I keep meaning to “retire” from trans activism. I even occasionally announce that I *have* retired. And then things like this happen and I remember why I will never be able to retire from trans activism until transphobia and cissexism are history.
Today, I am hosting a guest post written by Kay, about the recent changes to Gender Reassignment Surgery provision for women getting needed treatment on the National Health Service in England and Wales. Kay’s story is not unique to her, dozens of women are in similar circumstances. What she describes are the very human consequences of a broken and twisted system becoming more broken and twisted – NHS Gender Services for trans people have been beset with delays and gate-keeping and unreasonable demands for as long as anyone I know can remember. Now the service is in crisis and it is not the doctors, pyschs, surgeons or administrators who will be harmed by this crisis, those most harmed are the women (and also nonbinary people) who need surgery or at the very, very least need a clear fixed date when that surgery will be.
Kay in her own words below this line. (Note: Kay is a pseudonym, if you think you know who Kay is, please do not tell anyone or contact me or Kay to ask)
Going on WLMHT (also known as Charring cross) GIC’s ideal roadmap for surgical intervention at the time I got into the system (Febuary 2011) was after 2 years real life experience (RLE) one would be referred to surgery, in the case of me as a person assigned male at birth the surgical intervention I am interested in is vaginoplasty in particular a technique called penile inversion. Since starting at the clinic it has been nigh on 3 and a half years and I still haven’t got a surgery date and I am unlikely to do so for at least another year. The question stands why am I in this situation?
So by my own calculations I have so far lived 5 to 6 years in a gender that is not male, however the NHS in its erasure of non-binary identities only counted the time within which I was for all intents and purposes a woman having gotten round to formally changing my name, even though I had been going by a gender neutral name for years, this resulted in the NHS’ definition of RLE only reaching 2 years as of August last year, showing the absurdity of this situation. Then with the requirement of two psychologists to sign off on the surgery, one of my psychologists failed to turn up for an appointment, putting off my sign off date into November. From here it would normally be a 7-9 month wait for the actual surgery, which is in itself over the NHS’ 18-week waiting list rule. I want to make a point here that this section whilst sounding like a series of errors increasing the waiting time for my surgery it actually is a concerted attempt by the consultants to put one off having not to mention completely unnecessary and part of this idea that somehow a cis person might sneak through all these levels of ‘protection’ and end up having surgery and regret it at the expense of the extensive time, effort and psychological torture of having an incongruent body for the trans person.
So as it stands now, I’ve been referred and seen by Mr Bellringer one of the two surgeons capable of performing a vaginoplasty in the UK, whom I then find out has resigned due to disagreements over commissioning. Having been in contact with him and requested that my surgery be forwarded to Mr Bellringer’s private clinic at Parkside hospital, Imperial NHS trust have completely failed to get in contact with me to discuss what they intend to do to rectify this situation and I assume have rejected my request for private surgical intervention. This is frankly not good enough; the statement they issued gives us essentially no guarantees of surgery dates and shows how little the NHS values trans patients.
This overall has left me essentially in limbo, I was expecting for my surgery date to be this summer, in-between the final year of my undergraduate degree and going into my masters degree which would have fit incredibly well with my plans, however I am now looking towards September 2015 before I can even start thinking about surgery. This leaves me in a situation where I am dysphoric and will be for another year, something that has plagued me throughout my undergraduate degree and I feel has affected my marks as well as the uncertainty as to when I will have surgery as I might fall out of the system and have to re-apply again leaving me to the possible conclusion that I might cancel my masters and use the funding that my grandparents left in their will for me to do so and use it on self funded surgery as I can no longer tolerate constantly being messed around by the NHS.
This has to change, I could go on about how the NHS Gender Identity Services should be reformed, but that’s an argument for another day, frankly now all I want is my surgery and those others in the same situation as me to have some dignity afforded to them, rather than having to essentially beg for life saving surgical intervention.
Going forwards I implore you to share Jess Key’s open letter, read Mr Bellrigner’s side of it get in contact with your MPs, if you have media contacts link them to this situation so that the message gets out there!