What’s wrong with the Cass Review? A round-up of commentary and evidence

[last updated 27/04/24]

Wednesday 10 April 2024 saw the long-awaited publication of the final report of the Cass Review. This report was commissioned by NHS England, and provides a review of evidence plus recommendations regarding gender identity services for children and young people.

On publication, the Cass Review’s findings and recommendations were welcomed by the majority of UK media outlets, NHS England, the Editor-in-Chief of medical journal the BMJ, conversion therapy proponents such as SEGM, Sex Matters and Transgender Trend, plus spokespeople for the Conservative and Labour parties, who promised to ensure it will be “fully implemented”.

Conversely, the Review has been extensively criticised by trans community organisations, medical practitioners working in transgender healthcare, and scholars working in the fields of transgender medicine plus feminist and gender studies. They have highlighted issues including overt prejudice, pathologisation, poor and inconsistent use of evidence, non-evidenced claims, and the intentional exclusion of service users and trans healthcare experts from the Review process.

This post provides a round-up of links to existing commentary and evidence regarding problems with the Cass Review, plus quotes pulled from each. I hope it will be useful to support actions opposing the full implementation of the Review’s findings, such as:

  • letters to MPs, Parliamentary candidates, and NHS bodies;
  • voluntary sector and trade union advocacy;
  • protests and demonstrations.

I will seek to keep this post updated with new material.


Responses from healthcare professionals

British Association of Gender Identity Specialists (professional body for GIC clinicians)
Initial BAGIS statement on the Cass Review

“We are aware that this week’s release of the Cass review raises many questions and uncertainties for people accessing or wanting to access gender identity services, as well as for the staff working in those services. We also know that this is likely to be a source of significant distress and worry. On first glance, BAGIS Council are deeply troubled by some of the content of the Cass Review and the potential impact thereof. We will be considering this lengthy document carefully, and in detail, before offering a comprehensive response to its recommendations and before making any relevant observations regarding the process that has underpinned them.”

~

Professional Association for Transgender Health Aotearoa
Cass Review out of step with high-quality care provided in Aotearoa

“The final Cass Review did not include trans or non-binary experts […] in its decision-making, conclusions, or findings. Instead, a number of people involved in the review and the advisory group previously advocated for bans on gender affirming care in the United States, and have promoted non-affirming ‘gender exploratory therapy’, which is considered a conversion practice.”

~

The Australian Professional Association for Trans Health (plus others from Australia)
Cass Review out-of-line with medical consensus and lacks relevance in Australian context

“The Cass review recommendations are at odds with the current evidence base, expert consensus and the majority of clinical guidelines around the world.”

~

Therapists Against Conversion Therapy and Transphobia
Our interim response to the Cass Report

“TACTT is deeply concerned by the final report of the Cass Review, whose core underlying premise is effectively an eliminationist agenda, dressed up in the language of ‘reasonableness’ […] We urge clinicians to treat the Cass findings with extreme caution and not to assume that they represent best practice or that they have been arrived at after a full and impartial review of clinical data.”

~

CBC News
What Canadian doctors say about new U.K. review questioning puberty blockers for transgender youth

“While experts in the field say more studies should be done, Canadian doctors who spoke to CBC News disagree with the finding that there isn’t enough evidence puberty blockers can help. ‘There actually is a lot of evidence, just not in the form of randomized clinical trials,’ said Dr. Jake Donaldson, a family physician in Calgary who treats transgender patients, including prescribing puberty blockers and hormone therapy in some cases. ‘That would be kind of like saying for a pregnant woman, since we lacked randomized clinical trials for the care of people in pregnancy, we’re not going to provide care for you.… It’s completely unethical.'”

~

The National
Trans academics warn against ‘politicisation’ of Cass Review in Scotland

“[…] one experienced psychiatrist at a gender identity clinic in England – who did not wish to be identified – told the Sunday National that failure [to include those with lived or professional experience] had concerned many within the field. They said: “The terms of reference stated that the Cass Review ‘deliberately does not contain subject matter, experts or people with lived experience of gender services’ and Dr Cass herself was explicitly selected as a senior clinician ‘with no prior involvement … in this area’. ‘Essentially, ignorance of gender dysphoria medicine was framed as a virtue. I can think of no comparable medical review of a process where those with experience or expertise of that process were summarily dismissed’.”


Responses and publications from academic experts

Dr Cal Horton
The Cass Review: Cis-supremacy in the UK’s approach to healthcare for trans children
(peer-reviewed article for the International Journal of Transgender Health)

“Inductive and deductive reflexive thematic analysis was applied to a collection of Cass Review publications related to trans children’s healthcare published between January 2020 and May 2023 […] Four concerns are presented and explored: (1) prejudice; (2) cisnormative bias; (3) pathologization; and (4) inconsistent standards of evidence. Each of these concerns impacts the Cass Review’s approach to trans children’s healthcare, with negative repercussions for trans children’s healthcare rights and well-being.”

Ten Dangerous Cass Review Recommendations

“Each of the recommendations summarised below is built on a foundation of prejudice, ignorance, cisnormativity and pathologisation of trans lives, running in direct opposition to the evidence base, and running in direct contravention of an NHS duty of care to children’s rights, children’s welfare, healthcare equality and healthcare ethics.”

~

Dr Natacha Kennedy
The Cass Review and Trans Exclusionism

“Despite the concern-laden language about “helping” and “supporting” trans children, it is my opinion that what Cass is attempting to establish is an all-enveloping ambient conversion therapy approach to trans children, removing their autonomy, freedom of expression, mental health, helpful support and healthcare. […] If imposed it will, in my view, result in the deaths and deterioration in mental health of many trans children.”

~

Dr Abs S Ashley
The Cass Review’s final report: The implications at the intersection of trans and neurodivergence

“Whilst the report cites adjacent NHS services using 0-25 models to justify a ‘continuity of care’ (224), designating trans persons as ‘vulnerable’ and confining them to child-oriented services indicates that more is at stake. These rhetorics contribute to the shoring up of state surveillance and intervention into the lives of legal adults who want to make choices the state disagrees with.”

~

Dr Chris Noone (and 200 colleagues) [added 26/04/24]
Irish academics say young trans people in Ireland deserve better than the recommendations of the Cass Review

“The Cass Review relies on six systematic reviews of different aspects of healthcare for young people accessing gender identity services. Systematic reviews are a way of compiling information from multiple studies that have looked at the same topic and come to an overall understanding of the results. There are very specific guidelines for how systematic reviews should be done but the Cass Review’s systematic reviews deviated from best practice in systematic review methodology in several ways […]”

~

Dori Grijseels [added 27/04/24]
Biological and psychosocial evidence in the Cass Review: A critical commentary

“Several issues with the scientific substantiation are highlighted, calling into question the robustness of the evidence the Review bases its claims on, as such, calling into question whether the Review is able to provide sufficient evidence to substantiate its recommendations to deviate from the international standard of care for trans children and young people.”

~

Gideon MK [added 27/04/24]
Has there been an exponential increase in young people with gender dysphoria?

“One of the main arguments that the Cass review has made is that there has been a dramatic and hard-to-explain increase in the number of children who identify as transgender and attend UK clinics with gender dysphoria seeking help. In a number of places, the review describes this increase as “exponential”, and notes that it appears to have been accelerating in recent years. […] The authors say that this increase is far too big to be caused by social acceptance of trans people, and therefore there must be some form of pernicious influence such as social media, mental health problems, or some other issue causing kids to become trans at increasing rates. […] But if you look at the actual data in the reports that the review is discussing, not only is the increase not exponential, it’s not actually that surprising.”

~

Feminist Gender Equality Network
Letter from academics concerned about The Cass Review

“We suggest that the Cass Review contains unsound methodology, unacceptable bias, and unsupported conclusions. As academics and experts in the field, we regard The Cass Review as potentially harmful to trans children.”

~

Trans Learning Partnership
Initial Statement on the Cass Review

Some of [the] recommendations follow entirely spurious narratives and draw unfounded conclusions. The whole report is positioned in a way which considers continuation of current medication access as harmful, but removal of the current medication access as a neutral or beneficial act, despite no evidence to support this. We are particularly concerned about the content discussing neurodiversity; social transition; and access to medications for children and young people. The report positions the fact that clinicians are unable to predict the future of children and young people’s gender expression as a critical failing of current practice. No service can or should aim to predict the future of children or young people’s lives and the idea that a clinician will know a young person better than they know themselves is in direct contradiction to the United Nations Convention on the Rights of the Child. The aim for clinicians should be to provide a safe, accessible and supportive service which provides individualised care to all children and young people it encounters.”


