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Feminism: Sex and gender discussions

NHS England and Scottish government reject WPATH

38 replies

fromorbit · 09/03/2024 08:40

Starting a new thread because this is potentially huge. A Mail report into NHS and medical use of WPATH standards in the UK and their reaction to the WPATH leak resulted in the following statements:

A Scottish Government spokesperson said: 'The Scottish Government and NHS Scotland do not have a working relationship with The World Professional Association of Transgender Health (WPATH). Specific questions related to its standards, or their development, should be directed to WPATH.
'It is not correct to say that NHS Gender Identity Services in Scotland follow WPATH V8 guidelines, a wide evidence base helps inform the delivery of NHS gender identity services in Scotland.'
A GMC spokesman said: 'As the regulator for individual doctors in the UK, we do not set clinical guidance. The guidance we provide is high-level and our Trans healthcare ethical hub shows ways in which our professional standards can be applied and signposts to resources.'
A spokesperson for the Royal College of Psychiatrists said: 'All our position statements are informed by a wide variety of sources, as well as our own member's professional expertise, and are not dictated by any single individual or organisation. Our position paper on transgender health was written in 2013 and we will update it following the outcome of the Cass Review.'
A Department of Health and Social Care spokesperson said: 'NHS England is transforming children's gender identity services, in line with the Cass Review recommendations, and moved away from WPATH guidelines more than 5 years ago.
'The Tavistock clinic will close at the end of March and the new services will open in April, with robust safeguarding processes in place and staffed by experts in paediatric safeguarding.'
An NHS England spokesperson said: 'The NHS has well-established methods and processes in place to enable the development of policies and specifications for NHS gender services in line with clinical evidence and expertise.
'While we are aware of WPATH standards, we are clear that these do not determine NHS policy.'
The BMA was approached for comment.

Full article:

How influential trans health doctors and activists have secretly shaped NHS policies for more than a decade
NHS used controversial WPATH Standards of Care documents in trans policies
https://www.dailymail.co.uk/health/article-13168281/INFLUENTIAL-transgender-health-doctors-activists-shape-NHS-policies.html

Sex Matters following up on this on twitter.

WPATH’s influence is all over the NHS

- 2013 govt guide to gender dysphoria services informed by WPATH SOC
- Bernadette Wren, Director at the Tavi told parliament treatment protocols are based on WPATH "almost universally observed in Europe.”
- NHS’s Contract for GIDS repeatedly refers to WPATH SOC up to 2024
- Sandyford clinic in Scotland tells adult patients: “Your treatment will be monitored & run in accordance w WPATH SOC ”
- @gmcuk @TheBMA @rcpsych informed by WPATH standards
-Gendered Intelligence, Mermaids, Stonewall and GIRES promote WPATH as the only acceptable approach.

Read our dossier on the influence of #WPATH in the UK

https://sex-matters.org/posts/publications/wpath-in-the-uk/…

And then read the #WPATHfiles

https://environmentalprogress.org/big-news/wpath-files

The card tower is tottering we all need to help give it a push.

Write to your MP ask for their reaction.
Write to your local NHS Trust.
If your local council and school is pushing gender ideology demand they react to WPATH leaks.
The position in Scotland makes even less SENSE than ever. In reality WPATH is being enforced in Sandyford, but the government is actually against it now. ????
No-one even knows what is going in Wales and Northern Ireland, we need to go after them because the media doesn't care.
There is going to be a general election - a lot of parties need to actually make it clear whether they are for or against WPATH medical experiments on kids. That is on us to ask the questions in our constituency.

We need to get this out there. The card tower will come down, but the more we push the more lives we can stop from being ruined, and the quicker we can get to a reality where lots of sensible people will be saying Mumsnet and JKR were right ALL along. If we don't do it now guess what Putin, Trump and assorted other sexist pigs will be claiming the credit for knocking the tower down in a few years time and will be using the kudos to send us all back to the stone age.

INFLUENTIAL transgender health doctors and activists shaped NHS policy

Documents produced by the World Professional Association for Transgender Health, have been used as a basis for guidance to medical practitioners, across the NHS.

https://www.dailymail.co.uk/health/article-13168281/INFLUENTIAL-transgender-health-doctors-activists-shape-NHS-policies.html

OP posts:
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ArabellaScott · 09/03/2024 11:23

The NHS are still directing healthcare professionals to WPATH, directly to the Standards of Care v8. That link has been updated with SoC version 8, after NHS Scotland had to self refer to Police Scotland because of the content of the SoC.

