Gender services in the UK are designed with a bottleneck for first appointments.
Once in, they’re designed to trap trans people in a perpetual cycle of proving themselves.
This way, the NHS can claim they’re increasing appointments, while helping less trans people 😣
Once in, they’re designed to trap trans people in a perpetual cycle of proving themselves.
This way, the NHS can claim they’re increasing appointments, while helping less trans people 😣
It's clear from the number of total appointments that services remain focusing on people 'already in the system', and other data from England shows that people are remaining in the system for longer.
November 1, 2026 at 6:39 AM
Gender services in the UK are designed with a bottleneck for first appointments.
Once in, they’re designed to trap trans people in a perpetual cycle of proving themselves.
This way, the NHS can claim they’re increasing appointments, while helping less trans people 😣
Once in, they’re designed to trap trans people in a perpetual cycle of proving themselves.
This way, the NHS can claim they’re increasing appointments, while helping less trans people 😣
I read she lost all her committee appointments too.
November 1, 2026 at 11:20 PM
I read she lost all her committee appointments too.
Things I'll wake up at the ass-crack of dawn for:
🟢Vet appointments (🔴but not my own medical appointments)
🟢Grandparent caregiving
🟢Loved ones who need rides to medical appointments or the airport
🟢Cancelling out the vote of the worst person in my county
🟢Vet appointments (🔴but not my own medical appointments)
🟢Grandparent caregiving
🟢Loved ones who need rides to medical appointments or the airport
🟢Cancelling out the vote of the worst person in my county
November 3, 2026 at 1:12 PM
Things I'll wake up at the ass-crack of dawn for:
🟢Vet appointments (🔴but not my own medical appointments)
🟢Grandparent caregiving
🟢Loved ones who need rides to medical appointments or the airport
🟢Cancelling out the vote of the worst person in my county
🟢Vet appointments (🔴but not my own medical appointments)
🟢Grandparent caregiving
🟢Loved ones who need rides to medical appointments or the airport
🟢Cancelling out the vote of the worst person in my county
In fact, first appointments have gone down in relative terms.
In 2018/2019, 1st appointments comprised 10.7% of all appointments, which has dropped to 7.4% this year.
And this is despite the number of total appointments offered by services more than doubling in the same period (+47,211)
In 2018/2019, 1st appointments comprised 10.7% of all appointments, which has dropped to 7.4% this year.
And this is despite the number of total appointments offered by services more than doubling in the same period (+47,211)
October 31, 2026 at 9:17 AM
In fact, first appointments have gone down in relative terms.
In 2018/2019, 1st appointments comprised 10.7% of all appointments, which has dropped to 7.4% this year.
And this is despite the number of total appointments offered by services more than doubling in the same period (+47,211)
In 2018/2019, 1st appointments comprised 10.7% of all appointments, which has dropped to 7.4% this year.
And this is despite the number of total appointments offered by services more than doubling in the same period (+47,211)
So far I have spent my morning scheduling appointments 🫠 I’m tired 😭
November 3, 2026 at 4:30 PM
So far I have spent my morning scheduling appointments 🫠 I’m tired 😭
Started crying because my insurance randomly stopped covering my therapy appointments and I got billed more than double my copay 😖
November 2, 2026 at 2:29 AM
Started crying because my insurance randomly stopped covering my therapy appointments and I got billed more than double my copay 😖
I have two appointments to worry about.
Which only accounts for two hours. 😭
Which only accounts for two hours. 😭
- Get under the covers and tell yourself it’ll all be okay
- Get under the covers and tell the world it’ll all be okay.
- It’ll all be okay, right?
buff.ly/7vsZ0uA
- Get under the covers and tell the world it’ll all be okay.
- It’ll all be okay, right?
buff.ly/7vsZ0uA
Things to Do While Waiting for Midterm Election Results
Get under the covers and tell yourself it’ll all be okay Get under the covers and tell the world it’ll all be okay. It’ll all be okay, right?
buff.ly
November 2, 2026 at 10:11 PM
I have two appointments to worry about.