Responses from trans community organisations

Trans Safety Network
TSN Statement on Cass Review Final Report

“[…] we believe there to be systemic biases in the ways that the review prioritises speculative and hearsay evidence to advance its own recommendations while using highly stringent evidence standards to exclude empirical and observational data on actual patients. This adds to the concerns we have previously had about Cass excluding trans people from the research oversight board – that Cass was set up from the start to impose a particular perspective without input from the patient cohort affected by the outcome.”

Do no harm? The trouble with Cass’ therapy recommendations

“In the absence of effective treatments for dysphoria outside of transition, ‘alternatives’ rely primarily on impossibilising transition […] any therapeutic paradigm for trans and gender-variant young people must explicitly centre the reality and accessibility of transition and affirm all potential genders/embodiments, and should provide information on what pseudo-therapeutic manifestations of anti-trans rhetoric look like, both in clinical and community settings. Models that do not include this risk endorsing the influence of transphobic hostility on identity formation, for instance, or affirming rhetoric that assigned sex is ‘reality’ when this coheres with a given young person’s identity.”

Trans Safety Network statement on NICE evidence reviews on trans affirming care

“In June of 2023 it was disclosed to us by members of the Cass Review team that anti-trans author and commentator Dr Az Hakeem was part of “NHS England’s policy working group which commissioned the NICE evidence reviews undertaken in 2020”. Dr Az Hakeem has long been a partisan opponent of gender affirming medical treatments. While Hakeem disavows conversion therapy or trying to dissuade trans people from medical interventions, on his personal website he directs readers looking for specialist support for gender dysphoria to conversion therapy activist groups, such as Bayswater Support Group, and the anti-trans pseudoscientific lobby group SEGM. Hakeem is also a member of CAN-SG who have from their earliest webinars (link) promoted the idea that trans people should be dissuaded from transition and instead either change their minds, or undergo therapy to live with the discomfort of gender dysphoria without accepting their trans identity — in other words, that trans people should undergo conversion therapy.”

~

Trans Actual
The Cass Review is bad science and should not be taken seriously by policymakers

“The report […] strays far beyond its scope and competence in recommending a review of adult services and in suggesting that young people ought to stay under the care of children and young people’s services until the age of 25. The latter is based on highly questionable understandings of brain development which have been repeatedly debunked as an oversimplification of the constant changes in human neurology over the course of our lives. […] Underpinning this report is the idea that being trans is an undesirable outcome rather than a natural facet of human diversity. This is clear not only from the recommendations but also from the exclusion of trans researchers from the design of the review process and the links individual members of the research team have to anti-trans groups, which the Cass team were warned about.”

~

The Cass Report – A Briefing

The Report dismisses almost all evidence around existing protocols for treating trans young people, including lived experience, on the spurious grounds it does not meet unobtainable levels of proof. The team do not apply the same rigorous evidential tests to their own proposals. Indeed, if such evidential requirements were imposed consistently and equally across the NHS, it would mean that many routine treatments, including treatments for menopause, palliative care and mental health, would also have to cease.”

~

Gender Identity Research & Education Society
GIRES Statement following the publication of the Cass Report

“Of note, many other paediatric medications that are routinely used in paediatric care, do not and cannot have the level of evidence that Cass and NHS England demand: medicines for ADHD, for example, anti-psychotic medications, and many others have comparable if not lower levels of evidence.”

GIRES Chair Cat Burton:

“I was invited to consult with the Cass review. After three discussions it was obvious that the review had been written before we started. She totally discounted evidence from trans people from the basis of knowledge or lived experience.”

~

Mermaids [added 26/04/24]
Mermaids’ response to The Cass Review – In Depth

“Young people we have spoken to are concerned about what they have read, including the desire to understand “why” young people are trans, and to place what feel like “limits” on gender expression, further pathologising and medicalising their identities. We share these concerns. We are deeply frustrated with the lack of clarity throughout the report, which has enabled wilful misinterpretation and the spread of harmful misinformation. Clear and accessible language is vital, especially when services are operating in a context where there is significant hostility to and misconceptions about trans people, particularly in the media. “

~

Trans Solidarity Alliance
Statement on the Cass Review

“In the world the Cass Review imagines a trans child will be seen quickly but not given the care they need. They will still wait for years if they want to access gender affirming healthcare. While they wait they will be expected to engage with therapy that risks becoming conversion practice. While they wait, they will go through a puberty they may find profoundly distressing. They will be treated for every other condition they have. They will be treated for conditions they develop as a consequence of denial of trans healthcare and living in a transphobic world. But they won’t get the care they need to feel comfortable in their own skin. This is a model of care that works for cis people who are upset by the idea of a trans child existing.”

~

Transgender Action Block
Our statement on the Cass Review

“The NHS has always been a violent, white supremacist, saneist, transphobic system; the Cass Report was never going to change that system, indeed it was designed to expand it. The NHS does not provide trans healthcare: it disciplines and punishes trans people, so we will transition in any way we can – with community-led care, private care, and overseas care. We will smuggle, borrow, share, and steal the medicine we need. We will take direct action to protect each other. We survive. We rebel. Fuck the NHS.”

~

The Dyke Project
Today, we dropped a 30ft banner

“Politicians will continue to create moral panics to distract and divide us from their own failings. The Cass Review, instead of focusing on a lack of funding, long waiting lists and overstretched staff is ultimately calling to restrict trans healthcare. Enough is enough. Trans youth don’t need to be studied, managed or saved. They need the same opportunities and quality of care that their cis friends and family receive.”


Responses from human rights groups

Amnesty International and Liberty
Cass review on gender identity is being ‘weaponised’ by anti-trans groups

“This review is being weaponised by people who revel in spreading disinformation and myths about healthcare for trans young people. It’s concerning that sections of the media and many politicians continue to spread moral panic with no regard for the possible consequences for trans people and their families. The negative rhetoric by the Government about the dangers of so-called gender ideology, healthcare for young trans people, as well as the push against LGBT-inclusive sex and relationship education is harmful and extremely damaging.”


Critical and investigative journalism

Them
Advocates Say a Controversial Report on Healthcare for Trans Kids Is “Fundamentally Flawed”

“International medical organizations and transgender activists are roundly condemning a new U.K. report on gender-affirming care for minors, saying the report ignores years of research to propagate “harmful” misinformation.”

~

Assigned Media
What’s in the Cass Report?

“The Report included many recommendations for treatment of youth presenting at gender clinics in England. Some of these were fairly technical, describing proposed relationships between NHS entities such as regional centers, centralized authorities, and local/tertiary providers. Other recommendations were broader […] The recommendations synthesize a view of medical transition as a bad outcome to be avoided, and a belief that gender dysphoria can be successfully treated non-medically, despite no non-medical interventions being evaluated in any of the series of systematic reviews[.]”

~

Queer AF
Cass Review excluded 98% of gender-affirming hormone studies to reach its conclusion

“This week, when the Cass Review was released, news outlets rushed to cover the story, highlighting the report’s conclusions without taking time to consider whether the report could be flawed. In doing so, it amplified and solidified to the wider public the report’s key conclusions without balancing it against the evidence it excluded to reach them. […] Crucially, despite a four-year process, it still failed to find any smoking gun of widespread regret among trans folks who transition. It instead had to rely on a methodology that allowed it to exclude any data about how gender-affirming care helps trans people.”

~

What The Trans?!
The Cass Review needs to be thrown out entirely. This is why.

“We contend that the Cass Review is not fit for purpose. We suggest that it was not merely knocked off course by a flawed methodology. We believe the Cass Report is a deliberate part of a political project aiming to reduce the availability of trans healthcare, possibly eventually in its entirety. It is imperative that we understand this and act on it.”

