites and any links to the WPATH SOC to the IWF yet?

I believe NHS Scotland had to report themselves to the relevant authorities after (unwittingly, apparently) hosting those links on one of their websites.

https://uk.linkedin.com/in/jon-arcelus-b2093a166

Jon Arcelus is the main one. Trying to remember the other ...

https://ncth.nhs.uk/meet-the-staff

'Prof. Arcelus is a Member of the World Professional Association for Transgender Health (WPATH) and the European Professional Association for Transgender Health (EPATH). He is co-chair of the Standards of Care- 8thEdition for WPATH, the Global guidelines for transgender health services.'

https://www.nottingham.ac.uk/medicine/people/jon.arcelus

Walter Pierre Bouman is ex president of WPATH. And was

Consultant Psychiatrist-Sexologist/Head of Service Nottingham Centre for Transgender Health (NHS)

now a consultant for the same service. That's also where Arcelus works.

https://uk.linkedin.com/in/walter-pierre-bouman-87725a21

https://www.nss.nhs.scot/publications/foi-000151-unlicensed-eunuch-procedures-and-the-care-of-the-patients/foi-000151-unlicensed-eunuch-procedures-and-the-care-of-the-patients-html/

'On the 15th of June, NHS National Services Scotland’s National Services Division became aware of a third-party document hosted on the National Gender Identity Care Network for Scotland (NGICNS) website. The document has since been removed and the website taken down pending the outcome of an investigation.
NHS Scotland did not author the document, contribute to it or comment on it. The document’s content does not reflect current policy or guidance on standards of care for NHS Scotland.
The document was part of a public consultation led by the World Professional Association for Transgender Health (WPATH) and as such is unrelated to NHS Scotland and the NGICNS. NHS Scotland and WPATH do not have a working relationship, and any concerns about the content should be raised directly with WPATH.'

https://www.nss.nhs.scot/publications/foi-000234-wpath-document/foi-000234-wpath-document-html/

Reading this FOI above they seem to be mostly concerned with 'reputational risk'.

'The presence of the WPATH information on the NGICNS website resulted in 43 articles appearing in a range of mainstream media including the Times, the Daily Mail and Sunday Mail, the Daily Telegraph, the New York Times, LBC, the Scotsman and the Daily Express. The media sentiment was rated 94% neutral and 6% negative.
News coverage all referenced NGICNS and NHSScotland; NSD was mentioned in some articles as a result of a quote from the Director but no articles mentioned NSS.
Social media coverage was small at under 500 mentions/shares relating to the incident, however the sentiment was 55% negative on social channels. NHSScotland was the prominent organisation referenced.
In addition, the fact that the guidance on the consultation documentation was not followed may have damaged the relationship between the network and WPATH.'

'While the child abuse imagery referenced in the media enquiry does not sit on any NSS website, NSS Digital and Security colleagues have referred the end point website to Police Scotland for further investigation.'

I've never understood how she sucked her husband into it. And he has been struck off.
He was a gastroenterologist before and if he wanted a peaceful life with plenty of lucrative private patients I'd think that would be a good place to be.

I am convinced there is a social contagion of young women requiring gastrostomy or naso-jenunal feeding tubes.

I'm not saying none of them have real physical problems but a look at TikTok (search things like #feedingtubeawareness) brings up many young women with particular characteristics, glorifying their feeding tubes.
They get lots of followers, some in the 100k region. I'm not sure how many followers you need to start being able to monetise your channel but I'm sure some must be. Lots of attention. Can stay well looking and attractive unlike those with anorexia.
One I've seen has "ruminant syndrome" which according to google is a behavioural disorder. Another pretty young woman demonstrated removing her tube because she was planning to go to an adventure park the next day and didn't want it to get caught in equipment. How will she have nutrition and fluids for the next 24 hours without her feeding tube?
My scepticism is partly due to (certain) patients coming through our department.
Which brings me back to opportunities for gastroenterologists who are happy to sit back and take the money. One of our patients who has been categorically told by not just Drs at my hospital but by specialists at the tertiary centre that she does not need a feeding tube has paid £££ to have a gastrostomy (direct stomach entry) feeding tube placed by a private consultant in London. But her local NHS hospital (us) have to manage ongoing care of the tube 🤷‍♀️

So anyway that's a long winded way of saying Mike could have settled for being a saviour to young women with various gastrointestinal problems and made money that way. But he followed his wife and got struck off.

His CV posted on gender GP is quite impressive and notwithstanding the possibility of a degree of exaggeration he must have been doing perfectly well as he was. I can't understand it.

