Good Law Project holds a copy of new NHS Guidance published yesterday and it is clear that Wes Streeting is continuing his war on trans people. Remarkably the national health service is now directing GPs to cause harm to the community. 🧵
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I do not believe doctors will outright permit patients to go without monitoring as it risks harm , the Oath taken by Doctors does not allow this in the slightest.
Background: the UK is a serious international outlier in how it approaches healthcare for young trans people. All over the world Governments are declining to follow the policy based evidence making of the Cass report. I believe we now have the most hostile regime anywhere in the world.
Families in the UK who want to follow best medical practice - rather than pleasing Wes Streeting's electorate (The Times, Mail and Telegraph ) - obtain puberty blockers which are criminalised in the UK (see snip below from the NHS Guidance) from regulated prescribers in eg France or Switzerland.
Streeting’s ban means that less wealthy families - or trans kids who are not supported by their parents - “DIY”. They buy drugs from unregulated suppliers over the dark web and administer those drugs themselves following videos on YouTube.)
Also, GnRHas are illegal, but other types of hormone blockers, usually used for cancer treatment, are not.
Doctors don't usually prescribe those other drugs, and there's presumably good medical reasons for choosing GnRHas,
Honestly at this point even if the NHS' GIC does get back to me I'll likely still DIY. I don't trust them and I'm fairly sure what they offer me would be a lower dose than what I'm on now anyway
Those blood tests were once routinely done by GPs under what were known as “shared care arrangements”. They might not have felt expert enough to make a decision whether to prescribe puberty blockers. But they recognised they had a responsibility to protect their patients’ health.
To take an analogy, if a GP has a patient who is a heroin addict they will still monitor that patient’s health. The fact they disapprove of taking heroin would not be a reason to withdraw care.
Of course shared care arrangements supported decisions made by regulated prescribers abroad.
Joylon, I hope these aren't your words because it makes DIY sound a lot more nefarious than it is. I've never accessed the dark web to get my hormones and every supplier I've ever bought from has had their products independently tested for potency and safety by trusted trans safety networks
One of, surely? Russia's been going down the same road for a good few years longer, after all. Although it's notable that even US courts in 2025 have thrown Cass out as not credible
Russia might be a contender but honestly if you’re looking for a country that takes the same approach to trans healthcare as you do and you find Russia that should be a clue you’ve gone very wrong somewhere.
@fabianhamilton.bsky.social as Leeds has one of the few NHS gender clinics (which seems to have a wait of over 12 years currently given numbers waiting and numbers being seen monthly), I would welcome hearing your views on this.
is there anything you are going to do about it? didn't you outright abandon helping trans challenge things like this? literally nobody seems to be bothering to fight for trans, we already know Wes and every bigot stacked in key positions are going to harm trans, how the F do we fight it?
That was my thought too. With reference to Jolyon's comparison, for NHSE/DHSC to force GPs in to creating risk for the care of people on treatment they've acquired themselves, surely means they're liable for prosecution, and for when further harms occur?
I don't know. We should have won our challenge to the temporary PB ban and, I believe, we didn't because judges are sensitive to the political wind. There wil be some things the law can still do but the solution ultimately will need to be political. Depressing but true.
I've emailed Wes Streeting, politely reminding him that compassion is a core component of the NHS constitution.
I've deliberately left out key words in case there's a filter in place.
Sensitive to the political wind.... that sounds euphemistic....not surprised but dismayed that outcomes aren't based entirely on facts and the law. My lack of legal expertise shows, doesn't it!?
It's superior from the political position that trans people shouldn't exist. That's what at least the Tories, Labour, and Reform all believe. With consensus like that I couldn't be less surprised about the current state of this.
I’m aghast.
If it was anything else but politics in this country, the charge of misrepresentation would probably stick.
I do believe the government has misrepresented themselves
“Britain will be better for your children… a government unburdened by doctrine… the determination to server your interest… end the era of noisy performance, tread more lightly on your lives”… Sir Keir von Papen, Jul 24… “Ts & Cs apply - excludes trans people” Voted Green. Feared Labour… soulless
I wish there were hundreds like you, but good morals and willingness to stand up and fight for all that is still good is becoming very rare these days. Contact me if I can help at all, in any way.
