Tag Archives: GIC

WLMHT to let go of Charing Cross Gender Identity Clinic NOT to close it

Charing Cross Gender Identity Clinic NOT closing

The West London Mental Health Trust (WLMHT) has issued a statement and then after mass trans patient panic (well a few of us!) has clarified it. The Gender Identity Clinic at Charing Cross Hospital (CX GIC) is not to close but to seek new NHS England oversight, preferably not under the auspices of mental health care. This is both unnerving for existing patients on the long waiting lists and potentially radical.

The Charing Cross Gender Identity Clinic is, in their own words, “the largest and oldest clinic of its kind dating back to 1966”. The same year that Harry Benjamin published “The Transsexual Phenomenon“.

UPDATE: It has been confirmed that from April 2017 the Tavistock and Portman NHS Foundation Trust will take over the management and funding of the Charing Cross GIC, without its location changing. The T&P NHS FT also run Tavistock GIDS, London (child and adolescent service).

Tavistock and Portman NHS Foundation Trust
Tavistock and Portman NHS Foundation Trust

NHS Hospital Cuts

All this comes the same day the NHS has announced further cuts in a spiralling financial crisis – the biggest in its history, requiring the euphemistically named “sustainability and transformation” plans, in other words, “cuts”.

“We are seeing more and more pressures on staff trying to run harder and harder. We are reaching breaking point.” – Chris Hopson, Chief Executive of NHS Providers

West London Mental Health Trust statement

The Gender Identity Clinic at Charing Cross plays a leading role nationally and internationally in helping people experiencing gender dysphoria to feel more comfortable in their own bodies.

West London Mental Health Trust (WLMHT) is incredibly proud to have been at the forefront of developing gender identity services during a period in which societal attitudes and understanding of this issue has improved so vastly, and that the Charing Cross GIC and its staff have, since 1966, helped nearly 7500 people to lead happier, healthier lives.

Demand for gender identity services has risen sharply in recent years as society has grown more understanding and awareness of NHS services has developed. This has been challenging for the clinic and resulted in waiting times that are longer than we would like. However, the clinic’s staff have continued to invest huge amounts of energy and, working with NHS England, have made great strides in bringing these waiting times down while still providing a service which is rated highly by patients.

However, as WLMHT moves forward it is necessary to refocus the services that we provide. The Board has made a decision that the medium-term strategic focus for the Trust will be to develop mental health services, physical care and integration between the two.

As a result, the Trust has come to the conclusion that patients requiring gender identity services would be better served in the long term by another provider, and has therefore served notice on our contract to NHS England.

We know that many of the patients we see at the GIC are at difficult times in their lives and that this announcement may cause alarm; we would therefore like to offer the following reassurances:

  • This does not mean services are stopping now – we will continue to provide services as normal until such time as a new provider is able to take over; this is likely to be at least six months.
  • Patients from London and the South East will not be left without services or have to travel much further – NHS England as the commissioner for gender identity services will find a suitable alternative provider as quickly as possible.
  • Patients will not have to start their treatment all over again – continuity of care for our patients is the number one priority for clinic staff. GIC staff will work closely with NHS England and a new provider to ensure disruption to treatment is kept to an absolute minimum.
  • This does not mean we will let services deteriorate – WLMHT and the GIC will continue to deliver on plans we have developed with NHS England to improve access to and quality of services while it continues as the provider.
  • We will not reduce staffing levels – while we remain the provider of this service we have an obligation to ensure there are sufficient qualified staff to maintain and continue improvements in access and quality.
  • We will ensure a smooth handover to the new provider, working closely with our colleagues at the GIC and NHS England

Dr James Barrett, Lead Consultant at the Gender Identity Clinic (GIC), on behalf of GIC clinicians, later clarified:

The gender identity clinic is not closing. To clarify, we clinicians have long felt that West London Mental Health Trust is not a good fit for the unique and specific service we provide (the vast majority of those we see are not mentally ill).

“Increasingly, we feel our patients would be better served by us if we worked somewhere better able to support and develop a more tailored approach to gender.

“There are a number of options in terms of alternative providers. We would not make any move unless confident that patient care would be markedly improved.

“Until that point, current arrangements will still apply. Our aim is for any change to be a positive one, and any transition to be as seamless as possible.”

