17th June 2025
Dear Charity Commission,
I would like to make a complaint against the Academy of Medical Royal Colleges (1056565).
I do not see that it is fulfilling its charitable objects, namely: “The protection and preservation of health and the relief of sickness by supporting promoting and co-ordinating the work of the medical royal colleges …. and by providing a forum for discussion and collaboration among the medical royal colleges and their faculties … so as to promote for the benefit of the public the efficiency and effectiveness of the medical royal colleges and their faculties”.
I would see a successful outcome of my complaint to be for the AOMRC to coordinate a meeting between the Royal Medical Colleges, in order to discuss the current “gender identity” scandal, with a view to issuing a moratorium on all “gender affirming” surgeries or treatments that are happening without any underlying medical indication, and without any informed consent.
Part of this meeting should include discussion of the two whistleblowers, in the Royal College of Surgeons and the Royal College of General Practitioners (paragraphs 83, 85). This meeting should also discuss the material I link to below (paragraph 5).
The “gender identity” scandal is a mental health social contagion of primarily adolescent girls and young women, a cohort notorious for suffering from mental health social contagions, who are misdiagnosing themselves with “gender dysphoria” or having a “mismatched gender identity”:
This is happening after having been targeted with vague, incorrect, and misleading information. I have documented how this is happening in charities:
https://transpolicy.substack.com/p/david-holdsworth-charity-commission
This complaint also shows how the supposed field of “gender medicine” is not operating on evidence.
This cohort are then going on to receiving “unnecessary, disfiguring, and unhealthy medical interventions”, to quote Dr. Ray Blanchard, who served on the DSM-4 committee for “gender identity disorders”.1
“The mothers left distraught after the NHS removed their daughters’ healthy breasts because the girls said they were transgender” (Daily Mail, Sanchez Manning, 27th February 2025).
“Father’s letter begging top surgeon to cancel trans operation on ‘depressive’ 20-year-old: ‘Please don't remove my daughter's breasts ...in just one day you'll ruin her life for ever’” (Daily Mail, Sanchez Manning, 27th July 2024).
“I was desperate to be a boy and to have my breasts removed. Now I realise I was a girl all along — and this is why” (Daily Mail, Helen Carroll, 3rd April 2025).
“Revealed: More than 1,000 patients a year have trans chest surgery on the NHS” (Telegraph, Hayley Dixon, 10th February 2025).
“‘Doctors refused to let me admit my transition was a mistake. Now I want to reverse it’” (Telegraph, Sanchez Manning, 13th August 2024).
“Mum’s fury after transgender suicide teen sold hormones from illegal online clinic [GenderGP]” (Cambridge News, Anna Savva and Nicola Small, 30th June 2019).
As the Public Standards Committee recently observed, it is a case in scandals that “There is always someone who knew… They feel as though it is not their job to wave a red flag.”2
As I have personal experience of “late-onset gender dysphoria” and “autogynephilia” (DSM-5 p. 455-6, p. 703), I can see that these young women do not have the medical indication for “gender dysphoria”, and so are receiving inappropriate and harmful medical treatments. I am therefore the person who is obliged to “wave [the] red flag”.
I am not a medical professional, so I have spent the time to have my concerns assessed by medical professionals through publication of my life experience with “late-onset gender dysphoria” and concerns regarding treatments in the newsletter of HealthSense, a charity comprised of medical professionals who campaign for “science and integrity in healthcare”:
https://www.healthsense-uk.org/publications/newsletter/newsletter-127/420-127-orlando.html
I also extensively reference professionals in this field.
Despite this, Max Prangnell repeatedly falsely frames my concerns in terms of a “campaign” that should involve politicians, (paragraphs 45, 76, 94, 96) rather than something that the AOMRC should be looking at, as a matter of serious failure in multiple Royal Medical Colleges to provide safe healthcare that is based on evidence.
This is in the AOMRC’s charitable objects, and as the AOMRC notes on its webpage, it is in a unique position to do so:
“Healthcare is complex and there are many issues where a cross-specialty perspective is needed. It is our job to collate our member’s views and coordinate activities so that we can collectively influence and shape healthcare across the four nations of the UK.”
I supplied Max Prangnell with two aforementioned whistleblower accounts (paragraphs 83, 85) from within the Royal College of Surgeons and the Royal College of General Practitioners, showing that something is evidently wrong, which needs to be looked at.
