I'm a woman doctor and we have to stop trans activists and their supporters in ... trends now

When I pick up a male patient's notes for the first time, there are some conditions I tend to rule out. Ovarian cancer is one of them.

So imagine this scenario. It's a hypothetical case — but one that is all too plausible. A new patient books a GP appointment at my surgery, complaining of back pain, bloating and loss of appetite. Let's call him 'Mac'.

My initial concern might be that he has irritable bowel syndrome. The first assessment is done over the phone. Mac wants an instant cure, a prescription to fix the problem. That sense of urgency makes me cautious, and I ask him to come in for a consultation. There may be nothing in the medical notes, nothing at all, to indicate that Mac is a trans patient — a biological woman, presenting as a man.

But one simple question — 'Were you born female?' — could prove a lifesaver, though in the current climate I might hesitate to ask directly. If Mac does indeed have early-stage ovarian cancer, that's something that I could never have surmised from the notes.

The NHS's obsession with 'trans rights' is deeply dangerous in many ways, not least to the trans men and trans women whose medical records do not reflect that they identify as the opposite sex. They might even have obtained a new NHS number to eradicate their history.

Health Secretary Victoria Atkins' announcement this week that it is essential 'biological sex is respected' cannot undo all the damage wreaked in the past decade by trans dogma.

But it is a crucial step in the right direction. It means that the NHS must start using clear, unambiguous language, sweeping away the woke waffle that labels mothers-to-be as 'pregnant people' and 'breast-feeding' as 'chest-feeding'.

And it heralds a shift away from the misuse of single-sex wards, where biological males identifying as 'trans women' can share facilities with women. It also raises a renewed hope that women undergoing intimate examinations will be able to request that the doctor carrying out the examination is a biological woman, without trans women present.

But I have serious misgivings about the news. It comes far too late: I'm one of many women doctors who have been warning about these problems for years, and our voices have been comprehensively ignored until now. The Secretary of State's pledges do not go nearly far enough — and already we are seeing resistance from outraged trans activists within the health service, who will fight to prevent any changes to the NHS constitution.

Yesterday Dr Emma Runswick, the deputy chair of the British Medical Association council, lashed out at the proposals. These will be subject to an eight-week consultation period during which they are at risk of being completely reversed or once again watered down until they are meaningless.

The proposals have, said Dr Runswick, 'the potential to incite further discrimination, harassment and ostracisation of an already marginalised group. Transgender and non-binary patients will potentially find their access to vital NHS services limited'. She makes no comment about women who are excluded as a result of current trends.

Trans activists and extremists within the

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