For my day job, I interview celebrities, and hereās what you do if you want to interview a celebrity: you call up their press officer and pitch the piece you have in mind. The press officer checks if you have ever written anything negative about that celebrity. If you have, you are firmly rejected, and usually given a telling off to boot. If you havenāt, you are granted an interview. This is because celebrity interviews are largely seen as a form of advertising: you are advertising the celebrityās brand. (Although obviously, that is not how I do it. I write searing, incisive takes that will be studied by future generations. Pulitzer to the usual address, please.)
After more than 20 years of this, Iām pretty well-accustomed to the rigamarole. But even I was surprised last summer when I called up the Gender Identity Development Service (Gids) at the Tavistock & Portman Trust for research, and realised they expected to be treated like a celebrity. Because Iād once made a cheap crack about them on Twitter, they said, they would not talk to me. In other words, they didnāt want journalism; they wanted advertising. This is a line I can just about choke down from Angelina Jolie; itās a little tougher to swallow from an NHS trust.
At the time, I was writing a non-fiction book about why adolescent girls have, for centuries, expressed their anxiety by harming their bodies. (Title to be announced, but that jolly little beach read will be available from all good bookshops early next year.) Several doctors I spoke to said that the disproportionate number of adolescent girl patients at Gids ā 70% girls to 30% boys ā suggested that, in some cases, adolescent female gender dysphoria was a new form of this peculiarly female form of self-hatred. It wasnāt that suddenly, out of the blue, so many girls were actually trans boys; rather, theyād found a new way to express a hatred of their bodies āThis could be the new anorexia,ā one doctor said to me.
These were all unbiased, non-ideological doctors I spoke to; in many cases, they had once worked at Gids. But I wanted an alternative perspective for balance, so I called multiple charities that work with LGBT youth ā Stonewall, Mosaic, Mermaids ā to ask if I could talk them. None called me back. I then left a message at Gids, explaining the book I was writing and why I wanted to talk. A few hours later, I received a message telling me that a man, who Iāll call James and who worked in the communications department of the Tavistock, was willing to speak with me that afternoon. Pleased, I called him at the set time and took notes, as I always do for work. The following is a summary of the conversation that ensued:
Me: Iām writing a book about unhappy teenage girls and Iād love to talk to someone at the Tavistock about it.
James: The thing is, quite a few of our clinicians saw a comment you made on 5 December where you mentioned the Nazis and our clinicians in the same tweet
Me: Really?
James: Yes, Jo Maugham said something, then [Times columnist] Janice Turner said something, then you replied to that. You said: āThe Nazis performed medical experiments on children whereas the judges are trying to stop that.ā
Brief interruption here for some context. This particular Twitter conversation was about the Keira Bell case, in which a young woman sued the Tavistock for prescribing her puberty blockers when she was 16. Bell has since detransitioned and says she should never have been given blockers so young. She won that case, but it was quashed on appeal. Jolyon Maugham is a lawyer who is probably best known for once boasting on Twitter about clubbing a fox to death while wearing his wifeās kimono. He is also a fervent gender ideologist.
I canāt quote him exactly because he long ago blocked me, but Jolyon had paraphrased the famous Pastor Niemoller poem: āFirst they came for the trans people, and I did not speak out, because I was not transā¦ā Implying, in other words, that the judges who had found in favour of Bell were analogous to Nazis. I responded pointing out that it wasnāt the judges who were giving children untested medical treatments, implying that Gids was.
James: I see that you did it within a context, and you have since deleted the tweet, but we have it.
Me: Do you often keep tweets?
James (laughing): We keep the ones that refer to us as Nazis!
Me: Fine, so shall I say āNo commentā from you?
James: Yes, well, this obviously puts us in a bit of a pickle. Weāre not interested in saying publicly: āYou used these terms about our clinicians, who are incredibly hard-working, caring people.ā The discourse around this subject is so toxic, and we do believe in transparency and want journalists to describe how we work. Would you be willing to⦠well, you deleted the tweet.
Me: All my tweets delete automatically.
James: Well, you never apologised for that or said: āMaybe they shouldnāt be linked to Nazis.” So thatās your last word about clinicians.
Me: If youāre asking me to make a public apology in order to talk to one of your clinicians, I think that would just draw more attention to the tweet. I also donāt do things in return for an interview.
James: Sure. Weāre not trying to extract a cost from you. But you have been quite outspoken about gender identity issues.
Me: So letās talk. If you donāt talk to me, I canāt present your side.