CX GIC psychiatrist, Dr Stuart Lorimer, sought to reassure people:

NHS Transgender Waiting Times

Waiting times for first appointments at the Charing Cross GIC are currently around 12 months from the initial referral but can often take 3-7 years in total, when you include surgery which only takes place after two psychiatric approvals and a pre-surgical assessment.

Referral times are not only a postcode lottery but constantly change – both up and down, according to staffing, and ever-increasing transgender service user demand. Norwich, alone, refers 50-60 adults a year not including the dozens of trans teens not yet in the adult system. It recently shifted its gender dysphoric population from Charing Cross to Nottingham GIC, having also, in the past, used Dr Richard Curtis’ TransHealth in London.

UK Trans Info has an excellent resource offering waiting times and estimated trans population surveys of all the GICs every three months. Last year Leeds were quoting 4 years for first appointments and Sheffield over 18 months! Nottingham’s 8 months has risen to 12 and now 18-19 months.

“Nottingham’s GIC saw the most marked growth, with a 2800% increase from 30 referrals in 2008 to 850 in 2015. More than 1000 are expected this year.” – Pink News

UK Trans Gender Identity Clinics

There are 7 adult and 1 adolescent-teen GICs in England, serving England and Wales – Wales has none of its own and London’s Charing Cross GIC also serves them.  The Tavistock and Portman is the sole young person clinic in England, based in London, but with clinics in Exeter and Leeds.

Scotland has 4 adult and 1 adolescent clinic. Belfast Health and Social Care Trust runs an adult and separate “Knowing Our Identity” (KOI) service for children and teens.

For a full list and contact details see GenderAgenda’s UK GICs page.


A Tale of Two Trans Teens, Tom Sosnik & Leelah Alcorn

Tom Sosnik comes out as Trans citing Leelah Alcorn as inspiration

Tom Sosnik trans teen headshot Youtube channel Oakland California
Tom Sosnik

An apparently confident young 13yo Jewish teen living in Oakland, California, has come out as trans with the full support of his sister and parents. Tom Sosnik comes across as mature, self-assured and brave, but in no doubt of the hard path ahead. He cites Leelah Alcorn at the beginning and end of his coming out speech and both, thanks, and calls for the support of, his peers and community.

His YouTube video, published 16 March 2015, comes with the following statement by him:

This is how I came out to my community as trans.
Please share my story and my message with your loved ones.
To all those struggling to embrace their true and authentic gender or sexuality, I want you to know that if no one else accepts you, I always will. Rest in power, Leelah.

Full text transcript of Tom Sosnik’s coming out video

“On December 28, 2104, Leelah Alcorn a 17 year old trans woman committed suicide because her family didn’t accept her. This made me want to act on a subject that has been bothering me for quite a long time.

All of sixth grade I struggled with my gender identity and I’m now embracing my truth. For a while, I dismissed the fact that I hated my body, I pretended to be content with what I was assigned until at a certain point I broke. I went through a series of horrible breakdowns and I would stand under the water in the  shower crying. I knew I wasn’t happy but it didn’t seem fair to me that everyone else around me was. They didn’t spend all their time thinking about how much they hated being categorised as a woman. I didn’t share that same feeling, in fact, I felt the opposite.
Tom Sosnik Youtube
Tom Sosnik Youtube

For some of you, this may come as a shock and for others, well you knew or thought I was transgender, well here’s your reassurance – I am no longer Mia, I never really was and now I finally stand before you in my true and authentic gender identity, as Tom. I stand before you as a 13 year old boy.

I understand that this will be a difficult adjustment but I hope and trust that you will treat me with respect and thoughtfulness. So for those of you who are having trouble that is completely understandable. You have known me as a girl for over a year and it is hard to understand that I never was that girl. I want to tell you as a I consider you all my friends, well most of you – no I’m kidding. In my heart I am still the same person, whether you like that person or not, it’s me. So here I am, no longer Mia Sosnik, a 13 year old girl, that you thought you knew, but Tom.

I imagine that some of you will have questions and I am open to answering them at any time they come to you. I trust that you are all mature enough to understand which questions are inappropriate, disrespectful or hurtful. Please feel free to ask me because after all I know the most about my transition. Please talk about this with your parents and your family but I ask of you really not to talk about it with your friends, it’s not – gossip worthy.

If there’s something you want to say I’m happy to talk with you and I really hope that you all will support my decision to embark on a harder route in life as the boy I truly am. Any form of support I receive with much gratitude and I hope that everyone can really support me because you guys are like my second family. And if you support me, I will feel like the luckiest boy in the world. Thank you for letting me share my story.