Which only accounts for two hours. 😭
Which only accounts for two hours. 😭
Streets are saying give me a hot minute they gotta do admissions and appointments and bloods tests BUT I’M GOOD YAY
Streets are saying HRT soon…….,, yay.,,,
November 1, 2026 at 6:53 PM
Streets are saying give me a hot minute they gotta do admissions and appointments and bloods tests BUT I’M GOOD YAY
A bigger factor is however, that the number of 1st appointments hasn't increased with either referral demand or any attempt to address growing waiting lists - initial appointments (which are numerically low) have increased by 38% (+1677), while referrals have increased by 40% (+4069) since 2018/2019
October 31, 2026 at 9:17 AM
A bigger factor is however, that the number of 1st appointments hasn't increased with either referral demand or any attempt to address growing waiting lists - initial appointments (which are numerically low) have increased by 38% (+1677), while referrals have increased by 40% (+4069) since 2018/2019
It’s also due to Tommy Tuberville stalling appointments & promotions from 2021-2023.
This has been the long game for some time from the Reich Wing.
This has been the long game for some time from the Reich Wing.
November 1, 2026 at 5:27 PM
It’s also due to Tommy Tuberville stalling appointments & promotions from 2021-2023.
This has been the long game for some time from the Reich Wing.
This has been the long game for some time from the Reich Wing.
I officially have no appointments or meeting slots available until 2027 😅
November 2, 2026 at 2:32 PM
I officially have no appointments or meeting slots available until 2027 😅
I would love to read a piece about the influx of Valkyries tattoo appointments following this championship
November 1, 2026 at 2:41 AM
I would love to read a piece about the influx of Valkyries tattoo appointments following this championship
Going to set up a university Department of Polemic and Bombast, and all the appointments will be by discourtesy.
November 1, 2026 at 4:14 PM
Going to set up a university Department of Polemic and Bombast, and all the appointments will be by discourtesy.
god these appointments are so scary and stressful on me i do not handle them well
November 3, 2026 at 6:56 PM
god these appointments are so scary and stressful on me i do not handle them well
Few things Senate control means:
*Ability to block appointments, including Supreme Court. (Merrick Garland blocked, Amy Coney Barrett, RFK Jr., Hegseth confirmed because GOP had control.)
*Ability to set rules for impeachment trials, including whether to issue subpoenas, call witnesses
*Gavels
*Ability to block appointments, including Supreme Court. (Merrick Garland blocked, Amy Coney Barrett, RFK Jr., Hegseth confirmed because GOP had control.)
*Ability to set rules for impeachment trials, including whether to issue subpoenas, call witnesses
*Gavels
November 3, 2026 at 8:56 PM
Few things Senate control means:
*Ability to block appointments, including Supreme Court. (Merrick Garland blocked, Amy Coney Barrett, RFK Jr., Hegseth confirmed because GOP had control.)
*Ability to set rules for impeachment trials, including whether to issue subpoenas, call witnesses
*Gavels
*Ability to block appointments, including Supreme Court. (Merrick Garland blocked, Amy Coney Barrett, RFK Jr., Hegseth confirmed because GOP had control.)
*Ability to set rules for impeachment trials, including whether to issue subpoenas, call witnesses
*Gavels
thursday afternoon temptation? 💋
i’ll be downtown offering a few off-schedule appointments. come be my favourite distraction. 😘
i’ll be downtown offering a few off-schedule appointments. come be my favourite distraction. 😘
November 2, 2026 at 11:36 AM
thursday afternoon temptation? 💋
i’ll be downtown offering a few off-schedule appointments. come be my favourite distraction. 😘
i’ll be downtown offering a few off-schedule appointments. come be my favourite distraction. 😘
After the second design history the other week I still had *a lot* in my head. So here’s a brain dump on NHS appointments: nine problems worth owning, where I’d start, and why counting appointments in the App is the wrong measure.
www.officeofwilson.com/out-there-so...
www.officeofwilson.com/out-there-so...