James: But if this ugly thing that happened means we canāt work with you, then it feels unjust for you to be like: āI approached these guys and they said they couldnāt speak to me.ā
Me: So what am I supposed to say? That you say itās unfair for me to say you wouldnāt speak to me, but thatās whatās happening? If you donāt want to talk, thatās cool. I donāt think itās healthy to have books that just present one side, but here we are.
James: I think this bridge is a little too burned. But I do think itās a subject worth exploring.
Me: This whole argument is not going to get less toxic if the two sides donāt talk to each other. Iām still trying to learn more, but that is not going to happen if public services are keeping secret files of peopleās tweets and weāre told āNo, that bridge is burned.ā
James: Itās an interesting point, but ummmā¦
Me: Fine, youāre not available to comment. Bye.
I want to say a couple of things about this conversation. Like so many of the things Iāve tweeted in my life, I regret what I said to Janice Turner about medical treatments ā but not because it was incorrect. In fact, itās looking even more correct today than it did when I wrote it. In her letter last month to the NHS advocating for a complete overhaul in this countryās treatment of gender dysphoric children and young people, Dr Cass wrote that āthere has been very limited research on the short, medium or longer-term impact of puberty blockers on neurocognitive developmentā. Blockers are medical unknowns, and I was right to say that the judges believed children shouldnāt be subjected to experiments. But I regret it because thereās no excuse for comparing anything, whether itās judges or Gids, to the Nazis; I lowered myself to the level of Jolyon Maugham. For that ā let the record show ā I apologise.
But I want to say a couple of other things, too. First, Iād love to know how much money the Tavistock & Portman Trust allocated towards overseeing what people said about them on Twitter. Was it a one-person job? An entire call centre? And where did they file away the offending tweets? Iām picturing the final scene of Indiana Jones and Raiders of the Lost Ark, with a lone NHS worker, wearily pushing into the archive another giant box of incriminating tweets with āJULIE BINDELā stamped across one side. Iād also like to know if all NHS trusts do this or just the Tavistock, or even just Gids. I have a very sexy foot operation booked in for next January. If I have a moan online afterwards about how crap the food is, will my doctors, like Gids, refuse to speak to me? Eject me from my bed?
I wasnāt surprised that people at the Tavistock & Portman didnāt like me. As John rightly said, I have been very open about my scepticism about gender ideology, particularly in its application to children and young people. But the only other time Iāve encountered an institution (as opposed to a celebrity) that expected to be able to control media coverage, it was the Church of Scientology, and that is not publicly funded.
I have had extensive experience of doctors in my life. Several close relatives are doctors and, more relevantly, I spent several years as an in-patient in multiple hospitals when I was a teenager. The first psychiatrist I had was arrogant, absolute in his opinions, certain that he always knew best. When I dared ā as a deeply insecure and unwell 14-year-old ā to question any of his treatment for me, he brushed me aside, as if I were as irrelevant as a moth. Well, I did not get better, and, in fact, he ended up getting struck off for serious misconduct. His refusal to question himself was, ultimately, his downfall, and it came at a serious cost to his patients, including me.
Then I had another doctor. She was very different. When I got angry at her and told her she was ruining my life, she didnāt agree, but she listened, trying to understand my thinking. When I recovered enough to speak logically, and tentatively suggested ways I thought my treatment needed to be tailored to me, she agreed. She genuinely wanted her patients to recover, so she was willing to listen to all sides, because it wasnāt about her ā it was about what was best for those who were ill.
Good people worked at Gids. I know, because Iāve met some of them. But it does seem that too many inside it were more focused on validating a certain ideology instead of looking at what was right for its patients. Fine, donāt talk to the crappy journalist who made some cheap Nazi crack on social media, but why didnāt Gids do long-term tests on puberty blockers? Why did it take them so long to keep records on the long-term outcomes of its patients? Maybe it was for the same reason they refused to talk to gender-critical journalists: because they didnāt want to know.
When Gids shuts next year, treatment for gender dysphoric young people will be decentralised: instead of there being one place myopically focused on gender, there will instead be multiple regional hubs around the country. This is partly to reduce long waiting times. But it is also, Dr Cass stressed in her letter, so children and young people can have ācompetent local multi-disciplinary assessment and remain under active holistic local management until they are seen at a specialist centreā.
In other words, their gender dysphoria will first be seen within the context of multiple potential factors ā eating disorders, depression, anxiety, etc ā instead of doctors hurriedly validating their gender identity. Some people from Gids will be involved at the regional specialist centres, but the young people will receive broader psychological assessments before they get there. It will also, I think and hope, be harder for anyone to operate without transparency because theyāll be coordinating with other NHS services. As Dr Cass wrote: āThe support of wider services is vital.ā Ideologues and fox-murderers can block out those they disagree with, but for healthcare services, that time is up.
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