I guess this is my cis privilege but I still find it hard to believe it's the national health service leading this attack on the health of trans people.
That's not even slightly surprising to me. For trans healthcare they're far more gatekeepers than providers. E.g. for trans healthcare I need to get one of 2 or 3 doctors at my surgery (out of 10) if I want them to take it seriously. Most just fob me off, 1 outright said I had to go to someone else.
To be clear, he claimed I had to go to someone else because he couldn't possibly speculate on how to deal with my hormone levels being less than half the target. He didn't feel competent enough to increase my dose like the other GP did. He wants me to believe he doesn't know how to do that.
They've knowingly kept me at menopause hormone levels for over a year and I still have to play roulette with their booking system to hope maybe today I can get help. No, the NHS leading the charge is *not* surprising at all.
What I find insufferable is the hoops I had to go through to demonstrate my good faith, some never explained except by delays because I hadn't fulfilled this or that, only to be knocked back at what should be the threshold of the long journey where treatment is supposed to begin.
In the end I despise the society that sees itself as so fragile it can't even accommodate 0.5% of people like me, and the "moral" entrepreneurs who want to appoint themselves to oversee and enforce this giant prison camp.
"Why don't we just wait here a little while... see what happens?"
Everything I thought society had achieved, has been destroyed, so easily by people so cheaply bought, and there's nothing left to stick around for but curiosity.
I think fragility is such a good word in this case. These people cannot cope with the slightest infraction on their conservative backwards worldview. Rather than learn from it they seek to erase it - i.e. erase you :(
Wasn’t it Badenoch who admitted they had people inserted into the roles in the NHS to do all this? I have zero faith in Levy and totally believe it will be used to effectively ban adult trans healthcare.
Yes, sounds like cis privilege to me. I'd share your doubts were it not for the fact that I've seen, first hand, my wife have to fight like hell for every bare scrap of trans healthcare against a litany of studiously obstructive providers.
I'll be withdrawing anything I can from them. Blood donos, my organs after death. Access to any of my data that I can reasonably prevent them having and despite my age and shitty state of my house and finances leave this fucking nazi state for ever
The Cass Review was corrupt & illegal(IMHO), just like the Systemic Racism Review, as they cherry picked anti-trans views instead of following peer reviewed scientific research just to suit a predetermined outcome.This is the same model used in the Systemic racism review that ignored systemic racism
So what can we do? I can't believe that the current approaches re both trans healthcare & the cutoff of support for disabled people aren't major human rights issues. BOTH are "protected categories" under UK law.
I'm hoping NHS Scotland diverts from the clear harm Streeting is doing, but expect them to be made to fall in line with the transphobic policies built on a report the rest of the world has discredited once Levy's is out as well.
At that point self-medding will be all we can and will do to survive.
UPP (“Big Food”) drives obesity and diabetes and associated illnesses…. And then behold…. “Big Pharma” to the rescue. HoL looked at ultra-processed food. Concluded strong regulation required and strongly recommended shutting out UPP players from being involved
And trans people are just the start on creating templates to disqualify any needy citizens, threatening the profitability of the future #NHSInsure project. Cass's template, however flawed it markedly is; simply proved the modelling when the state overlooks its cracks, integrity & honesty.
Is this all shared care or just kids shared care!?! Either way it’s horrendous but as someone about to start private hormones I want to make sure I know what the deal is
Yeah, I saw that. I’ve been thinking for ages they’re going to pull the plug on trans people who were forced to go privately. We’ll go back to the old days where you have to meet the NHS standard of medicalised transness for them to allow you on a pathway
What do you make of this highlighted phrase ⬇️ @jolyonmaugham.bsky.social?
I took it to mean blood tests for hormone levels, bone density checks and so on should continue to be offered,
but your thread suggests you don’t think so.
