⚠️ PUBLIC HEALTH WARNING: We believe NHS England and DHSC policy on transgender healthcare shows signs of ideological capture by the gender critical movement. Current decisions risk serious harm to trans people and undermine evidence-based care.
tacc.org.uk/2026/03/10/p...
Vi overvejer områder som Næstved og Vordingborg, siden det en del billigere.
Tak, har heldigvis familie i København og i nærheden af Nykøbing F. Vi ikke sikker på om vi ender i Malmø eller Storkøbenhavn til at starte med, men vi vil socialisere i LGBT+ miljøet
But one thing is clear: the EHRC's services code is wrong, and must be rejected.
In a pretty grim decision - with one very considerable silver lining - the High Court has dismissed our challenge to the EHRC Interim guidance.
A number of resources follow in a 🧵.
Listing in the Administrative Court for tomorrow not before 11am: read out of the judgment in our challenge to the EHRC Interim Guidance.
Had to take the dog to the vet today. Chewie was apparently stung by something which caused an allergic reaction. All good though and he was treated with anti histamine and anti nausea medication
I‘m discontinuing my social media use for the foreseeable future and I want to explain why.
I woke up in the new year to discover that some guy on here had saved photos I took on New Year’s Eve and used Grok to remove my clothes. I know this because he showed me.
It will cost between £2000-4000 for a rent + 2-3 months deposit to move in to a flat/house in Denmark.
If it is softer and less restrictive we will likely stay till my surgery is done, if it's coming out in strict and restrictive guidance, we may leave before.
Update on our fundraiser. Thanks to the help of people we've managed to pay of some of worst debts + save up a small chunk. Still planning on leaving at some point this year, although depending on guidance / when and how it's implemented, we may wait for my surgery first.
There's also no certificate involved, it's mostly done digitally, and some of the changes is done automatically so you don't have to show the letter. Tax system and that is all taken care of
It's free, and it only takes 6 months +1-2 weeks sometimes. You can even get an X in your passport.
Danish personal registration numbers is also the way people identify themselves instead of giving bank address, name and so on. Instead you often just give your number when calling gp/bank
You can apply for new passport, driver license, birth certificate and so on (same cost as normal). Changing gender legally, requires no payment, only a boiler plate template to copy and paste, and slightly modify. No one then knows you've changed gender legally when looking you up.
Once 6 months have passed, the user gets a new personal registration number (which is only knowledgeable to government registration office you've changed gender legally). You get a letter linking old and new number so banks can change gender and registration number over.
I despite the wait, think the Danish approach is alright/decent. Someone uses a template which is sent through digital post (not email) and the user receives a confirmation. Once confirmed, the user have a 6 months reflection period (no requirements on the user to prove or reach out to any solicitor
As the EHRC closes down for Christmas, I can confirm that Akua Reindorf has fewer than five working days remaining as its commissioner.
This is quite concerning. I think some of the recommendations in this review on paper is good, but I’m concerned a bit about its implementation and a lot of it can be implemented wrongly.
• shanging the role of the Adult Gender Services, so that patients are discharged from the service at an earlier stage of the clinical pathway and for the surgical units to take on responsibility for assessment of suitability for surgery;
Levy wrote that surgery was outside the scope of his review, but NHS England have decided to disconnect it entirely from GIC pathways.
Implies longer waits with more gatekeeping hoops.
I just read NHS England’s response to the Levy Report. It looks good at first glance. Now I’m reading the full report.
Some shocking stats from the Levy Report...
"A majority of GDC's were projecting waits of 15 years or more if no improvements were made"
Full review here: www.england.nhs.uk/publication/...
Recommendation 7 When designing a commissioning service specification for patients who are considering detransition, NHS England should clearly establish: the roles and responsibilities of adult GDCs and other providers for supporting these patients the psychological needs of these patients and how these should be met the process of how a patient’s detransition plan is agreed and who will undertake the monitoring required to support patients who wish to discontinue hormone treatment the need for such outcomes to be reported and collected as part of future national adult GDC audits
"When designing a commissioning service specification for patients who are considering detransition, NHS England should clearly establish:"
Now onto detransition 😑 Hopefully nothing too bad in there
Recommendation 6 To mitigate the impact of the surgical waiting times on adult GDC provision, NHS England should: review options to reduce the very long waits for surgical interventions update the gender identity services for adults’ surgical specification, adding psychology staff to the core surgical team, enabling them to undertake a further review that includes psychological and physical factors within 6 months of any proposed surgical date if necessary rapidly amend the non-surgical service specification so adult GDCs can discharge patients awaiting surgery back to GP care
And on surgical waiting lists "To mitigate the impact of the surgical waiting times on adult GDC provision, NHS England should:"
Recommendation 5 NHS England and ICBs should work with adult GDCs and GP representative bodies – such as Local Medical Committees and the Royal College of General Practitioners (RCGP) – to establish sustainable local arrangements for hormone prescribing and access to longer-term health monitoring. This should include: developing local hormone prescribing pilots, potentially using the GPs with Extended Roles model or other local models of care every ICB ensuring there is local primary care support for the prescription and monitoring of hormones for their transgender population GDCs managing hormone prescribing for patients for a minimum of 1 year until levels are stable, before discharging patients to primary care. Where clinically appropriate, non-medical prescribers could form part of the primary care team managing the life-long prescribing process local transgender hormone prescribing services offering patients an annual review, including checks for cardiovascular disease or risk and screening advice Alongside this work, NHS England should consider establishing a national endocrine network to support primary care with prescribing during key life stages and health challenges to ensure patient safety.
Levy review also recommends "NHS England and ICBs should work with adult GDCs and GP representative bodies – such as Local Medical Committees and the Royal College of General Practitioners (RCGP)"
Recommendation 4 To standardise and streamline the referral processes, NHS England should work with the adult GDCs through the National Quality Improvement Programme for Adult Gender Services to: support more informed GP referrals and GDC triage processes by developing a standardised patient form for GDC referrals, which is completed by the patient and captures relevant standardised clinical and social information establish GP referral as the only pathway to adult gender services, with an end to self-referrals
Levy review wants to "To standardise and streamline the referral processes, NHS England should work with the adult GDCs through the National Quality Improvement Programme for Adult Gender Services to:"
Text in photo: Recommendation 3 NHS England and adult GDCs, working with the National Quality Improvement Programme for Adult Gender Services, should develop a standardised national support programme (also known as a waiting well offer) enabling patients to access appropriate local services while awaiting their first appointment. The programme and the holder of the national waiting list should ensure: patients and their GPs receive clear communication about available local support options upon referral to NHS adult gender services patients are aware of how they can contact the holder of the national waiting list for information on patient-specific waiting times
Their third recommendation is to:
Photo shows following text: Recommendation 1 All commissioned adult GDCs must actively engage in the National Quality Improvement Programme for Adult Gender Services established by NHS England. Recommendation 2 NHS England should develop a national demand and capacity plan to support reductions in waiting times in the short term and ensure appropriate GDC capacity meets referral demand in the medium to long term. The plan should include: establishing a single national, transparent adult GDC waiting list setting a clear trajectory for an improvement in waiting times over the next 5 years setting an expectation that all adult GDCs should achieve a consistent level of productivity, drawing on improvements delivered through the National Quality Improvement Programme for Adult Gender Services and other patient-flow measures set out in this review
Levy review recommends:
NHS England Levy review: “care provision in these services does not meet the service specification”. It says “every service requires immediate improvements”; highlighting access (waiting times), quality/safety, productivity, and “culture, leadership and governance”. (p.2/63)
