So many points to pick up on!
'However, he overlooks the fact that this ban does not include teenage patients with a difference of sex development (DSD), more commonly known as intersex.'
It's not 'more commonly known as intersex', it's inaccurately and, to people with DSDs, offensively known as intersex, and it's strange to find a Doctor specialising in this area still using 'intersex' at all.
' DSD patients are taking the medication for much the same reason as transgender patients – ie the puberty they are undergoing is causing distress,'
I'm confused by his reference to treating DSD people in such a way that challenges their biological sex - I thought current care of DSD people meant that their biological sex is more likely than previously to be identified at birth, and they would be supported in growing up as a male with DSD or a girl with DSD?
So why would puberty be so distressing that it needed medical intervention to stop or pause it?
'puberty blockers can be helpful for a carefully selected minority of transgender youth who have a clear and consistent understanding of their gender identity, demonstrated distress in relation to the initial stages of puberty, and are mature enough to consider – with the support of their parents or carers – the likely implications of this treatment pathway, balancing any potential side-effects with the potential benefits'.
Puberty IS distressing! I've only been through the female version of it, but I approached it with such dread that I contemplated suicide. I would have happily taken anything that would have stopped it happening. Then it happened and I got over it. Who knows what would have happened if I'd met a Dr Kelly at the time...?
It's worth noting that the age of reaching puberty has been falling rapidly, from mid-teens to around 11, and is probably going to continued falling. So currently a 'youth' approaching Dr Kelly with distress about puberty is likely to be a child of 10 or 11. It is unlikely that a child of that age would be
'mature enough to consider .. the likely implications of this treatment pathway, balancing any potential side-effects with the potential benefits'.
There are clinical reasons to use puberty blockers if puberty is occurring at a very young age - which is likely to happen a lot more if the age of puberty continues to fall below 11 - but that is not contradicting the child's sexual identity, so it's not the likes of Dr Kelly or Gender Plus who will be treating the child.
Then there's the sideswipe at Dr Cass and her review:
Cass...acquired her own knowledge by virtue of carrying out the NHSE review into gender services, which she was commissioned to conduct despite, at that time, having no direct experience of working in these services herself.'
I could go on..