Sandyford Clinic in Scotland closing doors to new patients

'the Sandyford source told The Sunday National that every person on the team had read Cass’s report “multiple times” and that it did not apply equally to the Scottish service.
“We’re always being compared to the Tavistock,” they said. “The spin is that we’re just the same as the Tavistock and it was shut down for all these horrible things, but the reality is the Tavistock was shut down for the same reason that we’re struggling, which is we don’t have the staff and the resource to support the people that are being referred to the service.”'

Doesn't explian how or why Cass doesn't apply to the Scottish service.

I read this earlier. The public domain audit trail they're leaving behind is mind boggling.

And that isn’t why the Tavistock service was closed either. What a weird reading of the Cass report.

They can’t recruit, but aren’t willing to do anything but blame ‘transphobia’. There’s no sense that they are vaguely capable of reflecting upon anything at all.

Then there’s the hyperbole about 1000 transphobic articles a week about the client base. These are clinicians supposed to be working in an evidence-driven way.

Yeah, I really think these kids are better off not going to these places. And frankly, if they are seen by mental health professionals, it probably should not be the ones who became involved in gender counselling (with rare exceptions.) I think those people are clearly lacking something in their understanding.

The staff issie is because the patient group are quite difficult to deal with . It isn’t proper medicine or care -
patient tells you what to do and you do it or risk being complained about or worse. Who’d want that job?

I can’t imagine anyone want to train all those years (psychiatry or clinical psychology) to work in a clinic where there is no opportunity for differential diagnosis.

That’s before you get to the questionable ethics and the difficult patient group.

Hardly any wonder the GICs struggle to both recruit and retain staff.

As for why Cass doesn’t apply, I reckon that’s just a convenient administrative excuse - Cass was commissioned by NHS England and health is devolved. I expect all the same issues are present at Sandyford (although perhaps without the ‘but we’re international pioneers!’ grandiosity?)

NHS Wales and NI both had contracts with GIDS. I wonder what they will do now?
Adult services in NI are already pretty much non-functional, I heard?

Sandyford (and NHS NSS) feel Cass doesn’t apply to them because they think they have a more stringent process than the Tavi.

load of rubbish, but no one independent is looking at it

There seem to be a lot of relevant groups who identify as Cass not applying to them. This is the fundamental issue with a group who have a powerful, faith based belief that reality is what you identify as it being. Which is fine, multi faith society, but this particular faith? Kind of makes belief in it incompatible with holding a position of responsibility.