Trans Community in Scotland Protests Against NHS and Scottish Government Betrayal

“The trans and questioning children who are at the centre of this conversation are in community with one another, and they understand exactly what is happening to them. While we are focussed on the bigger picture, I was taken by their confidence and eloquence when speaking of their experiences. [A speaker shared] a story about speaking to a trans kid they knew through their work, who, speaking of their many friends who had died of suicide: “Yeah, you know how it is.” And we do. We are used to just how extreme what is currently happening to us in the UK is, and the real effects it has on us. We have been sounding the alarm for years, but we are now feeling the UK’s uniquely slow and bureaucratic oppression start to bite[.]”

~

Yorkshire Bylines
The Cass review: trans care or trans scare?

“Children’s wellbeing is indeed at stake here, but that includes the wellbeing of children who are actually trans. Far from taking the matter out of politics, the review – and Rishi Sunak’s subsequent praise of it – has put it centre-stage. Some readers will remember the climate of homophobia that suffused the run-up to the 1997 general election, when the Conservative Party, desperate as it is now, brought out the “They’re coming for your children” rhetoric in a last-ditch effort to panic people into voting for it. This review – whose final report has been awaited for some time – feels like an attempt at the same thing.”

~

Erin in the Morning
Opinion: England’s Anti-Trans Cass Review Is Politics Disguised As Science

“It is important to note that the Cass Review contains very little new data and evidence. Any statements it makes are based on the same level of evidence that every major medical organization in the United States, along with some of the largest mental health societies in the world and professional associations of transgender health, have determined to support transgender care. If its claims differ from those institutions, it’s because reviewers made choices to view the evidence around transgender care negatively.”

Dr Cass met with DeSantis Pick Over Trans Ban: Her Review Now Targets England Trans Care

“The Cass Review seems to have emulated the Florida Review, which employed a similar method to justify bans on trans care in the state—a process criticized as politically motivated by the Human Rights Campaign. Notably, Hilary Cass met with Patrick Hunter, a member of the anti-trans Catholic Medical Association who played a significant role in the development of the Florida Review and Standards of Care under Republican Governor Ron DeSantis. Patrick Hunter was chosen specifically by the governor, who has exhibited fierce opposition towards LGBTQ+ and especially transgender people, and then immediately got to work on targeting transgender care. The Florida review was purportedly designed and manipulated with the intention of having “care effectively banned” from the outset, as revealed by court documents. The Florida Review was slammed by Yale Researchers as “not a serious scientific analysis, but rather, a document crafted to serve a political agenda,” and much of their full critique is applicable to the Cass Review as well.”

~

Trans Writes
The 32 things The Cass Review recommends and why they are concerning

“The 32 recommendations, informed by the highly conservative evidence base, look to impose further restrictions and control on trans lives — and not just the lives of trans youth with the scope of these recommendations including 25 year olds. Given that we know The Cass Review has been majorly influenced by anti-trans activists with ties to conversion therapy efforts, it’s probably worth looking at some of the recommendations and how they relate back to what transphobes are doing to organise against trans liberation.”

~

The Autonomy
Between Reproductive Past and Trans Future

“The overall recommendation is to force patients to wait through psychological busywork and relevant-sounding delays, implementing a largely-arbitrary set of hoops to jump through with the hopes the patient just gives up. Focus on the patient’s anxiety, focus on their autism, focus on any other issue except their gender and their desire for a sex change[.]”

~

404 Media
Review Used By UK to Limit Gender Affirming Care Uses Images of AI-Generated Kids

“Earlier this month, WIRED noted that generative AI has a track record of representing queer and trans people as a collage of stereotypes. It is not clear why the Cass team used AI-generated images in this report, which, again, has been used as evidence by the NHS to stop providing gender-affirming care to trans kids.”


Social media

Chamber Voice (published by policy institute Curia) [added 24/04/24]
How politically unbiased is Cass?

“Questions have been raised about the neutrality & evidence basis for the controversial #CassReview. The report’s author Hilary Cass has been asked to provide answers why she is meeting with Women’s Declaration in the House of Lords this week.”

Context note: under their old name of Women’s Human Rights Campaign, the organisation Women’s Declaration International have openly called for the “elimination” of trans people. More information on the meeting can be found here.

~

Ethel Weapon
#Cassflaws threads on Bluesky

“§6.18 presents us with the idea that toy choice is influenced by hormones. To accept this report is to accept that estrogen, for example, has a biological effect that causes a preference for play with toy cooking pans over toy trucks. In §6.23 we are directed to the work of Melissa Hines in support of this hypothesis. Hines was one of the two authors of the “vervet monkey” study that claimed to show such toy preferences in monkeys. A study that implies something about estrogen makes monkeys want to play with cooking pans.”

“Here is Cass citing “Thoughts On Things And Stuff”. This is a YouTuber whose channel includes a host of anti-trans video material, including material from notorious anti-trans figures, including ‘”‘Gays Against Groomers’.”

~

TransSafetyNow

“It has been drawn to my attention that [a booklet produced based on research cited by the Cass Review] was funded by SEGM’s William Malone & anti Trans lobby group Transgender Trend.”

~

猫好きな人

“In 2021, Trilby “Tilly” Langton, the sole gender affirming care “expert” involved in the Cass systematic reviews, went to lobby Kemi Badenoch about the conversion therapy ban. With a featured speaker at the 2024 CAN-SG conversion therapy conference.”

~

Simon Whitten
Did the Cass Review disregard the evidence of all but 2 of 103 studies on puberty blockers & hormones to reach it’s conclusions? Yes and no.

“The review found 5 studies of moderate certainty relevant to psychological health. All 5 supported the conclusion that treatment of trans teens with CSH [cross-sex hormones] improved psychological health. There were no findings of worsening psychological health. What conclusions would you draw from this? Our intrepid authors draw no conclusions from this whatsoever, instead declaring the evidence for every outcome for which there was no high certainty study “inconclusive.” Similar is true for other outcomes and for puberty blockers. This is the sense in which the Cass Review absolutely did ignore almost all evidence on the efficacy & safety of PBs [puberty blockers] and CSH. The majority of moderate certainty studies were included in the results section but then arbitrarily ignored in the conclusion entirely.”


Dr Cass Responds

The Kite Trust
Q&A with Dr Hilary Cass

“The Cass Review Report does not conclude that puberty suppressing hormones are an unsafe treatment. The report supports a research study being implemented to allow pre-pubertal children to have a pathway to accessing this treatment in a timely way and with suitable follow up and data collection, to provide the highest quality of evidence for the ongoing use of puberty suppressing hormones as a treatment for gender dysphoria. In the data the Cass Review examined, the most common age that trans young people were being initially prescribed puberty suppressing hormones was 15. Dr. Cass’s view is that this is too late to have the intended benefits of supressing [sic] the effects of puberty and was caused by the previous NHS policy of requiring a trans young person to be on puberty suppressing hormones for a year before accessing gender affirming hormones. The Cass Review Report recommends that a different approach is needed, with puberty suppressing hormones and gender affirming hormones being available to young people at different ages and developmental stages alongside a wider range of gender affirming healthcare based on individual need.”

Some final thoughts: recommendations such as this from the Q&A are not clearly reflected in the content of the report or the later Q&A published on the Cass Review website. In a blog post accompanying that Q&A, Dr Cass complains about “some of the assertions being made on social media, and occasionally on mainstream broadcast media, which misrepresent the report and its findings, whether wilfully or otherwise“.

In my expert opinion, the critiques linked to in this blog post have yet to be properly addressed by the Cass Review team, let alone any of the politicians or healthcare service directors promising the implementation of the Review’s findings.

Regardless of whatever Dr Cass’ intention may or may not have been, the Review process itself intentionally and explicitly excluded any oversight from service users and trans healthcare experts, and involved collaboration with proponents of conversion practices. The final report relies on poor and inconsistent use of evidence, and makes recommendations that put young trans people in danger.

wormboys song featured in Leeds Queer Film Festival trailer

I’m hugely honoured that my band’s song “mostly still” has been used in the trailer for Leeds Queer Film Festival this year!


Leeds Queer Film Festival is an amazing, affordable, non-profit community event, which every year shows feature-length films and shorts from around the world. I cannot recommend it enough!

This year’s event runs from 20-24 March, and you can find all the information you might need on their website.

DJ set list: Killer Queen @ Grrrls Night Out, Coventry, 08/03/24

Photograph of a home-made DJ booth designed to look like an ancient Celtic chariot, with the name Boudica embossed on the front.