Max Prangnell has apparently ignored these, and again, tried to falsely frame this issue this time as a procedural issue within NHS treatment, (paragraphs 76, 93), when in fact the issue is, is that this supposed field of medicine is not operating on evidence at all. The AOMRC would have concluded this, if it had read the material that I had sent (paragraphs 35, 37, 39, 66).
Finally, Max Prangnell attempted a third false attempt to frame this issue, by suggesting (paragraph 92) that the way the medical profession works, is that it operates without care or regard to evidence and warnings (like mine), until it has to be investigated by politicians, who then force the medical profession to stop harming patients by law, e.g. in this case Sajid Javid commissioning the Cass Review, which then had to force the medical profession to stop prescribing puberty blockers to children using the Medicines Act 1968.
I have found my interaction with the AOMRC to lack any kind of indication that it has taken my serious concerns seriously, from my very first sentence: “Your substack is certainly impressive!” (paragraph 42).
I would have rather thought a normal response would have been “Your substack is concerning/troubling”, as it documents that the medical profession is seriously harming patients who have incorrectly put their trust in the medical profession and are assuming they are receiving evidence-based care, which they are not.
The AOMRC is now the latest institution in the medical profession that has failed to take this issue seriously, which is why patients are coming to harm.
I have copied the relevant emails in below to illustrate my complaint.
Yours,
Orlando Woolf
28th May 2025
Dear Academy of Medical Royal Colleges,
I am contacting you on advice of a medical professional, regarding my concerns with "gender medicine". I personally have experience of DSM-5 calls "late-onset gender dysphoria (adulthood and adolescence)" (DSM-5 p. 455/456) with "autogynephilia" (DSM-5 p. 703), therefore I have intuitive knowledge of this field.
I have been long concerned with this field of medicine, as I can see that thousands of young women who do not have "gender dysphoria", yet have misdiagnosed themselves with the condition, are now receiving inappropriate surgeries in great number, e.g. "Revealed: More than 1,000 patients a year have trans chest surgery on the NHS" (Telegraph), "The mothers left distraught after the NHS removed their daughters' healthy breasts because the girls said they were transgender" (Daily Mail).
I see this as a medical scandal, in the same way as the contaminated blood scandal, or the thalidomide scandal. Furthermore, this is also what the prominent experts in this field think, e.g. Dr Ray Blanchard, who served on the DSM-4 subcommittee for "gender identity disorders" has written:
"To us, the most tragic group, along with their families, includes those who have acquired rapid-onset gender dysphoria. That condition appears to be the tragic interaction of the current transgender zeitgeist (“It’s everywhere, and it’s great!”) and social media with the vulnerability of troubled adolescents, especially adolescent girls. They are at risk for unnecessary, disfiguring, and unhealthy medical interventions." ("Gender dysphoria is not one thing").
Please could you investigate this issue. I have attempted to contact the RCGP, the RCM and the RSM myself, however I have not progressed very far. You could further contact me. I have been keeping a Substack on my efforts to try and raise my concerns with the medical profession: https://transpolicy.substack.com
Yours,
Orlando Woolf
5th June 2025
Good morning
Your message was passed on to a member of our Senior Management Team. I shall chase them on your behalf.
Regards
[...]
5th June 2025
Good morning,
Thank you for confirming you have received my message.
Dr. Ray Blanchard, who served on the DSM-4 subcommittee for "gender identity disorders" has written the following easily-accessible article for those who are unfamiliar with this topic, along with Prof. J. Michael Bailey:
https://4thwavenow.com/2017/12/07/gender-dysphoria-is-not-one-thing/
I have also had my concerns assessed and printed by the UK medical health professionals at the charity HealthSense, who promote "promoting science and integrity in healthcare". My concerns are somewhat muted, as it went through very cautious legal advice:
https://www.healthsense-uk.org/publications/newsletter/newsletter-127/420-127-orlando.html
I have attempted to describe the problem I can see as simply as possible in a "memo":
https://transpolicy.substack.com/p/trans-memo
This was republished in part by the organisation Genspect, who are a group of counsellors who are dealing with this issue first-hand:
https://genspect.org/the-truth-about-trans
Yours,
Orlando
5th June 2025
Dear Orlando,
Thank you for your thoughtful email. Your substack is certainly impressive! I am afraid, I cannot comment on your point about the treatment of children and young people with gender dysphoria or gender related distress being a medical scandal.
I can say, that it is a matter of public record that the Academy has been commissioned by NHS England to help implement the findings of the Cass Review.