Also, on the subject of exaggeration is it likely that he would have been involved in the management of THOUSANDS of transgender patients?

"In terms of transgender care, I have been involved in the management of thousands of transgender patients both in the emergency and non-emergency setting,"

www.gendergp.com/dr-mike-webberley/

There’s a really blurred line between factious illness (patient knows it’s fabricated) and unsubstantiated illness that the patient believes to be real. Working in urgent care, I see this a lot with patients who fit. There is a surprisingly large subset of people with proven epilepsy who also have fake fits (though still a tiny percentage of all people with epilepsy, of course- I’m not suggesting for a moment that most of them fabricate). I used to think that they are consciously fabricating, but now I think it’s less clear-cut, and that they are themselves not always sure.

I see a lot of overlap with young people with gender dysphoria. It’s surprising to what extent people can believe and not believe something at the same time.

FFS! That's really scary stuff.

To reduce any risk of MN being sued for defamation, it’s probably worth pointing out that MW has never been accused (AFAIK) of any mismanagement of his gastro patients. I think @FannyCann is making the point that, if he had wanted to make easy money from vulnerable patients, he had a way to do so as a gastroenterologist. She is not suggesting that he actually did.

Gtf Webberley.

Leave the kids alone.

Probably most of the adults as well. 😓

Arabella thank you for all that info about the ScotGov NHS WPATH SOC8 eunuch website scandal as well as the WPATH member info!

Walter Pierre Bouman is not on the team page for Nottingham - maybe he has retired?

I wonder what the outcome was of this? I couldn't find any clues on either the Police Scotland website or What Do They Know.

17 June – NSS Cybersecurity team review reported website content and
recommend reporting end website (eunuch org) to Police Scotland

While the child abuse imagery referenced in the media enquiry does not sit on any NSS website, NSS Digital and Security colleagues have referred the end point website to Police Scotland for further investigation.

I have removed the link to that dodgy website from the copy and paste above from this document:

https://www.nss.nhs.scot/media/3889/foi-000234-appendix-3-ngicns-website-adverse-event-review-report-v2.pdf

However . . . a Romanian living in Gretna Green is charged with involvement in this case - I wonder if the referral to Police Scotland is what led to the conspiracy being unearthed?

Worker at Scots hotel facing GBH conspiracy charge over 'eunuch maker' website
Romanian national Ion Ciucur, 28, is said to have been involved in two incidents of extreme body modification
22 March 2023 - Daily Record

The Metropolitan Police says the charges, which range from counts of grievous bodily harm to child pornography, relate to 13 alleged victims.

Gustavson, from Tottenham, is charged with conspiracy to cause grievous bodily harm with intent and five counts of causing GBH to five alleged victims, including the removal of a man’s penis, the clamping of another’s testicles and freezing of a leg which required amputation. He is further charged with acquiring or possessing criminal property, making an indecent image of a child and distributing an indecent image of a child.

https://www.dailyrecord.co.uk/news/scottish-news/worker-scots-hotel-facing-gbh-29527658

Two men admit removing body parts in ‘eunuch maker’ case
London court hears men separately removed nipple and penis of man accused of being ringleader of body modification conspiracy
18 April 2023 - Guardian

The defendants are alleged to have performed extreme body modifications, including the removal of penises and testicles.

The procedures were allegedly filmed and uploaded to Gustavson’s “eunuch maker” website, which subscribers would pay to watch.

The judge, Mark Lucraft KC, set a further hearing for 31 May and a plea and case management hearing on 30 June.

https://www.theguardian.com/uk-news/2023/apr/19/two-men-admit-removing-body-parts-in-eunuch-maker-case

All the usual "identity-washing" by WPATH of extreme sadomasochistic fetish:

Top Trans Medical Association Collaborated With Castration, Child Abuse Fetishists
May 17, 2022 Genevieve Gluck - Reduxx
https://reduxx.info/top-trans-medical-association-collaborated-with-castration-child-abuse-fetishists/

Top Academic Behind Fetish Site Hosting Child Sexual Abuse Fantasy, Push To Revise WPATH Guidelines
May 21, 2022 Genevieve Gluck - Reduxx
https://reduxx.info/top-academic-behind-fetish-site-hosting-child-sexual-abuse-fantasy-push-to-revise-wpath-guidelines/

London’s ‘Eunuch-Maker’ Was A Queer Activist in Leading ‘Gender Diversity’ Organization
July 18, 2022 Genevieve Gluck - Reduxx
https://reduxx.info/londons-eunuch-maker-was-a-queer-activist-in-leading-gender-diversity-organization/

I wonder if the links to WPATH and more details about the "eunuch maker" website will come out in court during prosecution of the "consensual castration gang"? Like the porn category based on castration and "puberty suppression" of children and, if they do, whether they will be reported in the mainstream press?