Back in the day, I had another blog where I posted all my DJ set lists. That blog no longer exists outside of the Wayback Machine because it was hosted by the University of Warwick and universities hate to host websites for too long, it seems (see also: Leeds and Sheffield taking down the trans pregnancy project websites once that sweet, sweet UKRI money stopped coming in).

However, I still like archiving things, so for the sake of posterity, here is my headline set from last night’s amazing party for International Women’s Day at the Tin in Coventry, hosted by the awesome women at Boudica Festival.

Blondie – Atomic
The Selecter – Missing Words
Azealia Banks – 212
underscores feat. gabby start – Locals (Girls Like Us)
100 gecs – mememe
Hole – Celebrity Skin
The Cardigans – My Favourite Game
Indigo Girls – Closer To Fine
Dolly Parton – 9 to 5
Beyoncé – Texas Hold ‘Em
Le Tigre – TKO
The Ting Tings – That’s Not My Name
Miss Eaves – Thunder Thighs
St Vincent – Digital Witness
SOPHIE – Immaterial
Annie Lennox – Walking on Broken Glass
Wet Leg – Wet Dream
Mitski – Washing Machine Heart
Gloria Jones – Tainted Love
Bananarama – Venus
Belinda Carlisle – Heaven Is A Place On Earth
Courtney Barnett – Pedestrian At Best
Black Dresses – In My Mouth (request)
Wargasm – Do It So Good
Nova Twins – Antagonist
Janelle Monae – Make Me Feel
Billie Eilish – bad guy
Aretha Franklin – Think
Skunk Anansie – Weak
Kate Bush – Running Up That Hill
Evanescence – Bring Me To Life
Nightwish – Over The Hills and Far Away

I believe this was my first DJ set in almost nine years and I will admit I was pretty nervous! Even worse, most of my old equipment is buried in a box somewhere due to multiple moves over the last few years, so I really had to wing it. At the same time, I used to play a lot back in the day. Between that, a usb stick stuffed with days’ worth of music, and some hard work in preparation, it all felt very natural once I was on stage in Boudica’s amazing home-made Iceni chariot booth. I really enjoy figuring out what an audience wants to hear and then taking them on a ridiculous journey with that, and once the adrenaline kicks in it’s one hell of a trip.

I’m hugely grateful to Boudica for inviting me back to Coventry and providing such a supportive environment. It was exciting to dance to brilliant sets from new DJs before stepping up myself, reflecting Boudica’s commitment to supporting women and non-binary people in picking up new instruments and skills. Most of all, I’m thankful to everyone who turned up to party.

DJ set in Coventry for IWD – 8 March

I’m excited to announce that I will be headlining Boudica Festival‘s party for International Women’s Day on Friday 8th March!

The event will take place from 8pm to late at at The Tin in Coventry.

Here’s the blurb from Boudica:

Poster for the Grrrls Night Out event at the Tin Music and Arts, Coventry, on Friday 8th March, 8pm to late. The poster features a disco ball with waving arms, feet, and an open mouth. It states that the event will feature DJs spinning pop, rock, riot grrrl and more, plus visuals and crafts.

Killer Queen returns to the Tin for one night only! Killer Queen aka Ruth Pearce is a Glasgow-based trans feminist DJ, known for genre-bending rock and pop sets that bring together classic tunes and contemporary hits. Ruth has been previously spotted spinning the decks at queer clubs, protest after-parties, and activist conferences across the country, including Reclaim the Night, Women’s Aid, Queer Fest Leeds, Birmingham pride, and Nine Worlds Geekfest. In Coventry she founded and performed at the Killer Queen queer rock club from 2009-2013, and was part of the Revolt! collective which ran riot grrrl nights at the Tin from 2012-2017. These days, Ruth can usually be found found shouting in the rock trio Dispute Settlement Mechanism, playing bass in the noise pop band wormboys, and/or moonlighing as a professional scholar in the field of transgender studies.

This will be my first DJ set in several years(!) However, I’ve been constantly listening to new music, so am very excited to be once again getting behind the decks – especially in my old stomping ground of Coventry.

You can buy your tickets here.

RCGP host conversion therapy conference in London – protest 23 March

On Saturday 23 March the Clinical Advisory Network on Sex and Gender (CAN-SG) are hosting at conference at 30 Euston Square, the headquarters of the Royal College of General Practitioners. CAN-SG are described by Trans Safety Network as “an organisation composed mainly of activists involved in the pseudoscience network SEGM, and the anti-trans conversion therapy campaigning body Genspect“.

A noise demonstration will be held outside the conference venue from 10am on 23 March, hosted by Transgender Action Block, Lesbians and Gays Support The Migrants, and The Dyke Project.

Protest poster, which reads as follows. Noise demo against Royal College of GPs conversion therapy conference. 30 Euston Square, March 23rd, 10am, 2024. Get loud, get angry against institutionalised abuse. No parasan. Full youth autonomy now. No cops, no SWP, no Tories.



According to the Memorandum of Understanding on Conversion Therapy, an agreement signed by 40 leading professional bodies and healthcare providers, conversion therapy “is an umbrella term for a therapeutic approach, or any model or individual viewpoint that demonstrates an assumption that any sexual orientation or gender identity is inherently preferable to any other, and which attempts to bring about a change of sexual orientation or gender identity, or seeks to suppress an individual’s expression of sexual orientation or gender identity on that basis”. Conversion therapy has been described as a form of torture in academic work and by UN experts.

The CAN-SG event speaker lineup is a who’s who of conversion therapy proponents and anti-trans activists, including:

  • Stelley O’Malley, founder and director of Genspect, who has described seeking to suppress the gender identity of teenagers in her therapeutic work, adding: “I don’t think you should have empathy or sympathy” for young trans girls.
  • Michael Biggs, an anti-trans campaigner linked to a prolific troll account on Twitter.
  • Richard Byng, a member of anti-trans pseudoscience network SEGM.
  • Rachel Cashman, a campaigner against trans inclusion in schools, and supporter of Women’s Declaration International (WDI). Under their former name of Women’s Human Rights Campaign, WDI have openly called for the “elimination […] of the practice of transgenderism”.
  • Az Hakeem, a member of Genspect and an active opponent of a proposed legal ban on conversion therapy. Hakeem was reported for conversion therapy to the GMC by a former patient.
  • Anne Hutchinson, who has promoted materials by Genspect in training for South London and Maudsley NHS Mental Health Trust.
  • Riittakerttu Kaltiala, a Finnish clinician and opponent of affirmative care who contributed evidence for Florida’s ban on medical transition for young trans people. I have not found any evidence that Kaltiala opposed Finland’s policy of forced sterilisation as a condition of legal recognition for trans people, which was repealed only last year, but am willing to be corrected on this. According to a recent academic biography, Kaltiala sits on the advisor board of the Cass Review.

The Royal College of General Practitioners (RCGP) are signatories of the Memorandum of Understanding on Conversion Therapy. Signatories agree that conversion therapy is “unethical and potentially harmful”, and commit to ending this practice in the UK.

Following complaints from LGBTIQ+ groups and their own members, the Royal College of General Practitioners (RCGP) released a statement saying that the conversion therapy conference would go ahead. In the statement, they argue that their headquarters building, 30 Euston Square, is “an event space run by an independent events company”. However, the statement opens by saying that the RCGP has “reached the decision that the Clinical Advisory Network on Sex and Gender (CAN-SG) conference can go ahead”, and later adds that “the College would be at risk of being faced with a claim for breaching the Equality Act if we acted otherwise”. This implies that the RCGP do, in fact, have control over their own building, and have taken the active decision not to oppose the conference.

Legal threats are increasingly common from anti-trans campaigners, who argue that cancelling contracts or events constitutes an attack on their “gender critical” views as “protected beliefs”. The CAN-SG conference has been widely reported as a gender critical event, and indeed several of the speakers appear to describe themselves as “gender critical”. However, the issue with the event is not the beliefs of the speakers or organisers in and of themselves. It is that they are actively promoting disinformation and harmful practices.

The RCGP’s position is therefore one of gross cowardice, and demonstrates that they are not actually committed to preventing harm against trans people in healthcare settings. It costs the RCGP very little to sign a document claiming that they oppose conversion therapy, or condemn the UK government for failing to introduce a legal ban. However, now that the fight against conversion therapy has come to their door, they are not prepared to act.

