NHS review of adult 'gender' services

[ArabellaScott]

https://www.bmj.com/content/386/bmj.q1788

Starts in September. Headed by Dr David Levy.

'NHS England is carrying out a review of adult gender dysphoria clinics with a remit to explore “broad concerns and issues” reported by “concerned clinicians” during the Cass review of gender identity services for under 18s.
Their concerns reflect similar problems found with services for under 18s, including limited time for assessing patients, expectations that hormones would be prescribed, and lax consent procedures.
The review of adult clinics, announced last week, is expected to last two years and will start in September. It will be led by David Levy, medical director for Lancashire and South Cumbria Integrated Care Board, with support from a panel of expert clinicians, patients, and stakeholders, including representatives of the Care Quality Commission, royal colleges, and professional bodies, NHS England announced in a letter to Hilary Cass, chair of the review of gender identity services for under 18s.1

There is no data .....

The adult clinics do not record outcomes in accordance with NHS requirements

Even more reason NOT to start a load more kids on that path

it's a scandalous postscript to Cass

These are the clinics who've refused to provide Cass with the outcome data she wanted so the outcomes for all the children who've moved into adult services could be looked at rather than having to experiment on anotther vulnerable cohort.

Of course, what this review shows is that they keep no data of any sort. And have no consistent standards and all the clinics are outside the normal NHS standards.

Yet the NHS continues to pour millions of ££ into both adult and children's services despite a complete lack of coherent, ethical medical practice.

There should be disciplinary and sackings for what's been uncovered.

Reading this report makes me feel like I"m taking crazy pills - so much money, time and clinical effort going into 'treating' what, these days, largely amounts to a fusion of porn-fuelled and internet-created maladjustment.

The only part of the report that didn't make me totally despair at the ideological capture of the NHS was the section on Forensic Provision:

Recommendation 8
Given the current long adult GDC waiting times and the limited clinical capacity, NHS England should consider alternative models for the forensic provision of gender dysphoria services that don’t require such a disproportionate amount of staff time and resource, thereby allowing staff to redirect their time to bringing down waiting times.

Frankly, given that the majority of trans-identifying men in the prison population are incarcerated for sex crimes, I think that the NHS spending time and money, that it doesn't have in abundance, on giving these criminals more fuel for fetish and misogyny-related behaviour is highly inappropriate and wasteful. So, any reduction in this provision recommended by the report has my support.

Edited: spelling

Reading this report makes me feel like I"m taking crazy pills - so much money, time and clinical effort going into 'treating' what, these days, largely amounts to a fusion of porn-fuelled and internet-created maladjustment.

It is quite staggering that any part of the NHS has come to this. No wonder they don't collect any meaningful data. Dropping the report a week before Christmas in the hope it is largely overlooked by the media is clearly deliberate.

But surely the Levy report is recommending that meaningful data is collected? Including actual birth sex, not just chosen gender(s)?

Are people upset because they thought he would recommend banning hormone treatment? Otherwise, I don't get the upset with his recommendations.

The horse left the stable ten years ago.

When you have a gap in the data that huge
nothing will ever repair it.

Time to shut them all down and stop taxpayer funding going on any of these dangerous drugs

His recommendations show that all of these organisations without exception fail to offer any meaningful "treatment", have no acceptable standards of practice, poor leadership and management and are lacking in any curiosity about why the cohort has massively changed from the older men (with AGP / sexual fetishes) to a vulnerable, mentally unwell group of young women. Most, if not all, who have been gaslit by trusted adults that their discomfort with puberty and adolescence can be "cured" with a "sex change" and a future with impaired physical health and their mental health challenges unaddressed.

We're horrified that our suspicions about the cowboy nature of this alleged "health care" have been confirmed. It wasn't just adolescent services like GIDS who were dangerous and incompetent - it's all of them.

Yet the NHS, in the grip of extreme transactivism, continues to throw money at inadequate services that should have been shut down years ago,

I’m not surprised as it’s become clear the data is not going to support the interventions.

Going forward they need Professor Alice Sullivan to set out the data capture requirements and to make them mandatory, not just for the NHS but also private providers.

Yep. I don't even think there's the requirement to live as your preferred gender before getting treatment now. One person I know recently came out and also announced they'd be on cross sex hormones for over six months before telling anyone, which seems nuts to me.

Is there anything that can be done from the public to make them accountable?

I think these clinics are commissioned centrally by the NHS Specialised Commissioning Service, part of NHS England. As NHSE is being disbanded the commissioning will presumably fall under some part of the DHSC in the future. The problem is that NHS services have very little direct accountability to the public.

https://www.england.nhs.uk/commissioning/spec-services/

Yes. I'm so appalled I dont even know where to start.

The age data hits very hard.

Lawsuits. This seems to amount to criminality to me. Negligent, reckless, deluded, at the very best.

I dont know if I completely agree with their position.

This report is scandalous. I read it as a 'fucking hell its all a con' which was put through a politification engine.

No medic could read that and not pick up on the enormity of the issues? The gaping holes, the lack of any evidence base?

I wonder if this is how a senior healthcare person who is also mindful of the risks of litigation would write such a bombshell?

Call me a suspicious old fuddy duddy but is there no data because they shredded/deleted/erased it so that the new trial HAD to proceed? I mean, they can't ALL BE COMPLETELY INSANE can they?

And not one whistleblower from any of these clinics? Not one?

This kind of nation-wide, tax-payer funded scandal should have Private Eye all over it. So disappointed by them.

When your version of "healthcare" revolves around political ideology, basic medical standards just don't apply. The details in that report of what is missing in terms of medical standards are stark.
The trouble is this is all part of the political activist NHS where ideology and rainbow trails matter more than ethics, data and patient wellbeing.

Who would apply to work in one? Activists. Only activists.

A reminder Jon Arcelus of WPATH is head of Nottingham gender clinic.

Glasgow's Sandyford really struggled to recruit a gender person. I got the distinct impression nobody would touch the job with a bargepole.

There is a massive focus on the length of waiting time and how awful that is while at the same time acknowledging there is no outcome data!

They're offering treatment for something they can't define, that they don't know is actually effective, that they have no clue about outcomes for...

But hey the waiting times for this 'treatment' are too long.

WTAF. This is insane.

Oh I know but this is all utterly mindblowing.

https://www.bbc.co.uk/news/articles/cy8j27nm9pro

'Unacceptable waits for unacceptable treatments based on unevidenced theory'