It is fairly well known now that the UK has become one of the most transphobic countries in the world. We aren’t as bad as places like Russia or Hungary yet, but the situation is not good. Most of you will probably think that the bulk of the problem is lack of reform of the Gender Recognition Act, and the constant flow of anti-trans propaganda in the mainstream media. Some of you may be aware that there is now around a 5 year waiting list to get a first appointment at a UK gender clinic, and that in five years time that delay will be much longer. These are the things that hit the headlines, but they are not all that is going on. Behind the scenes, much worse is happening.

I’m writing this post today because today is the first time that I have resorted to ordering medication over the internet. I’m hoping that I won’t have to use it, and there are some helpful people within the NHS who are trying to get me a new hormone prescription. But without the cooperation of a GP local to me they will probably fail.

The GP services in the UK are currently organised through things called Clinical Commissioning Groups (CCGs). There are lots of these around the country. While patients have a free choice of GPs within their local CCG, it is difficult to get care from anywhere else. A recent survey by Gender GP has discovered that 83% of CCGs in England do not have any policy in place regarding healthcare for trans people. That doesn’t necessarily mean no treatment. If you have a friendly GP whom you have know for years they will probably still prescribe. But increasingly GP services are run through large, multi-doctor surgeries where you never see the same doctor twice, and without an official trans healthcare policy from their CCG they will probably refuse treatment.

Note that I’m not asking for anything highly specialist here. The gender transition process is still handled by Gender Identity Clinics. But if, like me, you have had your gonads removed, you need an alternative source of hormones to stay healthy. In theory I should be getting a regular prescription of oestrogen. In practice GPs refuse to prescribe, even though they know I will get quite ill without it.

There are parts of the country that are not so bad. There’s that 17% of CCGs that do have a trans policy. Plus, if you happen to live in London, Manchester, Brighton or Liverpool there are specialist GP services you can go to. But for much of England there is a huge problem.

You might think that, in such a situation, someone in private practice would leap in to take advantage, but that doesn’t happen. I’ve tried three private GP services, including BUPA. All three said that they would not accept a trans person as a patient. Anyone who sets up in private practice specifically to help trans people is quickly hounded out of business by the medical authorities.

So healthcare is a problem, but a potentially far worse one is the removal of trans people’s civil rights through changes in police policy. The UK now has elected Police & Crime Commissioners (PCCs) for each local force. In England, inevitably, the majority of these are Conservatives. Recently there has been a coordinated push by these people to redefine the law as it applies to trans women. In a recent post on the right-wing website, Conservative Home, several PCCs stated their opposition to trans rights, and to the LGBT+ charity, Stonewall.

The reason for the complaints against Stonewall is that their training on the Equality Act correctly explains that trans women can only be excluded from “women-only” spaces if there is a good reason for doing so. This is in line with the official guidance regarding the Act produced by the Equality & Human Rights Commission (EHRC). Earlier this year an anti-trans lobby group spent a large amount of money to bring a court case demanding a judicial review of the EHRC guidance. The claimed that, under the Act, trans women should always be excluded from women-only spaces. The judge described their argument as “absurd” and “wrong in law”. Nevertheless, the media continues to put forward this anti-trans position as if it is fact, and now several PCCs have done so too.

The most extreme example is Philip Wilkinson, the PCC for Wiltshire, which happens to be where I live. He stated that he does not believe that “biological men” should be allowed into women-only spaces. The term, “biological men” is a favourite of anti-trans campaigners. Its meaning varies quite a bit. Some people say it means people with a Y chromosome, others that it means people who do not have ovaries, and others also want to exclude anyone with above average levels of testosterone in their body. But all of them agree that the term absoutely excludes all trans women.

Currently in the UK the Gender Recognition Act allows trans people to change their legal gender. That should allow them to be treated as an ordinary person of that gender in almost all circumstances. Equally, the Equality Act says that it is illegal to discrimiate against a person on the grounds that they have undergone, are undergoing or plan to undergo gender reassignment. By saying that he will bar trans women from women-only spaces, Mr Wilkinson is saying that he wants the police under his command to ignore the Gender Recognition Act and Equality Act, and to act with prejudice against any trans women they encounter.

Of course this is illegal, but if there is one thing that the current government in the UK has shown it is that they have no respect for the law, and believe that they can break it with impunity whenever they wish. The same is apparently true of Conservative PCCs. And while a trans woman who is arrested for using a toilet, or trying to buy clothes, might eventually have her day in court and win, that won’t make up for the trauma of the experience.