As part of this work, we are developing training materials for clinicians working in the new gender hubs. Three are currently live and a further four or five are planned to be open by late 2026. It is our hope that with a sufficiently scaled and trained clinical workforce more and more patients with the conditions you describe will be cared for in a way that’s right for them.
I am sorry to say our influence over front line clinical activity is zero, so while I wish you well with your campaign, can I suggest that it’s politicians and policy makers who can really make a difference.
Best wishes
Max
Max Prangnell
Director of Communications and Engagement
5th June 2025
Dear Max,
I hope you have had a chance to digest my email. The following that you have written is a complete misunderstanding of the concerns that I have raised:
I am sorry to say our influence over front line clinical activity is zero, so while I wish you well with your campaign, can I suggest that it’s politicians and policy makers who can really make a difference.
Nothing what I have said is a "campaign" or has to do with "politicians". I am asking you, as medical professionals, to accurately cover the diagnostic criteria of "gender dysphoria" as they appear in the DSM-5. I am aware of these diagnostic criteria, as I have "late-onset gender dysphoria" DSM-5 p. 455/456 with "autogynephilia" p. 703.
This is so that children and young people, who are mostly girls and young women, stop misdiagnosing themselves with this condition, and to stop them from being harmed by your negligent medical profession.
I wish I did not have an "impressive" Substack. This is not a hobby. My Substack is trying to hold your medical profession to account, for its grievous medical mispractice, and research misconduct.
This is somebody's family that has been torn apart by your profession. I write my Substack, because this leaves me with a pit in my stomach:
"Father's letter begging top surgeon to cancel trans operation on ‘depressive’ 20-year-old: 'Please don't remove my daughter's breasts ...in just one day you'll ruin her life for ever'". (Daily Mail, July 2024).
I do not believe that the Academy of Royal Medical College has "zero" influence over what is serious medical misconduct. Would you say the same, if I was raising concerns about thalidomide, or contaminated blood? As this medical scandal is both rolled into one.
Therefore if you are unable to address my concerns, please can you escalate them to the next person of authority.
Yours,
Orlando Woolf
5th June 2025
Dear Max,
I understand why you may think I am raising objections in terms of politics, as this is a politically charged issue. However I am not: I am speaking as someone who has "late-onset gender dysphoria" and as someone who has known about the research regarding this issue for over twenty years, and has also conversed with experts regarding this topic, such as Prof. J. Michael Bailey.
At the same time, I also appreciate that I am raising heterodox viewpoints, which might seem difficult to believe, given that there is a natural assumption that there is not research misconduct and serious malpractice in this area of medicine.
However I can backup what I am saying, by pointing to experts, such as Dr. Blanchard, and also be pointing at things like Freedom of Information requests, and by primary sources, such as the DSM-5.
The two things I see that need to happen is
- a moratorium regarding "gender affirming care" surgeries, until the medical profession is operating on evidence again.
- for the NHS to update its page on "gender dysphoria".
These are appropriate issues to raise with the AOMRC as you are able to communicate concerns to all the Royal Colleges.
You could question me as to why I think that these two things are necessary to happen.
If at the end of our dialogue, you think that I don't have valid concerns, that is fine, but please could there be a dialogue, as unfortunately I do have valid concerns.
Yours,
Orlando
9th June 2025
Dear Max,
I hope you had a good weekend. Somebody sent me this article over the weekend: "‘Gender-Affirming Care Is Dangerous. I Know Because I Helped Pioneer It.’" [1]
If you have not had a chance to read what I have sent to you so far, then you could read my covering letter to David Holdsworth, CEO of the Charity Commission.
https://transpolicy.substack.com/p/david-holdsworth-charity-commission
Please could you convene a meeting at the AOMRC to discuss what I have been telling you. The AOMRC is in a good place to stop the medical malpractice that is happening, as multiple Royal Colleges are affected.
This is not a political issue: clinicians; leading experts, surgeons, and individuals like me with "gender dysphoria" are all trying to raise the alarm that the surgeries [2,3,4] that are happening are not based on evidence and informed consent, are unsafe and need to be stopped.