NHS England and Scottish government reject WPATH
NHS England and Scottish government reject WPATH
ArabellaScott · 09/03/2024 11:25

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

'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.;'

Adverse Event Review Report:
NGICNS website content

June 2022

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

ArabellaScott · 09/03/2024 11:25

'the child abuse imagery'

Is it clear enough yet?

ArabellaScott · 09/03/2024 11:31

More from that report:

'6.2 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.

NHS Scotland 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.

NHS Scotland is likely to have been negatively impacted by this adverse event. While NGICNS is mentioned in coverage it is less likely to be a household name and therefore not as associated with any negative reaction.

Information gathered as a result of this investigation suggests there is a strong
likelihood of similar incidents taking place for managed networks in future, and
therefore there is an ongoing risk to reputation if no action is taken.'

In relation to any possible detriment of someone accessing 'child sex abuse imagery':

'.1 Risk of harm to patients/public

There is no evidence of harm to patients or members of the public as a direct result of NGICNS hosting the WPATH documents on its website.

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.

The Lead Clinician for NGICNS has raised concern about the potential for risk to patientn care while NGICNS website is offline, as the site hosted key resources for service users.

To mitigate this risk, service users are being signposted to other organisations which can provide information while the NGICNS website is offline.

The Director of NSD has identified a potential ongoing risk of clinical information being hosted on network sites inappropriately, when there are other outlets (such as NHS Inform) that exist to house patient-facing information.
Therefore it appears there are decisions required to the role of network communications activities in providing clinical information to patients and the public.'

PatatiPatatras · 09/03/2024 11:54

The trans Community is a tiny part of the population

But also

We are "informed by a wide variety of sources"

Say what now? 👀

Bunpea · 09/03/2024 12:16

Good grief, this situation is incredibly evil.
WPATH guidelines are a fig leaf, behind which unethical or incompetent doctors and the NHS are hiding, declining to take responsibility for their own clinical decisions by saying they are simply following guidelines.

ArabellaScott · 09/03/2024 12:18

They've disowned their figleaf and claim they don't rely on it. So what do we have now?

Ingenieur · 09/03/2024 12:28

ArabellaScott · 09/03/2024 12:18

They've disowned their figleaf and claim they don't rely on it. So what do we have now?

"Be kind" I would say is now the last remaining argument.

No clinical underpinning, no philosophical underpinning, no reality underpinning anything they say.

And we are supposedly the bigots.

Bunpea · 09/03/2024 12:30

Without the fig leaf, what we have is naked bollox. I.e. a rotten NHS and at least some rotten incompetent or unethical doctors.

But reading through this thread, it seems some parts of the NHS (Scotland, Nottingham etc) are still clinging to the fig leaf.

What do Amanda Pritchard and Caroline Lamb say about this state of affairs?

OldCrone · 09/03/2024 14:20

The Welsh Government mention WPATH a few times in this report from 2021.

https://www.gov.wales/sites/default/files/consultations/2021-07/recommendations-of-the-independent-lgbtq+-expert-panel_0.pdf

For trans youth, puberty blockers are prescribed to prevent the irreversible physical effects of puberty that can cause significant distress and may require them to undergo more invasive procedures such as surgery as an adult. Authoritative international clinical guidelines support the use of puberty blockers for trans youth, as one component of a holistic model of care.

The "Authoritative international clinical guidelines" come from WPATH.
https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_English2012.pdf?_t=1613669341

We are concerned by the High Court’s judgment in Bell v Tavistock and Portman NHS Trust in December 2020 and subsequent measures to restrict access to these critical medications at GIDS, include requiring decisions about treatment for under-16s to be subject to a court order. These measures risk further undermining the health and wellbeing of trans young people, and have been condemned by expert medical bodies.

The 'expert medical bodies' include WPATH, with a link to this document.
https://www.wpath.org/media/cms/Documents/Public%20Policies/2020/FINAL%20Statement%20Regarding%20Informed%20Consent%20Court%20Case_Dec%2016%202020.docx.pdf?_t=1608225376

Redpencil99 · 09/03/2024 15:16

Thank Christ for that

Dineasair · 08/05/2024 22:16

RedToothBrush · 09/03/2024 08:45

Why has it taken this long, and for a third party to investigate the value of what WPATH was saying for the NHS to disavow them?

Why didn't their internal ethics and clinical review procedures pick up on it?

Why did they blindly follow activists who were chasing the money?

Who other areas of health care are similar issues happening within the NHS?

What are the liability implications for the NHS for anyone previously treated under WPATH pathways?

Will there be an internal investigation into why the NHS has got this so badly wrong?

👏🏻👏🏻👏🏻

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