It is probably no accident that Mr Wilkinson’s statement was quickly followed up by the launch of a campaign by Wiltshire Police to target “sex offenders”. How they are likley to be able to spot potential rapists before they commit any rapes is a bit of a mystery. But it is axiomatic amongst the anti-trans movement that they “can always tell” if someone is trans, and Mr Wilkinson clearly believes that all trans women are, by definition, sex offenders. It is pretty obvious who the Wiltshire police will be on the lookout for.

Sadly the “we can always tell” manta is nonsense. The vast majority of people who get harrassed in public toilets and other women-only spaces on suspicion of being trans are cisgender women. They might have short hair and a fairly masculine style of dress; they might be wearing a wig for some innocent reason; or their might have lost their breasts to cancer. Many trans women are quite safe in comparison, but it doesn’t feel that way when you know that you are being hunted by the police.

So yeah, life here on Transphobia Island is not much fun right now. My advice to young trans people is to get out if you possibly can. It will get worse before it gets better.

Masks. Some have them, some don’t. They have been mandatory in shops in Scotland for some time. Over the weekend Michael ‘Wormtongue’ Gove said on TV that he didn’t think that masks were necessary. So obviously yesterday the government he is one of the leaders of decided to make them mandatory. That’s how government works here.

Oh, and it won’t be mandatory until the 24th, so there is plenty of time for a u-turn yet.

The assembled snowflakes of the right wing media are all having fits of the vapours and whining about how they won’t be able to breathe and will look ugly and their right to bodily autonomy has been compromised. This is, of course, nonsense. What they mean by this is that fewer poor, non-white, disabled, aged and queer people will die if we wear masks, and what point is a pandemic if it doesn’t kill off undesirables?

I made my weekly trip to Tesco today. There was a slight uptick in the number of mask wearers, but we were still a tiny minority. Also they have stopped queuing for entry and the one-way system. They had yeast, for the first time since the pandemic started.

According to the informed leaks from Westminister, today was to be the day that Liz Truss announced her rollback of trans rights. It had been planned for International Non-Binary People’s Day for maximum trolling effect. It did not happen. The announcement is now scheduled for probably next week and no later than the morning of the 22nd. Someone, it seems, got cold feet.

So what has been happening. I mean, apart from a supermajority of the GRA consultantion respondents supporting reform, and an opinion poll last week confirming this, and the Welsh and Scottish governments backing reform, and the massive letter-writing campaign that crashed the Downing Street servers, and LGBT+ MPs from all parties getting together the complain to Bozo. Maybe it was because the LibDems introduced two bills addressing non-binary rights issues today (one on passports, the other on school uniforms). And maybe it was because Bozo got a letter from a group of media companies, including Disney, the Financial Times, Warner Media, Discovery and, of course, Diva Media Group (who publish the UK’s leading lesbian magazine) urging him to support trans rights.

You are all doing incredibly well. Thank you! Please keep up the pressure.

I’m sure I accomplished some things today, but almost none of them were things I had planned to do. There was unexpected Diversity Trust email, unexpected death of a friend, and two good TV documentaries that I had expected to be an hour long and were both two hours. Oh well, I have at least finished the Wizard’s Tower accounts for the month. Now I need to get to bed so that I’m awake to record an interview and to do the thing with Dan tomorrow.

The biggest news in the outside world is that the NHS has updated its guidelines on the provision of cross-sex hormones to trans adolescents. Current regulations say that these can be prescribed at age sixteen, generally after a long period of assessment by the youth gender clinic. The new guidelines are almost laughably unscientific.

They talk about how this treatment might have irreversible effects such as breast growth (in trans girls) or the voice breaking (in trans boys). You don’t say? That’s kind of like saying that cataract surgery can have the irreversible effect of better eyesight.

They note that such treatment might lead to infertility but should not be used as a form of contraception. Really? Who on earth would use it for that? I know that oestrogen is an active ingredient in the birth control pill, but would anyone seriously think of using testosterone?

And finally they talk darkly about the lack of knowledge of the long term effects of such treatment. Well hello! 26 years and counting. And I’m not the only one. There are plenty of us about, many of whom have been on hormones for far longer. But of course no amount of actual evidence will stop these people from scaremongering.

There are two things that we can take from this. The first is that the outcome of the the judicial review into the operation of youth gender clinic has already be decided at a political level. The clinic will be found to be operating unsafely, and it will be shut down, regardless of how much evidence to the contrary is presented, and how many young lives it has improved.

The second is that it won’t stop with kids. The idea that giving trans people hormones is “unsafe” clearly doesn’t only apply to teenagers. GPs now have a carte blanche to refuse to supply them to adults as well. It won’t be long before the adult gender clinics are threatened with closure as well.