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The Levy Review: A scathing audit of NHS Trans+ healthcare that isn’t radical enough to fix the problems. @wearequeeraf.com and @whatthetrans.com take a first look at the long-awaited review into adult gender services in the UK 🧵 Reporting by @vic-parsons.bsky.social

1/ TLDR While the Levy Review correctly identifies some of the issues with Gender Dysphoria Clinics, its recommendations tinker around the edges – rather than solving them For our full analysis and commentary, get our detailed explainer in this weekend's newsletter www.wearequeeraf.com/subscribe/

2/ Dozens of issues at adult gender clinics Most NHS gender clinics have “exceptionally long waiting times” and all require “immediate improvement” to be fit for purpose, according to a review of adult trans+ healthcare services in England carried out by Dr David Levy.

It finds less than a third of discharged patients having completed their treatment, to a lack of data on patient outcomes and insufficient training for healthcare workers in the wider NHS around caring for Trans+ patients.

3/ What does it recommend? The key points are: - A national waiting list for adult gender clinics - Ending self-referral - Discharging patients waiting for surgeries back to GPs - Raising the referral age for adult clinics from 17 to 18 - Creating a national gender board chaired by Dr Levy.

4/ How was it put together? The review acknowledges that “hearing directly from transgender patients significantly enhanced our understanding of the services”. However, it does not go as far as a system of informed consent – a solution long advocated for by Trans+ experts.