Tag Archives: Nick Conrad

Trans Awareness Week & TDOR its Day of Remembrance for those killed

Transgender Day of Remembrance 2018

Every 24 hours a trans person is murdered, 369 this year, nearly 3,000 the last 10 years – that we know about, i.e., it may only be the tip of the iceberg. It is a number that is rising annually and particularly affects those in the Americas but also in over 70 other countries around the world.

TDOR Candle lights
TDOR Candle lights

Since 1999, the Transgender Day of Remembrance (TDoR) has taken place every November, now following the newer Trans Awareness Week. It is the day when we recall and respect those trans and gender-diverse people who have been victims of murder or manslaughter. It does not include the countless numbers that take their own lives through suicide. Trans women of colour are the most likely to be killed of all transgender people, especially, but far from exclusively, those involved in sex work. Also, everyone from hairdressers to artists and activists, and many who were migrants.

Just this week, 40 trans activists at a rally in Kiev, Ukraine, were attacked by far-Right radicals throwing smoke bombs and punches.

Read more about the numbers, the lives, around the world, ended through transphobia and transmisogyny, issues in the media and feminism, and TDOR commemorations on 20 November 2018.

The person picked up in the media for being trans and a victim of violent crime in England and hence the only UK trans person this year to be added to the long list of transgender people killed was Naomi Hersi. Sadly, she typifies the fairly common context for many. She was a trans woman of colour, and a victim of violence during or after a sexual encounter. Ironically, she last tweeted 3-years before her death about trans women of colour facing an epidemic of violence and murder.

Transgender Tipping Point or Crisis Point?

Sadly, around the world, trans people are often in the news for the shocking recurrence of their frequent murders. Not in the news are the statistics that trans women can be even more prone than cis women to sexual violence and abuse, as many as 1-in-2.

That flies in the face of the alternate narrative put out by those fearing Trans rights and suggesting that trans women are rapists and murderers in drag, abusing gender self-ID (which in the UK we haven’t even got yet). The statistics of male-born sexual assault perpetrators in prison who may now be transitioning actually shows that gender self-ID isn’t the problem, but abusers are. The majority never dressed as women in order to abuse.

Transgender people are in the news or online media nearly every day. Frequently, there are several trans-questioning or outright transphobic articles in The Times every 7-10 days, not to mention other papers such as the Daily Mail, (I counted 7 in a 4-day period during late October in the DM alone) and continuous TV and Radio programmes to boot.

Last year, Ruth Hunt, CEO of Stonewall described Britain today as “at an absolute crisis point in how it treats trans people”, in no small part down to media attention.

“Britain is no longer considered a safe part of the world for trans people to live in…It should be considered a national embarrassment that this is where we now are as a nation.” – Ruth Hunt, Stonewall

Instead of the prurient public interest being in trans ‘sex changes’, former lives, and scaremongering fears of ‘sex pest perverts’ in toilets or prison (where they should be), the media should be concerned about the levels of abuse, bullying, murder and suicide that so blight trans lives.

The escalation to a “hostile environment” due to the ‘debate’ around an updated Gender Recognition Act (GRA) between some feminists (colloquially known as TERFs by trans people, but not a term owned by the so-monikered trans or gender critical radical feminists) and transgender people – mostly but not exclusively directed at trans women, has led to a toxic atmosphere.

Last year, Ed Miliband “hit out at the inaccurate coverage in the press, accusing newspapers of propagating a “moral panic” similar to the anti-gay coverage seen in the 1980s.” – PodCast

Trans people’s lives are already under a microscope as part of their transition pathway, but to be so in the media spotlight too puts their private and social lives up for involuntary discussion and invasive dissection.

Lucy Meadows took her own life in 2013 in strong part due to “the toll the press was taking on her mental health”, says her former partner. “The media later claimed, [that] by putting out an “official” letter, the school [where she taught] had “officially” placed Lucy’s transition in the domain of public interest.”

Katy Jon Went appearing on ITV Anglia news during Transgender Awareness Week
Speaking on ITV Anglia news during Transgender Awareness Week

More positive has been the campaigns of Stonewall, Comic Relief, various public bodies, and open-minded news outlets using the opportunity of #TransgenderAwarenessWeek to balance the negativity online. ITV Anglia broadcast a piece on transgender workplace discrimination and homelessness that can affect 1-in-4 trans people. 

2017-18 Transgender Monitoring Data

Two years ago, saw 295 trans and gender-diverse persons added to the list of those killed for being trans. Last year that number was 325, up 10%. This year it went up 13% to 369. Improved news monitoring could account for it but hate and visibility are also on the rise.