It is within the power the RCGP to ensure that the CAN-SG conversion therapy is cancelled. They have chosen not to do this. It is within the power of the RCGP to oppose CAN-SG in court, if it came to that. They have chosen not to.

This reflects the same failures we have seen from bodies including NHS England and the Cass Review. I am often asked why trans people do not trust doctors. This is why. We are failed by medical professions over and over again.

Change happens not because powerful organisations allow it, but because ordinary people fight for it. A true commitment to ending conversion therapy can be seen not in the actions of RCGP, but in the work of groups like Transgender Action Block, Lesbians and Gays Support The Migrants, and The Dyke Project. I am also hugely grateful to grassroots organisations such as Trans Safety Network, Health Liberation Now, and Gender Analysis for gathering a lot of the information I collated in this post.

That power also potentially lies with you. Trans support groups and harm reduction networks for people self-medicating can be found across the UK, and will always benefit from your support. And you can complain to the RCGP here.

13 days to defend trans and queer kids

On 12 March 2024, the UK Department of Education consultation on draft guidance on “gender questioning children” for schools and colleges will close. Until that date, we have our best possible chance to fight for the safety and wellbeing of young people.

Last month I wrote a long blog post and zine about this draft guidance: New Year’s Resolution: Smash the New Section 28. I argued that the guidance resembles the notorious anti-gay law Section 28, in that it aims to both directly oppress LGBTIQ+ young people, and create an atmosphere of fear and uncertainty around supporting them. This is to be done by reinforcing a strict sex binary. The guidance directly targets young trans people, but also threatens to enforce sexist and homophobic standards on all students, e.g. through stating that school uniforms should be allocated on the basis of “biological sex”.

I also argued that there are important reasons for hope, and many routes to resistance. One possible option is to take part in the consultation itself, but there are other approaches too, including noncompliance and resistance in schools, contacting politicians and unions to raise the alarm, supporting trans youth groups, and creative forms of protest.

Since I wrote Smash the New Section 28, the situation for young trans people has continued to deteriorate. In the UK, the Government has very quietly introduced a second consultation on proposals to segregate trans college students who are on trips or who would otherwise be sharing accommodation with other students. In the US, the murder of trans student Nex Benedict in a school bathroom shows just how dangerous the UK proposals would be in practice. I have updated my original post to reflect both of these events. Moreover, it’s emerged that the Royal College of GPs are hosting a conference for conversion therapy advocates in London, and the British public are more openly prejudiced towards trans people than they were just five years ago.

However, it’s also been really heartening to see how many people have read the blog post and shared the zine over the last month. I have particularly appreciated the support from the amazing independent Leeds book shop The Bookish Type, who have been giving away loads of free copies of the zine. I have heard from parents and bureaucrats who say they are using what I have written to argue for independent guidance that actually supports trans and gender non-conforming young people in schools and college.

Importantly, my writing is just one piece among many. Important critiques and consultation guides have been published by people and groups including The Diversity Trust, Just Like Us, Nancy Kelley, Gendered Intelligence, LGBT Foundation, Mermaids, Stonewall, and the Trans Learning Partnership. If you’re aware of any good writing or resources, please share in the comments and I will add it to this post.

You and the people you know have the resources to take action against the new Section 28. If the guidance is implemented, this will not be our only opportunity to fight back, but it is the best opportunity. Think about what you can do before 12 March: whether it’s writing to school governors or an MP, agitating in your workplace or union, or sharing information with others.

As ever, we can never win freedom alone, but have so much power when we act with others.

Photograph of a women holding a zine titled Smash The New Section 28. The woman is white and has shoulder-length brown hair, and is wearing glasses and a grey t-shirt. She stands in front of a large book shelf.

Free essays! Queer punk, trans-inclusive midwifery, and trans health law

In recent years I have co-authored numerous peer-reviewed essays for edited collections. I have just made three of these freely available, from books originally published in 2020 and 2021.

Why is this happening now? Well, it’s basically due to moves toward so-called “open access” within the bizarro world of academic publishing. I try and publish my work in places that will also let me share my work for free. For book chapters, publishers usually impose an embargo period of 2-3 years, after which authors are allowed to share the post-peer-review version on our own website. The essays I have recently uploaded have all had their embargo end, so I’m excited to now share them more widely.

You can download the essays by clicking on the links below.

Queering Community Development in DIY punk spaces
Also published in the book: Arts, Culture and Community Development (Policy Press)
Written with my long-running collaborator Kirsty Lohman, this essay looks at grassroots community organising within queer, feminist, and anti-racist punk spaces. We argue that this organising is often prefigurative: that is, it actively models and enacts the changes that punks want to see in the world. Looking at events such as First Timers and Decolonise Fest, plus bands such as Big Joanie, we explore what happens when marginalised people create their own cultural spaces, and seek to facilitate access to these spaces for others who are often denied artistic and political expression.

Men transmasculine and non-binary people and midwifery care
Also published in the book: Midwifery Essentials (Elsevier)
I contributed to this essay as part of the Trans Pregnancy research project team. Our project spoke with over 50 men, transmasculine, and non-binary people who experienced pregnancy and childbirth in Australia, Bulgaria, Canada, Germany, the UK, and the USA, plus a handful of midwives who have supported people from this group. In this short essay, we briefly outline the positive and negative experiences that trans birth parents reported having with midwives, plus challenges reported by midwives themselves. On this basis we make 8 recommendations for developing best practice with trans people in midwifery services.

Depathologising Gender: Vulnerability in Trans Health Law
Also published in the book: A Jurisprudence of the Body (Palgrave Macmillan)
I co-wrote this essay with Chris Dietz, a scholar of Law at the University of Leeds. Drawing on feminist and trans critiques of human rights models, plus an analysis of gender recognition laws in countries including Argentina, Denmark, and the UK, we argue for a new approach to understanding the fight for depathologisation in law and medicine.

These three essays are just some of the many peer-reviewed academic publications I make freely accessible on this website. For more work on a range of topics relating to trans studies, feminism, and/or community development, see my publications page.

Event: Participatory recovery and reconstruction: Lessons from Ukraine

Alongside colleagues from the Community Development Journal, I am organising this hybrid event which is taking place in Glasgow’s Advanced Research Centre from 6pm-8pm on Monday 26th February.

For a free ticket to attend either in-person or online, please book via Eventbrite.

As the conflict in Ukraine enters its third year, how are community development workers building participatory approaches to recovery and reconstruction?

This event will see Nataliya Drozd (Dobrochyn Centre) and Oleksandr Pidhorniy (Chernihiv Centre for Human Rights) in conversation with peacebuilding expert Professor Sinéad Gormally (School of Education, University of Glasgow).

We will hear first-hand about democratic activism, local self-governance, and integration of internally displaced peoples from civil society experts based on the ground in Ukraine. Attendees will also have space to reflect on how we can apply insights from their knowledge and experience within our own communities in Scotland.

This will be a hybrid event – when you book your (free) ticket, please state whether you will be joining online. We will circulate a link to join the event on the afternoon of 26th February.

New Year’s Resolution: Smash the new Section 28

This post is about the Department for Education’s December 2023 draft guidance on “Gender Questioning Children”. Advice on how you can take action can be found at the end. You can download a printable zine here.

The post was updated on 23 February 2024 to add information on the Further Education Residential Standards Consultation and the murder of trans student Nex Benedict in a school toilet.


Like many other young people, my first experience of sexual assault was in school.

I stood in the lunch queue at my school’s canteen, a boy my age behind me. Unexpectedly, he began to tenderly caress my back and my bum. Feeling extremely uncomfortable and vulnerable, I turned to confront him. He leered, laughed, then accusingly asked, “you gay?”

Sketch of an imposing school building

Like many queer students during the 1990s and 2000s, I was bullied viciously throughout my time in school. I was teased incessantly, beaten up, and on one occasion knocked unconscious in front of my entire year group. Later, since I started living as a girl, I’ve been groped by men many times in clubs and pubs. Yet that specific moment of abuse sticks with me especially.

So much can be said about it. I was a heavily closeted trans girl attending an all-boy’s comprehensive, and yet to admit I was also bisexual. I wonder of course about the sexuality of my harasser, who may have found bullying the only “safe” way to experiment with his own desires. But most important is the context of the wider school environment. Homophobia and ignorance about sexuality and gender was the norm; one that was not simply enacted between children, but also deeply rooted in policy and law.