WPATH and The Eunuch Archives
20 May 2022
Genevieve Gluck interviewed by Graham Linehan
https://www.youtube.com/live/mS8ZfFZ-Bc0?feature=share

I see a lot of overlap with young people with gender dysphoria. It’s surprising to what extent people can believe and not believe something at the same time

This sounds very much like something that many detransitioners describe as they look back on their journeys towards and through transition.

Several talk about there being moments of doubt along the way, where they had vulnerable moments of not believing and they would have wanted to express and explore these thoughts. In fact many did say they expressed them but instead they were reassured - a bit like someone might reassure someone who had wedding nerves on the day.

From the way that Hannah Barnes describes the history of the Dutch protocol and the Tavistock, the original therapeutic care did accommodate discussions that could have drawn out this kind of doubt and explored more deeply around it.

It's interesting that you see lots of instances where the blurred lines between factious illness (patient knows it’s fabricated) and unsubstantiated illness that the patient believes to be real. I'm not in health care but from just reading the press, there seem to be lots of things which could fall in to this, like the number of people reporting tics (the tiktok tics phenomenon) and some groups of friends being anorexic. Social contagion seems to be setting the scene in all of these cases and it is helped along by social justice and the idea of oppression. If this is combined with someone who is susceptible to this kind of thinking, it sounds like the "perfect" mix.

Hopefully the medical profession can start routinely applying the same checks and balances that it does for the wider problem to gender care at first point of entry. I'm thinking here about what could proceed the regional hubs that Dr Cass is recommending. She does talk a lot in her review about what happens at first point of entry. I don't recall this specific angle being covered, but I could be wrong.

Bosky Boumann now works as a consultant for the Nottingham clinic, according to one of the links above.

There will be other NHS staff who are WPATH members, but Arcelus and Boumann are senior WPATH members, and I cannot see a way they are not aware of the 'eunuch' material that WPATH is involved with and supportive of.

Arcelus oversaw the writing of SOC8.

Good grief. Will she ever realise that actually everyone wants the same thing. we are all on the same side. All anyone wants is well researched , safe, evidence based care for these children. Being seen to be fighting with these self invented "bad guys" always seems to be more important to them than the very people they are claiming to care about.

I sometimes thing people like her forget that there are troubled innocent children in the middle of all this because its all about how shes seen not whats best for the kids.

How can trans simultaneously not be a mental condition and one that has us tripping over bodies on the way to work every day.

Which is it?

Definitely not suggesting MW mismanaged his gastro patients. I believe he had a good reputation as a gastroenterologist.

Just pointing out the possibilities for private practice and making money that he already had and instead he trashed his career.

The irony is HW managed to win her appeal and now feels practically invincible whilst poor old Mike has been forcibly retired.

One of many mysteries. 🤷‍♀️

Very interesting @MissLucyEyelesbarrow

Does Functional Neurological Disorder fall into this group?
I did see on one of the excellent BBC Hospital episodes some excellent care and explanation of FND, I wanted to watch it again to refresh my memory but it's not on iplayer anymore, I think it was a couple of years ago.

One of the many dreadful things the Trans lobby has done is spread the lie that gender dysphoric people kill themselves.

People use the term 'functional' in various ways but, in my mind, functional disorders are different again. The symptoms are 100% real, but they are not caused by a recognised disease process. An example that many people will recognise is having diarrhoea before a big exam. The 💩 is real! But it isn't caused by a disease.

I'm not any kind of expert, though - am just reflecting what I have seen in my own work.

Just a reminder that one of the Webberleys' young patients did take their own life.

21. Patient W - In September 2018, Patient W took his own life and there followed a coroner’s inquest. As a result of media coverage, the GMC became aware that prior to Patient W’s death he had received hormone treatment from GenderGP

From Michael Webberley's Tribunal:
https://www.mpts-uk.org/-/media/mpts-rod-files/dr-michael-webberley_25-may-22_.pdf

Though the lie is “if they don’t get so called gender affirming treatment”. The reality is the risk of suicide dramatically increases when following gender affirming treatment, as this sad case showed.

Should have been square brackets around [so called]

That’s desperately sad and you’d think HW would tread very carefully plating that card. But most of all just sad.