Transgender suicide Leelah Alcorn 2014I want to just tie it back to what I said at the beginning. After reading Leelah’s suicide letter I came to really appreciate the support I have in my family in my community that she never got. Thank you all for making me feel safe enough to openly be myself.”

Risk of Copycat Suicides

The positive references to Leelah Alcorn are all the more uplifting  given the spate of US trans teens suicides recently, and the lack of recognition even in death by many of their families. Overnight, it was desvestating to hear of yet another suicide as 18 year old Blake Brockington took his life. He was the first Charlotte, NC trans homecoming king last year. This,  only weeks after Ash Haffner, another Charlotte trans man ended his life.

Furthermore, some have argued that the sharing of Leelah Alcorn’s suicide letter would inspire copycat suicides, rather than in the case of Tom Sosnik, an inspired coming out, in part, because of her.

Family Support

Tom Sosnik Youtube
Tom Sosnik Youtube

Both of Tom’s sisters have been “meaningful members of his support system“, and one of them, Gil Sosnik, shared his story and video on facebook:

Last week, my 13 year old brother came out as trans to his school and community in a really moving naming ceremony and we were able to capture it on camera. Seeing how much his words have inspired and touched the family and friends in his own network, Tom began to see that there was something about his speech that was universal and humanizing, something that could empower trans* and otherwise gender nonconforming folks while also conjuring empathy and understanding among allies. Watch and share if you are moved by his story.

It has been clearly demonstrated that family support has a huge impact on the mental wellbeing of transgender youth  and according to a 2012 Canadian report, can lead to a:

93% reduction in reported suicide attempts for youth who indicated their parents were strongly supportive of their gender identity and expression”

Without that support, some 57% of young trans people attempted suicide, even higher than the averaged-out figure for trans of all ages and domestic backgrounds. (See more on suicide risks)

Religious Contrast

Another LGBT suicide has recently been put down to religious non-acceptance in the harrowing story of gay repression and rejection in the life of a successful Muslim Doctor in the UK.

More positively, Tom’s family and religious background is in complete contrast to the religious home life of Leelah Alcorn which saw her sent to Christian therapists and undergo conversion therapy to try and stop her being trans. A path which was no doubt a contributing factor to her suicide and is categorically dismissed as psychologically sound or helpful by the APA.

Reparative Conversion Therapy

Reparative or Conversion Therapy seeks to turn someone from their innate sexuality or gender identity by positively encouraged, aka forced, heterosexual and birth sex gender “appropriate” roles. Of course the concept of appropriate comes from stereotypical concepts of socio-familial and sometimes all-out religious traditional understandings. This kind of aversion therapy, whether of LGB or Trans people, is more likely to increase suicide risk than prevent it. The APA argues that:

“reparative therapy poses a great risk, including increasing the likelihood or severity of depression, anxiety and self-destructive behavior for those undergoing therapy.”

Trans Lives Matter - Recent Trans teen suicides
Too many trans teen suicides – “fix society”

Dr Kenneth Zucker

Dr. Ken Zucker is Psychologist-in-Chief and Head of the Gender Identity Service in the Child, Youth, and Family Program at CAMH, Ontario. The American psychologist and sexologist, and GIC head at Toronto’s Centre for Addiction and Mental Health, is also on the APA’s DSM-V committee. Just last week CAMH suspended all trans admissions and treatments by Zucker and has put the whole programme under review.

“The APA, responding to criticisms by LGBT activists, point out that Zucker does not advocate reparative therapy for teens and adults, not for gays and lesbians at any age, but only for the trans community.”

Well that’s ok then – “only for the trans”! This is 2015 and being trans is still considered a mental illness, a mental struggle – yes, but it is not something that is aided by disparaged and unethical reparative therapy and pathologising treatment.

How Trans Support should be done

Tom Sosnik Youtube
Tom Sosnik Youtube

Tom’s own family is Jewish and seems to have positively supported his coming out, posting nothing but proud affirmations on Facebook whereas Leelah was banned from using social media and cut off from her friends and support network.

Tom Sosnik, his family and community, are an example of how coming out as trans, and/or LGB, should be handled – with bravery, acceptance, and support. He and his family embody the “fixing of society” that Leelah Alcorn called for.