Here's a recent interview with Sam Hall, in which she talks a lot about 'patient autonomy', what she calls 'informed consent', hormone prescriptions, and children.
I've transcribed excerpts below, edited from the Youtube Transcript, there may still be a few errors. Bold mine and italicised comments in brackets mine:
'I've got a lot of fingers in quite a few pies'
'...we've gone from 60 patients in 2019 to 2 and a half thousand patients in
2025. And that has been facilitated by NHS Sussex funding this care '
...
'the premise of informed consent is that this isn't about you having an assessment to see if you're trans. It's about you coming to us and telling us what's going on for you, what's uncomfortable for you, what you need to mitigate that discomfort, and how we can best help you keep your body safe'
...
[Interviewer, a trans identifying male: 'we know what's best for our bodies. We know what we want.']
...
Sam Hall: 'Absolutely'
...
'Not everyone needs hormones as I mentioned earlier, but lots of people do and they should be freely available'
...
'I think our system of health care, which it doesn't just apply to this country and the NHS, it applies to all of modern western medicine, is predicated on quite some quite patriarchal and paternalistic principles that the doctor knows best and they will decide for you what what the right thing to do is'
...
'you shouldn't have to jump through hoops. You shouldn't have to explain yourself to anyone. You certainly shouldn't be psychiatrically analyzed because this is not a mental health condition. Um, and that's been shown by the World Health Organization, right, who in 2019 depth uh gender in congruence, took it out of mental health, put it in sexual health.So, we're now mentally sane, but
sexually unhealthy.'
...
' I think the problem is we're still seen as a mental health issue as people. um if
you're trans then the first thing people think is that you're mad and that that's
not going to go away very quickly.'
...
'there is a wave of fascism moving across the world and it's happening in all
kinds of guises, um, you can see it in other areas if you look, but it's, it's
reaching an almost like a nexus in trans healthcare. These bodies, our bodies are the ones that are being affected first.
And what we're seeing is a gradual withdrawal or denial or an attempt to
just stop it from happening altogether like the puberty blocker ban that we've
seen from uh after the Cass review last year. But this is all predicated on a
big fascist movement that's well funded from, uh, far right-wing evangelical
Christians. But we know - we can see where the money's coming from. We know which countries are contributing most, um, um, heavily financially to this wave of fascism.'
...
'for the last five years I've been with the full knowledge of everybody in the
system, I've been treating 16 and over' [no mention of under 13 year olds here]
' ...if I am driven to a position where I'm forced to discriminate against trans kids, that is a moral injury to me, which is really quite significant and psychologically harmful.'
'I feel morally compromised to the point where it's made me unwell [unwell in what way is not explained. Hall has previously talked about her mental health problems in interviews, see: archive.ph/HwNMi] and I don't know how we resolve this other than protecting trans kids and finding a way to look after them despite the fact that we are being threatened if we don't stop'
' This isn't about people being hateful. It's about people falling into a trap of, 'oh, but the children, save them from permanent damage'. They are wanting to do an investigation now on all the children on our books, uh, to find them, to write to them and tell them they can't have this treatment or service from wellbn anymore. To tell the public that wellbn will no longer be treating trans kids and to manage them off of their treatment, assisted withdrawal they're calling it'
...
'what goes on in that clinic is multiple psychological assessments. Like trans kids are being treated like some curiosity that need to be examined with a microscope. And this is really vile'
...
'...focusing on the kids is absolutely the thing to do. You know we were all trans kids once whether we knew it or not. Many of us did know it and suffered
because of it. Some of us didn't know it, but ultimately these youngsters who
are coming out today are doing it because we've created space for them to
do it and language for them to use. And we cannot possibly any of us, as trans
people, or our cis allies allow these children to be harmed. And what's happening right now are attempts to harm them.'
Noting another interview here:
https://managementinpractice.com/views/becoming-a-different-kind-of-doctor-my-trans-story/
'A number of baseless accusations resulted in me (and my GP trainer) being singled out for scrutiny by the hierarchy in post-graduate medical training. Intrusive questions were asked and comments made about my suitability to train as a GP. Getting into the GP Vocational Training Scheme was easy, since it is a merit-based system that does not discriminate, but once I was in training a different attitude emerged.
This has its roots in the pathologization of trans people. Gender dysphoria was, until 2019, internationally classified as a mental health condition, much in the same way homosexuality was until late in the last century. Trans and non-binary people are not sick. We just are.'