“These figures only show the tip of the iceberg of homicides of trans and gender-diverse people on a worldwide scale.”

The majority of the murders occurred in Brazil (167 static but up 40% from 2016 and who knows what climate Brazil’s new leader will bring), Mexico (71 up from 56), and the United States (28 up from 25 and 23 in 2016), adding up to a total of 2,982 reported cases in 72 countries worldwide between 1st of January 2008 and 30th of September 2018.

  • 16 trans people were killed in Europe (up 300% from 2017 and 60% from 2016)
  • 28 in the USA (4x more likely than in Europe, 6x UK)
  • 71 in Mexico (up 40% on 2017)
  • 167 in Brazil (37x more likely than in Europe, 53x UK)

You are 17x more at risk in the US than in India but 8x more at risk in Pakistan than India. Hate crimes against trans people in America were up 44% in 2016, according to FBI data. Donald Trump has recently tried to define sex in such a way that would make gender transition a legal non-entity.

“Since the election of Donald Trump and Mike Pence, there has been a notable increase in the vitriol and anti-transgender rhetoric — from the top levels of government down through the rest of American society.” HRC Report

  • The majority of murders were of trans women (80% in the US)
  • Over 15% were sex workers (6% were hairdressers & 3% were activists)
  • Majority of the reported murder victims in W.Europe were migrants
  • Most of the victims in the US were people of colour
  • The majority of the victims were under 30 years old

In many countries, trans and gender non-conforming people live riskier lives, not by choice, but usually as a last resort due to the oppression, rejection and lack of rights within their cultures and societies. Many struggle to find work to survive, let alone to transition, and resort to sex work and/or flee their countries as migrants. Either or both of these paths putting them into the line of fire of greater exploitation and risk.

These numbers do not include suicides, the countless thousands who take their own lives – around 40% try, twice as many consider it. Sometimes it is the result of an attack:

These numbers are people. [Some of the names…]

These numbers are too many.

These numbers barely scratch the surface of the actual violence trans people experience, as much goes unrecorded, or are cause/status unknown.

Trans flag and candles, TDOR, UEA, 20 Nov 2017
Trans flag and candles, TDOR, UEA, 20 Nov 2017

Many countries don’t mention trans status in reports of violent death or in their internal statistics – particularly in anti-LGBT regimes and regions. Again, many may be killed in their acquired gender but the death not be because of it, or their pre-transition life simply not known about. 

In addition to violent deaths, 1-in-2 trans people experience domestic abuse and/or sexual violence (DASV). Trans men and women alike often suffer in silence and fear that shelters and services won’t be there for them.

81% of trans people have suffered physical and/or verbal abuse.

Are they not women if people and society perceive them as such and treat them equally badly?

Yes, their social and biological experience when growing up is not that of natal/cis women but many in medicine now recognise a biological rather than purely psychological basis for the origins of gender dysphoria.

“Considerable scientific evidence has emerged demonstrating a durable biological element underlying gender identity.” – The Endocrine Society

How then can some in society – conservative religions, some feminists, right-wing journalists, far-right radicals think that being trans male or female is something we need to fight against?

Intersectional Feminism?

The personal is political and it’s hard to avoid the political, for murder is as personal as it gets. The irony that this was a rallying cry of late 1960s/70s Second Wave Feminism and yet is also the lived and embodied risk of being trans is not lost on me. Women regularly experience sexism and discrimination because of their sex. Black women even more so, adding racism to the crimes against their person.

The majority of feminists recognise the intersections between sex, sexuality and colour, not to mention class. Again, most modern and particularly young student feminists recognise the further intersection with gender identity. A few do not, and instead regard trans women as a threat to gendered spaces and trans men as traitors erasing butch lesbianism.

The conflation of sex with gender and/or sexuality is an issue needing improved education to better understand people’s authentic ‘born this way’ identities. 

Don’t scapegoat us as perverts and rapists. Don’t harm us and kill us. Instead, be allies, support us to be ourselves, and let’s bring these murder, abuse, and suicide rates down in future years!

What can we do?