Out there somewhere?
NHS appointments: problems worth owning
Following the second (unofficial) design history post on my time working with a team looking to bring more appointments into the NHS App, I felt there was a lo...
www.officeofwilson.com
November 2, 2026 at 4:17 PM
After the second design history the other week I still had *a lot* in my head. So here’s a brain dump on NHS appointments: nine problems worth owning, where I’d start, and why counting appointments in the App is the wrong measure.
www.officeofwilson.com/out-there-so...
www.officeofwilson.com/out-there-so...
A cat and I both have big dentist appointments tomorrow. Wish us luck.
November 3, 2026 at 2:17 AM
A cat and I both have big dentist appointments tomorrow. Wish us luck.
PTs saved my life in 2003! 6 appointments a week for over two years and then 2-3 appointments a week fo several more years. They don’t get enough credit for the work they do.
November 1, 2026 at 9:53 PM
PTs saved my life in 2003! 6 appointments a week for over two years and then 2-3 appointments a week fo several more years. They don’t get enough credit for the work they do.
Result of endless Tory appointments ?
November 1, 2026 at 7:19 AM
Result of endless Tory appointments ?
✨ AVAILABLE TODAY! ✨
Taking appointments from 3 PM – 1 AM 💋
Appointments by availability only at Sparx location.
DM me to claim your spot! 💕🔥
Taking appointments from 3 PM – 1 AM 💋
Appointments by availability only at Sparx location.
DM me to claim your spot! 💕🔥
November 2, 2026 at 6:56 PM
✨ AVAILABLE TODAY! ✨
Taking appointments from 3 PM – 1 AM 💋
Appointments by availability only at Sparx location.
DM me to claim your spot! 💕🔥
Taking appointments from 3 PM – 1 AM 💋
Appointments by availability only at Sparx location.
DM me to claim your spot! 💕🔥
I so bravely moved one of my doctors’ appointments to a less busy week and asked my family to help with Kima’s surgery appointments and unfortunately I do feel less stressed
November 3, 2026 at 6:45 PM
I so bravely moved one of my doctors’ appointments to a less busy week and asked my family to help with Kima’s surgery appointments and unfortunately I do feel less stressed
—Ohio: of the statewide elections besides governor, SoS would be a big deal if it flips
—Oklahoma: a measure would give GOP more control over court appointments
—Oregon: Portland's city council is so bitterly divided
—Pennsylvania: whether Dems can get 1st trifecta since 1990s
—Oklahoma: a measure would give GOP more control over court appointments
—Oregon: Portland's city council is so bitterly divided
—Pennsylvania: whether Dems can get 1st trifecta since 1990s
November 3, 2026 at 4:30 AM
—Ohio: of the statewide elections besides governor, SoS would be a big deal if it flips
—Oklahoma: a measure would give GOP more control over court appointments
—Oregon: Portland's city council is so bitterly divided
—Pennsylvania: whether Dems can get 1st trifecta since 1990s
—Oklahoma: a measure would give GOP more control over court appointments
—Oregon: Portland's city council is so bitterly divided
—Pennsylvania: whether Dems can get 1st trifecta since 1990s
Good to know doctors are late for video appointments too
November 2, 2026 at 4:58 PM
Good to know doctors are late for video appointments too
My birthday today
Son's birthday tomorrow.
Celebrating his today because of the week being totally chaotic with back to back meetings and appointments.
🥳
Son's birthday tomorrow.
Celebrating his today because of the week being totally chaotic with back to back meetings and appointments.
🥳
November 1, 2026 at 4:15 PM
My birthday today
Son's birthday tomorrow.
Celebrating his today because of the week being totally chaotic with back to back meetings and appointments.
🥳
Son's birthday tomorrow.
Celebrating his today because of the week being totally chaotic with back to back meetings and appointments.
🥳