[1] https://www.thefp.com/p/gender-affirming-care-dangerous-finland-doctor
[2] "Revealed: More than 1,000 patients a year have trans chest surgery on the NHS" https://www.telegraph.co.uk/news/2025/02/10/revealed-thousands-of-trans-surgeries-carried-out-by-nhs/
[3] "Father's letter begging top surgeon to cancel trans operation on 'depressive' 20-year-old: 'Please don't remove my daughter's breasts ...in just one day you'll ruin her life for ever'" https://www.dailymail.co.uk/news/article-13679543/Fathers-letter-begging-surgeon-cancel-trans-operation-depressive-20-year-old-dont-remove-daughters-breasts-just-one-day-youll-ruin-life-ever.html
[4] "Two biological men a day given trans surgery on NHS" https://www.telegraph.co.uk/news/2025/05/25/two-biological-men-a-day-given-trans-surgery-on-nhs/
Yours,
Orlando
11th June 2025
Dear Max,
Please could you pass my queries on to another person in your organisation, if don't think it is your role to respond to my concerns, which is fair enough.
However my concerns need to be looked at, as as I have "late-onset gender dysphoria" I can see that the following needs to stop: "The mothers left distraught after the NHS removed their daughters' healthy breasts because the girls said they were transgender" (Daily Mail).
A medical professional advised me to contact the AOMRC in the first instance.
Yours,
Orlando
11th June 2025
Hi Orlando,
At the risk of sounding like I don’t care, because I do. I am afraid there is no one in the organisation better placed to respond than me, because I lead on the gender work. There are only ten of us in the entire organisation. As I said, we do not shape clinical practice. That is for NHS commissioners and NICE to do. On this matter though, I advise you to take it up with your MP in the first instance who will then be best placed to direct your concerns to the Department of Health and Social Care.
Best wishes
Max
Max Prangnell
Director of Communications and Engagement
11th June 2025
Hi Max,
If somebody came to me, in my profession, with well substantiated concerns of serious abuse in my profession, which is harming the most vulnerable in society, I would escalate these concerns within my profession. I wouldn't dream of telling the person to contact their MP. After all, what does an MP know of my profession? MPs aren't medical professionals, nor are able to assess the topics I have brought up.
Your organisation should be sorting this out, as it is in your remit:
> The Academy of Medical Royal Colleges speaks on standards of care and medical education across the UK. By bringing together the expertise of the medical royal colleges and faculties it drives improvement in health and patient care through education, training and quality standards.
So please could you convene a meeting between the Medical Royal Colleges. You could start with contacting the Royal College of General Practitioners, as I have already sent them a complaint about their inaction regarding this issue to the Charity Commission. You should then also obviously contact the Royal College of Surgeons.
Here is a whistleblower from the Royal College of Surgeons:
https://www.scotpag.com/post/gender-reassignment-surgery-a-medical-deception
Here is a whistleblower from the Royal College of GPs:
https://genderblog.net/a-message-to-you-gps/
Here is my extremely well referenced complaint to the CEO of the Charity Commission, that gives you the actual truth behind "gender dysphoria":
https://transpolicy.substack.com/p/david-holdsworth-charity-commission
You can entitle your meeting "Concerns regarding 'gender affirming' care". You can propose in your meeting for a moratorium on surgical and medical treatments, until you can figure what is going on, and investigate the concerns of whistleblowers in your profession.
You can ask that your medical professionals email in, in full confidence, with their concerns. You could also setup an anonymous Google form. You will get hundreds of concerns from your profession, I assure you. Then you can move forward from there.
Currently there is an entirely false consensus in your profession, which is resulting in thousands of vulnerable people being badly harmed through clinical malpractice.
Yours,
Orlando Woolf
16th June 2025
Dear Max,
Please can you confirm you have received my email.
Yours,
Orlando
16th June 2025
Dear Orlando,
I did receive your email, but I am afraid there is nothing to add.
To give you perhaps a clearer explanation, you will recall that when puberty blockers were banned by the NHS in March 2024, it was a Government decision which was then implemented by the NHS in England.
I am grateful for your advice on how to hold meetings and build consensus, but I am afraid it would be to little avail as we simply don’t have the power to decide what tests, treatments and procedures are carried out by NHS staff.
I can only repeat my earlier advice, that if you want to shape healthcare policy that is best done via your MP.
I am afraid I cannot enter into any more correspondence on this matter.
Good luck with your campaign.
Best wishes
Max
Blanchard, R. Bailey.. J. M. B. “Gender dysphoria is not one thing” https://4thwavenow.com/2017/12/07/gender-dysphoria-is-not-one-thing/
“Recognising and Responding to Early Warning Signs in Public Sector Bodies” https://www.gov.uk/government/publications/recognising-and-responding-to-early-warning-signs-in-public-sector-bodies-report