Nothing was ever done about this sexual assault – in part because I didn’t for a moment consider telling anyone.

I attended school at the time of Section 28, a notorious anti-gay law enacted across Britain by Margaret Thatcher’s Conservative government. Section 28 was named for a clause in the Local Government Act 1988, in which local authorities (responsible for the management of state schools) were prohibited from “promoting homosexuality by teaching or by publishing material”, or promoting the “acceptability of homosexuality as a pretended family relationship”. It was introduced following a major moral panic in the media over homosexuality in the wake of the HIV/AIDS epidemic, plus the publication of a handful of short books and leaflets with advice on teaching young people about the existence of gay and lesbian families or historical figures. 

Section 28 would remain in force for over a decade. It was eventually repealed by the first Scottish Parliament in 2000, and in England and Wales by Tony Blair’s second Labour government in 2003, although its effects would linger for years to come. In addition to directly barring local authorities from introducing affirmative teaching material about lesbian, gay, and bi lives, Section 28 had the wider impact of stifling any real discussion around sexuality or gender difference. Teachers were afraid to talk about the issue, and books were banned from schools and libraries. Meanwhile, “gay” was the ultimate insult in the playground, a go-to word for any person, action, or object that was undesirable or bad.

Section 28 did not have anything specific to say about acknowledging that lesbian, gay, or bi people exist, or about homophobic bullying in school, let alone about trans or intersex matters. It didn’t need to. The vague prohibitions of the law, along with a more general culture of ignorance, silence, and fear promoted by politicians and journalists, meant that many people were uncertain where the boundaries of legality lay. Instead, there was a widespread feeling that you simply couldn’t talk about it.

The impact on entire generations of young lesbian, gay, bi, trans, intersex, and queer (LGBTIQ+) people was horrific. Many of my peers talk about the traumatic impact of growing up during this time, of struggling to come to terms with their desires and experiences, of failing to receive protection from adult authority figures or being abused directly by them. You can read more about this in accounts such as in Kestral Gaian’s book Twenty-Eight.

The worst thing for me about growing up under Section 28 was the utter lack of information. When it came to my sexuality and trans experience, I didn’t even know what I didn’t know. I had no easy way into understanding my own feelings and changing body, let alone the quiet but immense impact of a law I’d never heard of. I wrote a diary across several years chronicling my self-hatred and feelings of being ill, broken, wrong, a freak. I was extremely unusual in coming out as a girl during my teen years, in part because I had the luck to stumble across supportive US-based internet communities when I was 15, circa 2002. I wonder what information and support my harasser in the lunch queue ever had available to him. 

The first adult I came out to outside of the internet was our Religious Education teacher, Mrs Richards. In retrospect, she was clearly a rebel, with a deep sense of Christian conviction about social justice which meant she was prepared to risk her job to do the right thing. At the time, I was vaguely aware she had been in trouble with the headteacher for telling a sex education class that, statistically speaking, at least some of us were gay and we needed to be okay with that. I told her that I wanted to be a girl, and asked where I could find help.

Mrs Richards did the best she could for me at the time – she sent me somewhere safer. She said she couldn’t speak with me, but recommended a free counselling service in town. This provided the first supportive, affirmative space in which I could explore my gender in person, laying the groundwork for my eventual transition. At the same time, I regret that even the most rebellious teacher in my school didn’t feel she could even safely listen to or reassure me in an extremely vulnerable moment.

sketch of several condoms, a bunch of bananas, and a condom on a banana

After Section 28

Following the repeal of Section 28, many teachers remained unsure about what the law said and whether they were allowed to discuss LGBTIQ+ issues in the classroom. Nevertheless, there has been a gradual shift towards the explicit acknowledgement and inclusion of queer lives in curricula and pastoral support structures. In 2005, Schools Out launched the first LGBT History Month resources for schools. In my mid-20s, now a proudly out trans activist, I attended an event in Coventry about moving on from the legacy of Section 28. It was supported by the city council and attended by many teachers. A few years later, attempts to reintroduce Section 28-style policies at some academy schools were explicitly condemned by the Department for Education. The world was changing.

Meanwhile, LGBTIQ+ adults and young people were more visible in society than ever before. We were increasingly present on TV, in movies, and in the charts. The emergence of social media meant we began to find one another and create our own content on Myspace… then Facebook, Youtube Tumblr, Twitter, Twitch, and Tiktok. It became more normal to have an LGBTIQ+ friend, colleague, sibling, child, uncle, or parent. This created a virtuous cycle: the more we were out and visible in society, the easier it was to come out. There are now more openly lesbian, gay, bi, and trans young people in the UK than ever before. I hear about this a lot from friends who teach in secondary schools. Queer kids are increasingly just a normal part of school life. For those who need more support – often young trans people – there are often clubs or groups facilitated by teachers: something that would have been almost impossible under Section 28. 


The new moral panic

Social progress is never linear nor guaranteed. We must therefore always be prepared to defend the gains we have made.

Since 2017, the UK has been gripped by a wide-ranging moral panic over trans people’s existence, as part of a wider backlash to social progress which has also affected groups including migrants, racalised minorities, and LGBTIQ+ people more widely. One element of this has specifically targeted educational, pastoral, and media support for young trans and gender non-conforming people. Prominent anti-trans campaigners have sought to raise fears over the growing number of out and proud young trans people, portraying trans experiences as a “social contagion” among children and adolescents, arguing that this should be addressed through the “elimination of transgenderism” or otherwise “reducing or keeping down the number of people who transition”.

The violence of this language is reflected in the violence that too many young trans people continue to face from other children and adolescents, as well as the adults who are supposed to help them. But anti-trans campaigners continue to position young trans people themselves as the problem. 2020, Liz Truss (then Women and Equalities Minister) stated that trans people aged under 18 should be “protected” from “decisions they could make“, raising fears of a new Section 28.

That new Section 28 is now here, in the form of draft non-statutory guidance on “Gender Questioning Children” for schools in England, produced by the Department for Education at the behest of the UK’s Conservative government. This document, which is currently under consultation, threatens to significantly undermine the ability of young people to safely be themselves. And just like Section 28, while the draft guidance specifically targets one group, it threatens to cause harm far more widely.


What does the Department of Education guidance say about “Gender Questioning Children”?

I will not be providing a detailed breakdown of everything the guidance states – for this, I recommend alternative analyses such as Robin Moira White’s excellent commentary for TransLucent. However, key elements include the following:

  • Trans students are presented as an implicit danger to themselves and others. Schools are told to “safeguard” against young people coming out or transitioning, and the impact of this on other students.
  • Schools are told to out trans students both to their parents and to the “school community”. The guidance prioritises informing others over young people’s own right to safety, confidentiality, or self-determination.
  • Schools are encouraged to intentionally misgender students. Secondary schools are advised to consult parents and “only agree to a change of pronouns if they are confident that the benefit to the individual child outweighs the impact on the school community”. Primary schools are told that “children should not have different pronouns to their sex-based pronouns used about them”.
  • Schools are told to ban trans girls from girls’ toilets and changing rooms, and ban trans boys from boys’ toilets and changing rooms. The guidance advises that toilets access should be based on “biological sex”, with the possibility of an “alternative changing or washing facility” for individual students given special dispensation.
  • School uniforms should be worn according to “biological sex”: that is, trans girls are expected to wear boys’ uniforms, trans boys are expected to wear girls’ uniforms, and non-binary people are expected not to exist.
  • For sports, schools are told to “adopt clear rules which mandate separate-sex participation” where “physical differences between the sexes threatens the safety of children”.
  • The guidance entirely ignores legal protections for young trans people,most notably through excluding any discussion of “gender reassignment”, the category under which people who socially and/or medically transition are protected in the Equality Act 2010.
  • The guidance does not actually use the word “trans” once (let alone non-binary). The very language we use to describe our own lives is excluded from the document. Instead it refers to children being “gender questioning”, “gender distressed or confused”, experiencing “gender incongruence”, or “gender dysphoria”, or undergoing “social transition”, implying that this occurs as the result of a contested “ideology” or “belief.

