Can’t/won’t say much more right now. However, i am in conversation with one Health Authority about current prescribing practice and there is likely also to be a story or a development of great interest to the trans community in the not too distant.
At issue, for those not already aware of this rather untoward development, is the apparently growing habit of some HA’s to place hormones on to their red list for prescribing purposes.
That sets up a somewhat screwed situation for the average trans candidate, in the sense that drugs on the red list may not be prescribed by a GP (as opposed to drugs on the amber category, which may be, subject to certain caveats): but in many cases, Gender Identity Clinics, who are expected to do the prescribing instead, either haven’t – or claim they haven’t – the budget to do the prescribing.
Result: no drugs. Further result: self-medication and/or high risk of suicide for some individuals.
What is not clear, from the various HA’s that have so far gone down this route, is whether they understand the implications of this move – in which case they are a bunch of transphobic bigots who deserve to suffer enormously when this practice eventually – as it will – is brought before a court.
(For it is both discriminatory (has anyone been sent back to Papworth of late to get a prescription for their heart drugs?) and almost certainly breaking precedents that established, some years back, that those with gender dysphoria should be treated).
Or whether they just haven’t realised the implications, in which case with a little patience and explaining, the situation MAY shift to a place that is slightly more reasonable.
Yes. I am going for this as story for publication (and i have already got my pitch in place: we’ll see whether a particular magazine decides to bite). I am, however, also talking regularly to campaign groups worried about this practice.
Not going to publish, for now, any content of conversations i am having: but this is interesting in that it is an evolving dialogue – and i am inclined to think that in at least one HA, this is an outcome that has arisen more by accident than (malicious) design. I am waiting now to see what they come back with.
Would be more than a little bit grateful if folks could drop me a line – not in public – to let me know of HA’s that they know have adopted this practice and, if they are prepared to go so far, the outcome of any dialogue currently being held with those bodies.
The key point, i think, is that we have reached a tipping point on this issue (that seems to be a favourite phrase of late!) with sufficient HA’s trying it that resolution, either in the form of compromise or court action, seems extremely likely.