Recently a UK trans healthcare Priority Setting exercise was conducted for trans healthcare for children & adults under 25(!) that DOES NOT have my trust & that I will not engage with. A completely separate exercise has now started that I have much more confidence in... 1/4

Seeing "trans kids given deadline to segregate themselves" and "trans women banned from yet another part of society" headlines *every single day* while everyone you know and every organization stays breathtakingly silent takes such a damn toll on your heart.

My daughter was in a part of girl guides, and left before this decision. For those girls who had remained in Rainbows, Brownies, Guides & Rangers, this is another kick in the teeth, separating them from their friends, making very clear they are not welcome in this country.

NEW PHILOSOPHY TUBE DROPS TONIGHT 18:30 British time Our biggest episode yet, the spiritual sequel to “I Emailed My Doctor 133 Times” A full investigation into conversion therapy in the UK. This video names names and has big implications for the NHS and government. youtu.be/_S5w18sjYLk?...

India: Interview: ‘My gender, your choice?’, transmasc writer Radz on the 2026 Transgender Persons Amendment Bill thesouthfirst.com/be... #transgender #trans #LGBTQ #LGBTQIA

May your rights to participate as a full citizen in society never be put to a vote.

Indian gov is currently implicated in quashing the composite existence of trans & non-binary populations to fit uniform (medicalised) categories, under the guise of 'protection'. Trans & queer folks are pushing back. Stand with them. Please sign & share widely, docs.google.com/forms/d/e/1F...

Everyone should stop what you are doing and read about @notrightruth.bsky.social receiving an important award for her excellence in trans and feminist scholarship and action. Ruth has been setting the bar for years & its great to see that recognised: www.scenemag.co.uk/trans-femini...

ya that's what I mean tho. The trial they have designed might require a ban, but thats because designed the trial to require a ban. They didn't have to do that! They could have designed a better trial and implementation of it! They chose not! And I can't see a good reason for doing so.

The trial, by design, requires the ban. 113 youth will be told they get blockers. 113 youth will be told NO blockers, but you still have to do all the tests & questions as we watch you go through puberty. Without a total criminal ban, many of the 113 no-blocker youth will try to access privately

Anti-trans extremists, Baroness Falkner (former EHRC chair) and Baroness Davies, are now using the influence granted to them by the warmongering zealot Tony Blair and the bumbling Kemi Badenoch - to push policies that will strip cisgender women and girls of their bodily autonomy Utterly ghoulish

Are you even a trans healthcare researcher if you don't at least once an hour throw your laptop and stomp about shouting what the flippity flick. Today's source material www.england.nhs.uk/wp-content/u...

Gotta also talk about this: The Transgender Persons Protection of Rights (Amendment) Bill 2026, introduced in the Lok Sabha (lower House/Commons) in India, which is intensely problematic. prsindia.org/billtrack/th...

This Labour MP quote has 4 likes, with 71 quote tweets and 275 replies from trans people, parents of trans kids, academics and professionals who know just how terrible Labour's ideological healthcare policy for trans kids is. Are Labour 'allies' paying any attention at all?

Every penny spent has made life worse for trans children & young people, for trans people in general. Not one penny has been spent on making life better. That's what you get in research processes where trans people are not even allowed in the room.

“She’s the exception, I am the rule.” Such articulate cutting through of the nonsense around puberty blockers and eg Keira Bell’s detransitioning from Stephanie Lynnette on GMB this morning. It is also a refreshing relief to see a trans person actually being allowed to speak for once!

The higher levels of NHS England have been entirely captured by idealogues and bigots. They cannot be trusted to design this research in an appropriate manner.

For the UK context, I find the idea that rogue billionaires are funding this persecution hard to square with the large numbers of NHS professionals who are professionally & proactively being complicit in persecution & child abuse. They aren't being bribed to cause harm. They are willing actors.

this is very important to do this work and expose bad science, but i don't want us to get trapped on a losing battlefield the issue here isn't scientific at all it is not a matter of medical evidence there is no "correct" way to do this sort of reviews a 🧵

It’s true my GP has, after 44 years taking estrogens and been prescribed them from this surgery for the last 4 years, has referred me back to the gender clinic ‘because they have no expertise in prescribing these hormones’ I was signed off from the gender clinic in 1990.

@rikiwilchins.bsky.social 2026 Mar 10 EITM In announcing new HRT ban for minors, NHS England publishes 10 reviews showing there's little evidence for it. By parsing the question into 10 narrowly-focused reviews they were able to exclude 97% of 547 available studies on HRT, most showing it works.

This is not how you would review the evidence if your top concern was the health and safety of these children.

If you took your kid to the doctor recently for any reason, there's a one in five chance you walked away with an off-label prescription. Nearly half of all pediatric prescriptions are off-label.

And this is the anti-trans logic loop: 1. demand evidence 2. design reviews that cannot find evidence 3. cite absence of evidence as justification for withdrawing care 4. use withdrawal of care to prevent generation of new evidence. It's what the Reagan administration did to trans folks.