In short, the proposed guidance aims to position young trans, questioning, and otherwise gender non-conforming people as a problem. If implemented, it would make it extremely difficult – if not impossible – for young people to be themselves in school, to trust teachers, or to seek support if they are subject to transphobic bullying from peers. As Gendered Intelligence observe, “What strikes us most about this guidance is the tone of cruelty and contempt towards children and educators throughout.”

sketch of placards, reading Fight Section 28, Glasgow Lesbian Avengers: we object!, and Don't Fuel Hate Scrap 28

How dangerous is the Department for Education guidance?

In this post, I invoke the legacy of Section 28 very deliberately. The new proposed guidance on “Gender Questioning Children” is of course a very different document, produced in a different time, with a different response from civil society. However, I feel that understanding the guidance’s similarities to Section 28 is useful for analysing why it is so harmful, and understanding its differences can help us to map routes to resistance.

Like Section 28, the draft guidance is most dangerous in its vagueness. It does map out numerous ways to directly abuse young trans people, for example, through intentional misgendering and seeking to block social transition. However, it is the more general refusal to engage with the humanity and agency of young trans people – for example, through failing to even use the word “trans” once – which is most chilling.

While young trans people are of course the main target of the guidance on “gender questioning children”, the impact promises to be wider. As my own story shows, while Section 28 only explicitly targeted “homosexuality”, teachers or bullies didn’t tend to draw any distinction between gay, bi, queer, or trans experiences. Indeed, the atmosphere of ignorance and uncertainty made it difficult to event come to term with those differences. Many of us who went to school at that time struggled to come out because we had very little context for understanding ourselves. At my school, like many, boys were punished for painting their nails or growing hair past their neck. Similarly, the new guidance threatens to make life more difficult for any gender-nonconforming young person, regardless of whether they identify as trans. The point is to shore up and reinforce traditional understandings of sex and gender, in line with hardline conservative ideologies. Teachers, administrators, governors, and academy sponsors who actively wish to reinforce gender roles and make queer people’s lives more difficult will gain a powerful tool to legitimise sexist and homophobic policies, as well as transphobia.

However, homophobic bullying and ignorance also prospered under Section 28 because teachers were unsure about the limitations of the law and afraid to overstep. The new guidance’s insistence on entrenched biological essentialism could make even sympathetic teachers feel afraid to acknowledge queer and trans lives in their teaching, or otherwise put them under pressure from headteachers and governors. The whole point is to make LGBTIQ+ and especially trans students an impossibility: to enable incomprehension, to make them feel unwelcome, to “reduce” them in number, to make them disappear.

Where young queer and gender non-conforming people refuse to comply with this imperative to disappear – through coming out, through transition, through stubborn persistence – the guidance aims to make their lives immensely more difficult. They are to be outed to their peers, to their parents, to their peers’ parents. They are to be banned from wearing clothes associated with the “other sex”, barred from toilets and changing rooms, discouraged from using their own name and pronouns.

If enacted, this intentional targeting of trans and gender non-conforming lives and wellbeing will send an important message: it’s open season on the queers. As with Section 28, the guidance risks empowering bullies through fostering an atmosphere of institutionalised disrespect. The guidance states that “bullying of any child must not be tolerated”, but that statement feels pretty meaningless when the same document encourages schools to identify some children as different to their peers, and refuse their self-expression.

Normalising transphobia is extremely dangerous. We can see this, for example, in the murder of Brianna Ghey, a 16 year old trans girl who was stabbed to death in 2023 by two of her peers from school. Like many transphobic killings, her murder was extremely brutal. Prior to her death, the murderers shared numerous graphically violent messages about Brianna, using transmisogynist slurs and referring to her as “it”. This language and dehumanisation directly reflects discourses in society promoted online and in the press by gender-critical activists, journalists, and politicians from every major party. Brianna’s killers may have held the knife, but others with more power have repeatedly called for the “elimination of transgenderism”, and continue to do so. 

Edit: 23/02/24

Two recent events have further highlighted just how dangerous the Department for Education “Guidance for Schools and Colleges: Gender Questioning Children” really is.

Firstly, the Department for Education has quietly introduced a second consultation. This consultation is on a proposed change to the actual law for Further Education colleges providing residential accommodation for students aged under 18. The law currently states that sleeping accommodation should “provide appropriate privacy for all students”. The Government is proposing to replace this with a clause requiring that “gender questioning students” either be segregated and made to sleep in a room on their own, or otherwise forced to share a space with students assigned the same sex at birth, as “different legal sexes should not be sharing sleeping accommodation”. This intervention shows how the main guidance is just one part of a wider attempt to undermine young trans people’s dignity and safety.

Secondly, just days ago Nex Benedict, a trans student in the US state of Oklahoma, was murdered by cis girls in the school toilets. Nex and another trans student were violently assaulted just months after their home state introduced a law requiring all students to only use toilets that match the sex listed on their birth certificate. This horrific killing reflects what researchers have been telling us for years: trans and gender non-conforming people of all genders are most at risk of violence in gendered spaces, and enforcing strict rules only exacerbates these risks.


The good news

It is difficult to feel positive in the current moment. After years of anti-trans campaigning and threats, the Conservative party is acting to intentionally make life harder for young trans people, in a move that has far wider implications for student safety as well as queer and feminist initiatives in schools. The Department for Education’s proposed school guidance is not simply being championed by the Conservative government – its publication has been “welcomed” by the Labour party, and supported by liberal media outlets such as the Observer as well as the Tory press.

However, the legacy of Section 28 is once again useful for understanding what is happening here. The Conservatives are once again showing us who they really are – this is not new. The Labour leadership were just as useless in responding to the original Section 28, and the UK Labour government was in power for six years (most of my time in secondary school!) before they bothered to repeal the law in England and Wales. The liberal media was somewhat more opposed to Section 28 in the 1980s than they appear to be now, but ultimately it was neither journalists or politicians who created the pressure for repeal. It was LGBTIQ+ campaigners and our allies: especially young people from groups such as Queer Youth Network who worked ceaselessly to change the conversation and create a better environment in schools and beyond.

Moreover, there are two major differences between 1988 and 2024 which are important to highlight.

Firstly, the legal situation is radically different. Section 28 was written into law, and applied across Britain. By contrast, the new guidance is “non-statutory”, and applies only to England. This means that schools are not legally obliged to follow it, especially in elsewhere in the UK. The government’s proposals can therefore be ignored. In fact, ignoring the guidance might even be the wisest option even for transphobes, given that the government’s own lawyers have warned that those who follow it risk breaking the law, as the recommendations appear to directly contradict both the Equality Act and elements of safeguarding legislation. Moreover, the guidance is yet to be published in its final form, as it is under consultation until 12th March – meaning that you can tell the government exactly what you think about it. Edit: 23/02/24 – however, since this post was written the government is now also seeking to change the law through the FE Residential Standards Consultation.

Secondly, there appears to be way more support for trans and gender nonconforming young people now than there was for young gay people in the 1980s, perhaps especially among teachers. The world has changed. For example, I learned about the government lawyers’ warnings from Schools Week. The very day the draft guidance was published, their main headline was Trans guidance: DfE lawyers said schools face ‘high risk’ of being sued. Individual teachers are speaking out across social media to voice their disgust and opposition to the proposals, and teaching unions have also expressed their concerns. Furthermore, headteachers such as Kevin Sexton from Chesterfield High School in Liverpool are going public with their opposition, noting that inclusive policies that centre actual safeguarding for young trans people have been working perfectly well for years. The school has no intention of scrapping its gender-neutral uniforms, mixed-gender sports, or all-gender toilets it provides to young people who need them.

As such, we are in a strong position to fight back against the new Section 28.

sketch of a table with an old-fashioned telephone, piece of paper, and pen on it

How you can take action

The original Section 28 was defeated because countless ordinary people took action. That can be the case again. Of course, some people are better placed than others to fight this particular threat to young people (for example, if you work in education in England). However, there will be things you can do regardless of who you are, how old you are, and where you live.

If possible, act with others, rather than alone. We are always more powerful together.

IDEA 1: Resist the new Section 28 in schools

If you are currently a student, a teacher, a parent or carer, a school administrator, a governor, or even working for an educational company or charity (e.g. in teacher recruitment) you are particularly well-placed to fight back against the new Section 28.

