The UK NHS Postcode Lottery

I am Stephanie Butterfield, and I am transitioning on the UK PCT-led NHS system. Whilst i feel fortunate to have had my trachea shave/vocal cord surgery and facial hair removal already, with my GRS also guaranteed when the time comes, I do however feel very frustrated at the UK postcode lottery, not just for me, but for others too.

The PCT’s (Primary Care Trusts), often treat transsexual procedures as unnecessary, or simply cosmetic, not thinking beyond their small mindedness and thinking about the TS patients’ quality of life.

The postcode lottery works like this – one PCT will fund a girl’s breast augmentation and facial hair removal, whereas another PCT will not. How, you may ask?  If it is the NHS (National Health Service), we should get even and equal access to funded treatments and operations available on the NHS.

However, each PCT has the right to decide funding at a local level; it’s this which allows the postcode lottery to thrive, leaving many transgirls and transguys frustrated at the unfairness of it all.

Another irritating feature of the NHS transition route is the waiting one has to do, from GP (general practitioner) to GIC (gender identity center), from 1st opinion to 2nd opinion, from 2nd opinion to the operation itself.

I am currently at the waiting for my 2nd opinion stage, an 8 and a half month wait as I write, and my latest frustration is being blocked from seeing an endocrinologist.

Stephanie

Review: “My Secret Female Body” on BBC America

Having reviewed “Transvestite Wives” earlier, I felt it was only fair to give a similar treatment to “My Secret Female Body”, another in the ‘Reveals’ series that premiered on BBC America on June 22, 2008.

This documentary focused on a twenty two year old transman, Danny. From the BBC America web site:

Born as Katie, Danny has been living as a man for four years and has had male hormone injections every two weeks for a year. Now, at 22, Danny undergoes a dramatic surgical transformation, which physically changes his body from female to male. This documentary sees Danny embark on the first stage of this irreversible procedure – a double mastectomy, followed by complicated penis surgery.

Like “Transvestite Wives”, Danny has an amazingly supportive girlfriend who loves him in his pre-op body, and is fully behind him in his decision to undergo SRS. We also get to hear from Danny’s mother (“I had a wonderful daughter, and now I have a wonderful and happier son”), sister and best friend who talk frankly about their initial misgivings and current acceptance. There’s very little discussion of social intolerance – just a couple of anecdotes about altercations “down the pub”.

Much of the focus is on the physical transformation. We see Danny’s doctor administering his testosterone shot, and discussing the bodily changes these have already brought about. We’re also there for Danny’s first consultation with the plastic surgeon who will be doing his top surgery. A note to sensitive viewers – although BBC America did blur out some visuals, probably to bring the show into line with American censorship guidelines, there’s still plenty of detail to the scenes in the operating theater and the descriptions used by the doctor made me squirm just a little.

When the surgical results are not as perfect as they could have been, the viewer is spared none of Danny’s anguish and emotional turmoil. At the end of the hour, we are left with the impression that there is no fairytale ending for Danny and his girlfriend – and yet Danny’s life is clearly a happier one even though he faces more procedures in the future. Just from watching his face as he listens to his friend discuss how his new phallus was fashioned from forearm grafts, we can tell what’s on the horizon for Danny…

This documentary is highly recommended for any FtM pre-op transsexual who is considering the next step. It doesn’t sugar-coat anything, but still manages to convery a message of hope.

For those of you with access to BBC America, this will be shown again as follows:

Wednesday, July 2, 2008 at 8:00 PM and 11:00 PM
Thursday, July 3, 2008 at 1:00 AM
Sunday, July 13, 2008 at 5:00 PM

“Transvestite Wives” will also be shown again on Sunday, July 13, 2008 at 6:00 PM, if you missed it the first time around.

I told the boss!

Hi all,

Today, I told my boss that I have Gender Identity Disorder.  It was kinda scary, but I needed to do it sooner or later, and the right opportunity came up.  I had a laser treatment on Monday and I think the doctor used a bit too much power.  My face and neck has big blochy spots on it and a couple of places blistered a bit.  Anyway, he asked me what happened to my face and I told him “this is what happens when the doctor uses a bit too much power on the laser”  “Laser?  What’s the laser for?” he asked.  I said “facial hair removal, I’m having all my facial hair removed.”  We went on to discuss the service calls for tomorrow and I was thinking, “you dummy, it’s the perfect time to tell him!”, so I went into his office and sat down and proceded to tell him about my GID.  He asked me a few simple questions and I gave him basic answers, no sense in complicating it at this point.  I told him that I hoped this wouldn’t affect my job because I like the job.   He said that he didn’t have a problem with it, he likes the work I do for him.  So, we’ll see how the summer goes now that he’s aware of this aspect of me.  It’s one thing for him to know what’s going on, it’s another thing to see it developing.  I’m hoping that by taking it slow, they’ll be more accepting of me as things change.

Amber