Important thread providing more of the detail than I could be motivated to add. The '10 studies' do not merit detailed analysis of everything they get wrong - & thread is just the tip of the iceberg in what they get wrong, but a useful starting point nevertheless.

The #TransRightsReadathon is coming! I’ve got you covered for middle grade, YA, prose and graphic novel choices….! 💛🤍💜🖤 @trreadathon.bsky.social

The very first paper in the very first review (Allen et al 2019) found a huge decrease in suicidality, from 45% of subjects suffering from suicidality prior to HRT, to just 13% after, p<.001. But it didn't test for boys and girls separately, so this result appears in neither of the relevant reviews.

Can you imagine if we tried to evaluate the effectiveness of a drug for an autoimmune condition by excluding all studies to where participants had previously taken NSAIDs (painkillers)?

Yesterday the NHS banned all under 18 prescriptions of HRT for trans young people. This ban was justified by 10 new studies that largely stated NO EVIDENCE for under 18s HRT exists. The study underpinning this played one particular trick. Let's briefly look at how the NHS rigged the game 1/5

Any wikipedia editors out there could update the cass page to confirm that the york studies were advised by cass, Steensma and kaitiala (as per recent york foi) - hardly 'independent' reviews

This is what you would do if the intended outcome was to ban access to care. They'll cite the numerosity of the reviews, the "low quality" etc. but that was by design. None of these reviews were intended to pass muster, just provide pretext for restricting access.

In a competitive field where it is hard to stand out, to truly shine for national transphobia, the UK and NHS are absolutely knocking it out of the park. They looked and looked and only found 1 study on puberty blockers + oestrogen Others try and transphobe but we are world class transphobes

Blimey I am struggling today. I also need to go food shopping in order to carry on with basic life functions. Pls can someone give me a kick up the ass to believe this is indeed within my capability right now. The toll this state persecution takes on us all FFS

It's normal to restrict or move away from treatments when evidence of harms starts to outweigh evidence of benefits. It's not normal to restrict or move away from treatments when there is evidence of benefits and none of harms, even if the evidence of benefits is "low quality."

They are not 'transphobic', we are told. They don't hate trans people. They simply feel deeply 'concerned' about children being 'trans', & therefore, need to put 'sensible' people in charge of trans children's healthcare, people who, for example, don't believe in the existence of trans children.

I'm told some Labour MPs are unhappy with this latest act of hostility towards trans people being blamed on Streeting. That feels silly or naïve. It's happening because Wesley kept in place in the NHS, indeed encouraged, the ideologues that Kemi Badenoch *told us* she introduced to key positions.

To be left dead by attacks is the natural state of the Middle Easterner, while in the Western culture (also Israel somehow) being killed is a major taboo.

What do we think the NHS means by 'independent' here?

If I have closeted trans people following me (and I know I do) please do not let this line of thinking stop you from transitioning and living as yourself. Your life does not end if you don't transition at 18, or 20, or 30, or 50. I promise. This rhetoric is for policy, not for individuals.

Today I'm meant to be working on a thing that will be useful in a future world where state-funded trans healthcare is run by and for trans people. It's really hard in these current times to find the optimism to work on it. Literally can't even start this morning.

If you have been blessed with a trans child; 1. Keep them away from the NHS 2. Try and move abroad if you can 3. Be prepared to fight transphobic staff at school 4. Find other sources of hormones/medication. If you can, get a car loan to pay for them. 5. Protect them from all governmental agencies.

the average cis person would have to be admitted into a psych ward if they suddenly had to manage the regular stress of day-to-day that we all face with the added pressure of being a tranny and having the Entire World focus on trying to kill you almost every day

"Like all propaganda, the Cass Review is not intended to stand up to scrutiny. It is intended to make a bang, a media blitz across the country saying trans healthcare is bad, which can then be used by the government to justify further restricting access to gender-affirming care."

Today's ban on NHS HRT for under 18s formalises a policy that has already been in place - Noone under 18 has received a new prescription for HRT since mid 2024 (I don't know of any since late 2023). Of course this policy also raises the risk of similar action on private healthcare for under 18s.

Just a note, because I'm a stickler for the old accuracy, Gillick Competence doesn't apply to 16 and 17 year olds. It's the Family Law (Reform) Act 1969. 16/17 year olds are presumed competent to consent to medical treatment.

This is USA focused but all of the points apply to the UK: "Anti-transgender legislation poses mental health and safety risks for transgender and gender diverse (TGD) youth and their families" www.srcd.org/sites/defaul...

Leading psychiatrists are 'alarmed' that gender clinics refused to uphold really basic responsibilities of data stewardship, privacy and informed consent for research. Trans communities do not hate research. We hate bad faith research designed to harm communities. 1/3

Women are paid less than men because "biological sex chromosomes determine … how females and males behave". Women just prefer to be paid less. It's BIOLOGY Biological essentialism harms all women.

First I've seen it confirmed. Both Steensma and Kaltiala, two figures prominent in bad science re trans kids, advised the Cass Review's York Studies.