  • end discrimination at work, in training and employment opportunities
  • provide decent healthcare
  • create healthy environments at school to explore identity and expression
  • recognise that Domestic Abuse and Sexual Violence happen to trans women and men too, at the hands of cisgendered men and women
  • ensure prejudice is rooted out of criminal justice and police systems
  • provide legal protections against online and offline hate
  • end the language of erasure and exclusion between TERFs, as well as other vociferous transphobes, and Trans
  • develop positive dialogues rather than debate our right to exist
  • foster greater unity with allies of the wider LGBT+ and feminist communities

TDOR Commemorations

Transgender poet, Roz Kaveney, wrote the brutally real, “Shot, Stabbed, Choked, Strangled, Broken” as a ritual for TDOR. It begins:

“It could have been me…”

And finishes:

“When people die
Their smiles are taken from us
Who might have seen them
And smiled back.
Their songs are taken from us
Who might have heard
And listened and been glad.
Their stories are remembered
By us, on this day
And always.”

TDOR remembrance meetups are held around the UK including London, Liverpool, Brighton, and Norwich, as well as worldwide including Paris and New York and dozens of other locations.

Norwich City Hall, Christmas lights during trans awareness week, pink and blue
Norwich City Hall, lit up during trans awareness week, pink and blue

Norfolk, my adopted home county is holding at least three TDOR events, one at the UEA – last year’s was attended by over 80 people (Concrete Online report), another at St John’s Timberhill, and a further

“Our Service for Transgender Day of Remembrance is a way of showing our commitment as people of faith; of declaring that the lives and the rights of transgender people matter to us all and ultimately to our community and our society if prejudice and intolerance are to be banished in the name of equality, diversity, justice and peace.” – Fr Christopher Wood, Rector of St John’s Timberhill Church, Norwich

Ten years of Norwich Pride and decades of trans support groups stretching back to Barbara Ross, OBE, Oasis and now more than half a dozen active groups supporting trans youth, non-binary, trans men, trans women, and families of trans, mean that Norwich provides a generally safe and supportive environment for trans people and gender dysphoric or questioning youth.

“These statistics are horrific and we all need to do more to support transgender people and ensure they can be safe and proud to be themselves.” – Michelle Savage, Norwich Pride

TDOR discussion on BBC Radio Norfolk with Nick Conrad and Katy Jon Went (1hr55m10s in)

Trans Day of Remembrance, TDOR, at UEA
Trans Day of Remembrance, TDOR, at UEA

Lies, Damned Lies & Tory Jeremy Hunt’s Mental Health NHS Statistics

Lies, Damned Lies & Mental Health Statistics

This month saw World Mental Health Day. For the other 364 days of the year, we are forgotten. Austerity Britain has affected mental health services more than most. Despite promises to ringfence the NHS and bring parity between physical and mental health, this has not happened. Instead, beds have been cut, jobs have not kept pace with population growth, and my own trust, NSFT, has been placed back into special measures again, after being the first mental health trust in the country to be sanctioned in this way by the Care Quality Commission (CQC) in February 2015.

Mental health awareness and NHS service provision improvements are sorely needed as referrals have risen 20% in Norfolk and Suffolk, but staffing and beds have been cut. Complaints, locally, have risen from 430 to 592, 2013-16. The latest CQC report criticised inadequate staff and bed levels but praised staff the caring attitudes of staff as ‘good’.

The recent Stevenson/Farmer ‘Thriving at Work’ report has demonstrated the need to promote mental health at work due to its annual near £99bn cost to the UK economy.

  • 2010-20 will be the most austere decade in NHS history
  • 2010-17 UK population rose 5%, mental health staff up 0.87%
  • 2011-14 33% rise in Police cases with mental health component
  • 2010-13 56% rise in self-harm and suicide
  • Mental health at work costs UK economy up to £99bn
  • Entitlement to be seen <18 weeks applies to mental health too

A week ago, BBC Radio Norfolk ran a mental health week focus with Stephen Bumfrey featuring it each afternoon, and coming together with Nick Conrad, Sue Tebble and myself, on Friday 20th, for an hour-long special. (iPlayer episode – 2hr 32m in

On Radio Norfolk’s Matthew Gudgin programme, the BBC’s Bob Carter challenged Theresa May to apologise to the people of Norfolk and Suffolk for having the worst mental health trust in England. Listen to the interview below:

Theresa May

During a recent visit to Archant, home of the EDP, in Norwich, the Prime Minister said:

“overall if you look across the country there is a good record of actually being able to move trusts out of special measures” – Theresa May

This makes the failure to resolve the local NSFT crisis all the poorer. Patients, or the politically correct – ‘service users’, have complimented the staff but criticised the system, waits, and other failures. Patient deaths and out of hospital suicides have increased whilst beds and budgets have been cut. Hundreds of patients were sent out of county owing to the lack of beds, up to 225 miles away!