This is me searching for a glimmer of hope.That said…
the whole review of trans healthcare since Bell’s failed legal case, seems like nothing but state sanctioned abuse of a vulnerable minority. Throughout, Streeting has displayed no intellectual rigour and no emotional intelligence. His “genuine heartbreak” makes me sick to my stomach.
I don't think you know what you're talking about. Attacking trans people was the first thing Wes Streeting prioritised after the election. Literally the first week.
Can we stop just pissing around here whining into an echo chamber. This is seriously destroying our lives. We either take legal action and we bloody well dig deep to fund it, or we sit quietly waiting f until our bodies fall apart stripped of hormo es. I'm fucking done with talking.
When I read this I am left wondering what is the point of only being able to prescribe puberty blockers after the age of 18?
Puberty starts so much earlier than that...? 🤷♀️
There isn't, unless they are being used as a testosterone blocker alongside HRT (there is some overlap between drugs used as puberty blockers and t-blockers).
But I suspect that wording more to do with trying to appear "reasonable" to clueless outsiders, who don't understand that PB are not HRT.
Ty for the explanation - I fear you may be right re: appearing reasonable. It's a difficult enough road without all these obstacles imposed by people with no lived experience. Or, indeed, empathy. 😔
What I don't get in all of this, is since Cass Review been debunked so heavily, how can this decision not be challenged with the Government being forced to comply to the actual evidence? Like surely a legal expert could point to how brutally the Cass Review been eviscerated by multiple countries?
Comments
Streeting’s ban means that less wealthy families - or trans kids who are not supported by their parents - “DIY”. They buy drugs from unregulated suppliers over the dark web and administer those drugs themselves following videos on YouTube.)
Doctors don't usually prescribe those other drugs, and there's presumably good medical reasons for choosing GnRHas,
This is what the international Endocrine Society say (note the references to "monitoring".)
Of course shared care arrangements supported decisions made by regulated prescribers abroad.
It just refers to websites that are not indexed on search engines - this includes any site you have to log in to see!
And most of these online DIY HRT suppliers are indexed, anyways!
This is a horror story !
New Zealand Paediatrics Society
New Zealand Psychological Society
New Zealand Society of Endocrinology
Oppose it. But in the UK we’re still pretending it’s evidence based.
https://patha.nz/News/13484154
That is truly shocking to read; but because you’re saying it, I absolutely believe it.
I've deliberately left out key words in case there's a filter in place.
That this govt thinks it's application of the evidence stands superior to other nations is mind-boggling.
If it was anything else but politics in this country, the charge of misrepresentation would probably stick.
I do believe the government has misrepresented themselves
Or I am the disease to be cured.
For what?
"Why don't we just wait here a little while... see what happens?"
Everything I thought society had achieved, has been destroyed, so easily by people so cheaply bought, and there's nothing left to stick around for but curiosity.
(Deleted what was becoming waaaaay too vitriolic)
They just got a little better at hiding it under a veneer of 'listening'.
I'll be withdrawing anything I can from them. Blood donos, my organs after death. Access to any of my data that I can reasonably prevent them having and despite my age and shitty state of my house and finances leave this fucking nazi state for ever
So whilst cuts to our services continue, they choose to prioritise a pathway for the less than 1% of us who detransition.
http://transactual.org.uk/blog/2025/04/04/statement-on-nhs-england-announcement-on-a-detransition-pathway/
Can we do a class action?
Two class actions? ECHR?
This govt intends to kill people.
At that point self-medding will be all we can and will do to survive.
Dare I even read it?
https://www.newstatesman.com/politics/health/2025/04/medicines-profit-motive-big-pharma
(I expect you know all about this Ju @everydoctor.org.uk … 😞)
I took it to mean blood tests for hormone levels, bone density checks and so on should continue to be offered,
but your thread suggests you don’t think so.
This is me searching for a glimmer of hope.That said…
Puberty starts so much earlier than that...? 🤷♀️
But I suspect that wording more to do with trying to appear "reasonable" to clueless outsiders, who don't understand that PB are not HRT.
He is a snake .