But a tribunal finds Dr Helen Webberley competent to provide treatment for transgender children.
It did not find that testosterone was inappropriate for use in children of that age.
Tribunal chairman Angus Macpherson said: "The tribunal finds that the reluctance of the Endocrine Society and others to embrace enlightened views of transgenderism is symptomatic of the tendency in all professions to be slow to move with the times. Mr Macpherson said Dr Webberley may have been considered as being "at the vanguard" of the evolving approach to transgender healthcare.He said at the time of the allegations there was "immense pressure" on the NHS England Gender Identity Development Service and some service users were "left in a state of desperation" so it was "hardly surprising" some patients sought out Dr Webberley as an alternative.
"Had she instituted a review system at the outset, she would not have been dependent upon Patient A or his mother requesting a review. If she was not going to arrange it herself, it was incumbent upon her to arrange for it to be provided by another."
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