In 2012/13 the trust reported 53 unexpected deaths, 105 in 2013/14 and 14/15, 139 deaths, rising again in 15/16 to 158, and 140 in just 9 months of 16/17. When standardised for age it is above the average for England. The figures have risen across all regions during NHS austerity under this government, from 47 per 1,000 to 59 in England – up 25%, but from 44 to 66, a rise of 50% in Norfolk & Suffolk.

Jeremy Hunt

Jeremy Hunt, the Health Secretary, has boasted that provision for mental health has “got better” and that he has increased staffing by 30,000 posts. The reality of the lie, and statistics do indeed damn him, is that 4,100 mental health nurses, 4,596 mental health trust beds, have been cut, and just 692 extra staff employed  – an increase of just 0.87% over seven years, despite population growth of 5% during that time – so, in other words, a cut!

“Although NHS funding is rising in real terms, current plans mean that 2009/10 to 2020/21 will be the most austere decade in NHS history. Total spending on the NHS in England increased by an average of 1.2% a year under the 2010-15 coalition government (0.9% for the UK), and is set to increase at the same rate under the current Conservative government. Between 2009/10 and 2015/16, spending increased from £109.1bn to £119.0bn and is planned to rise to £123.2bn in 2020/21. This growth rate of around 1% is below the historical average for the UK of 3.7% per year.”The Health Foundation

In Norfolk and Suffolk, primary care mental health referrals rose 20% between 2013-16, nearly 7 times faster than the population increase.

Wider Societal Impact

Norfolk has a pioneering mental health within Police HQ service, but nationally, there has been a 33% increase in cases with a mental health component 2011-14. As much as 40% of Police time is spent dealing with mental health-related issues.

Eighteen Weeks, as if!

Under the NHS constitutional pledge, patients have a right to be treated within 18 weeks of referral, including mental health.

“the new waiting time standards will be as follows: 75% of people referred for talking therapies for treatment of common mental health problems like depression and anxiety will start their treatment within 6 weeks and 95% will start within 18 weeks.” Pledge of 2014 to be delivered by April 2016.

Yet, the wait for some treatments can be more like 18 months. Just try requesting something more complex than CBT or other less time-limited ‘quick-fix’ therapies. IAPT referrals seen within 6 weeks were apparently 93-96% in Norfolk and Suffolk.

My personal experience, and that of several friends, has been of much longer waits. Calling the acute care line at weekends can result in complete ignorance or lack of access to your medical records. Support lines have historically been cut. People fall between the cracks, and I know too many people no longer with us due to mental health funding and systemic failures.

Discovery or Recovery

Discharge centred mental health, is solution based, with as much an an economic imperative as a wellbeing focus.

“securing a minimum of 50 per cent recovery rate from treatment” NHS

Mental health in Norfolk has a Recovery College, a course-based approach to improving wellbeing. I prefer to see it as a discovery-centric way of improving self-management with community support. Some mental health issues do not just resolve, yet the NHS insists on “developing a recovery culture” (p13) in mental health which fails those with long term or lifetime conditions.

74% of NSFT patients represented with mental illness symptoms within 6 months, compared to a national figure of 63% (2015 data).

IAPT (Improving Access to Psychological Therapies) approaches such as CBT serve best those with mild to moderate conditions, whereas moderate to severe need additional and more specialised help, as e.g., with OCD.

Suicide Risk

Between 2010-13, there was a 56% rise in self-harm and suicide across 52 NHS mental health trusts. It has been suggested that the over-capacity of up to 138% and staffing cuts has increased the risk of incidents.

I find the language, even if it has a clinical meaning, and the reality of response to people at risk of suicide, horrifying. The provision of “low level psychiatric support” was referenced in a Norfolk and Suffolk response it its higher than average suicide rate:

“There is a gap between the Wellbeing Service, the counsellors employed by GP practices and what is on offer via the mainstream mental health services. Suicide rate in Norfolk & Suffolk is high. GP referrals to MH are only accepted 20% of the time. GPs are left to manage risk the rest of the time.”NSFT, pp11-12

The apparent aim is a “reduction in referrals to mainstream mental
health services by offering more low level psychiatric support in primary care.”

Care not Cuts

What worries me, is the low level of funding, of staff, of beds, and the cure rather than care attitude of the system. In contrast, the caring attitude of the staff is to be praised, and they need additional in-work support themselves to be able to deliver services under such tight austerity conditions.