We can see inspiring examples of this in current protests by students and teachers in the US state of Florida, where the government has introduced a slew of anti-LGBTIQ+ laws, including a trans sports ban and a Section-28 style “don’t say gay” law. Kayla Kumari Upadhyaya wrote in Autostraddle about the power of student-staff solidarity in one Florida school:

I know a high school walk out sounds like a small thing, but this is huge. It shows a two-fold approach to resistance happening in the state: First, the administrators and staff members who flouted the ban in the first place showed it’s totally an option to just…not enforce transphobic regulations. If more Florida school staff were willing to do this, it would make the ban difficult and maybe even impossible to reinforce. Second, the students showed their solidarity and support not just for this one trans athlete but all trans athletes, holding signs and chanting affirmations of support for trans lives everywhere and questioning the ban. It’s further evidence that the Florida legislation does not adequately represent the Florida people.

Here are some ideas for English and Welsh schools:

  • Non-compliance. As Upadhyaya observes, transphobic laws and guidance rely on people enforcing them. Headteachers, administrators, governors, and academy sponsors are of course in the best position to reject the new guidance should it be formally introduced following the government consultation. We can see this in the example of Chesterfield High School in Liverpool. But students and teachers can also take action, as can parents (regardless of whether or not your own child is trans). Anti-trans campaigners will be putting pressure on schools to enforce the new guidance, so every person who puts pressure on them to not do so will be important.
  • Implementing alternative guidance. Robin Moira White notes that examples of good practice already exist for supporting trans students in schools and colleges. These include the Scottish government’s guidance on Supporting Transgender Pupils in Schools and Brighton & Hove City Council’s Trans Inclusion Schools Toolkit, both published in 2021.  

Actions include:

  • Refuse to implement the UK government’s guidance on “Gender Questioning Children” if you are in a place to do so, and instead follow the advice of e.g. the Brighton & Hove guidance.
  • Write to the headteacher, Board of Governors, and/or academy sponsor, or ask for a meeting. Tell them that the school should ignore the UK government’s guidance and implement a better alternative. Highlight the danger posed to young people by the UK government’s proposed guidance, and the potential legal challenges the school may encounter if it follows that guidance.
  • Hold a meeting of your own with other students, parents, teachers, and/or administrators. Discuss how you might work together for non-compliance and/or introducing or defending a better alternative.

IDEA 2: Pile on the political pressure

You don’t need to work or study in a school to make a difference. Countless other organisations are in a position to make a difference, and you can put pressure on them to do so. People living throughout the UK are potentially in a good position to do this.

Actions include:

  • Write to your MP or councillor, or phone them up, or ask to meet them in person. Demand they put pressure on their party to actively oppose the UK government’s proposed guidance on “Gender Questioning Children”. This is particularly important for Labour representatives, as their party is likely to win the UK’s next general election.
  • Write to your union and ask them to take a strong stance on opposing the proposed guidance, for example through public statements and/or taking part in the consultation.
  • Write to local and national newspapers. Change the conversation by explaining why you think the government’s proposals pose a danger to the safe of young people.
  • Ban the Conservative and Labour parties from Pride. In this post-Section 28 age, politicians love to use events such as Pride to boost their public image. If you’re not already involved in your local Pride, consider getting involved, or hold a counter-protest within the parade to ensure that transphobic politicians feel unwelcome.
  • Stop giving money to transphobic media. Publishers such as the Guardian Media Group are always shilling for cash, claiming their journalism offers an important beacon of truth in a complex world. That’s not true if they’re constantly pushing hate. If a publication is publishing transphobia, don’t buy paper copies, don’t donate, don’t give them quotes or press releases, and at the very least install an ad block on your browser if you must keep reading.

IDEA 3: Take part in the consultation

I am less certain about this proposal than the others, but it is an obvious one to include. The UK government is holding a formal consultation on their proposed guidance for “Gender Questioning Children” in schools. Anyone can participate, and tell them what you think.

You can take part in the consultation here.

The upside of this is that it is an opportunity for us to speak back directly to the UK government and Department of Education. The downside is that there is a good chance we will be ignored. The past decade has seen more consultations on trans civil rights and healthcare than ever before – and overall, things have got a lot, lot worse. For example, a majority of respondents to the consultation on the Gender Recognition Act from both the UK and Scottish government supported reforms; those reforms are now thoroughly dead, at least for the time being. Trans communities have poured an enormous amount of time and energy into responding to malicious consultations when we could have been doing far more constructive things with our time.

However, in her post for TransLucent, Robin Moira White makes an important point. With the consultation closing on 12th March, the civil service may have little time to assess responses before a new general election is held. She therefore proposes that respondents request that the existing draft be “torn up and thrown away”, and new draft guidance be introduced, based on the Scottish and Brighton examples. If enough people and organisations argue for this, then it might put sufficient pressure on a new Labour government to do a better job.

A related approach was proposed by Edinburgh Action for Trans Health in response to an NHS consultation in 2017. They recommended “hostile participation in the form of direct submissions of demands that don’t react to the questions posed or restrict themselves to the scope imposed by the government”.

Actions therefore include:

  • Take part in the consultation yourself, demanding the government scrap the proposed guidance and introduce something better.
  • Encourage any relevant organisation you are part of to participate in the consultation (e.g. children’s and/or LGBTIQ+ charity, school, educational body, Pride organisation, university department) and ask for the same thing.

I won’t be producing any advice myself this time – instead, I hope this post will help people in thinking about wider routes to resistance. Edit 23/02/24 – However, the following guides have been produced by various organisations:

If you’re responding to consultations, don’t forget to also respond to the Department for Education’s deeply transphobic proposals regarding Further Education Residential Standards. This consultation closes 5 April 2024 so you have longer to respond.

IDEA 4: Support trans youth groups

Regardless of how things play out with the proposed guidance, young trans people are still having a hard time in schools.

There are a small handful of national bodies which support young trans people through advocacy and peer support: e.g. Gendered Intelligence, Colours Youth Network, and Mermaids operate across England. Perhaps more importantly, a lot of small, local youth groups exist specifically for queer and/or trans young people across the country. This was an unthinkable possibility when Mrs Richardson referred me to a local counselling service, so we really need to value and uplift these groups.

Actions include:

  • Find out what youth groups exist locally where you are, and how you can best support them. Some groups will benefit from publicity in the local area; others will want to keep a low profile given the current atmosphere of transphobic backlash. Many will benefit from volunteers – not just to work directly with young people, but also to do jobs such as fundraising, running social media, or designing websites. 
  • Donate money. Pretty much every trans-oriented organisation will benefit from donations, especially those working with young people. If you can afford it, consider setting up a standing donation.
  • Fundraise. If you can’t afford to donate, or want to do something more, you can do other things to raise money for trans youth organisations. Examples include: putting together a small gig, an art gallery, or a bake sale, or doing a sponsored activity.

IDEA 5: Plan a creative protest

Back in 1988, after the Conservative party introduced Section 28 and most Labour politicians refused oppose it, it would have been easy to despair. Instead, some extremely audacious actions took place in opposition to the law. Just after the House of Lords voted for the new law, members of the Lesbian Avengers abseiled into the debating chamber to protest it.

A few months later, another group of lesbian activists invaded a BBC studio during the Six O’Clock News, shouting “stop Section 28!”

While neither of these protests succeeded in blocking Section 28, they highlighted queer opposition to the new law, and inspired entire generations of new activists to fight back.

Actions include:

  • Get creative. Find or create a group of like-minded individuals and think about how you can protest against transphobia. Consider how your action might best attract attention to the cause or put pressure on a group or organisation to change their position on the government’s proposed guidance. Think also about how you will keep yourselves and others safe.

There are no doubt a whole host of actions and interventions I haven’t thought of. We are never powerless, even in the face of entrenched fear and hatred.

So now it’s your turn: how will you resolve to smash the new Section 28?

Talk at the University of Strathclyde: Wed 17 Jan

I will be speaking about my research at an event hosted by the Strathclyde University Feminist Research Network at 3pm on Wednesday.

The talk is titled “Reproductive Justice for Trans People”. It will focus on findings from the Trans Pregnancy and Improving Trans Experiences of Maternity Services projects, but will also touch on wider questions of social reproduction for trans people of all ages and genders.

The event is free to attend, and you can register to attend here.


There are also a lot of other great talks on feminist topics hosted by the Feminist Research Network as part of their seminar series, so definitely check them out!