From my experiences with Action for Trans Health, there has been an issue with political and group unity. This can cause problems such as a lack of clarification within branches and also certain political points being addressed against the views of other branches. This is the most notable with the Edinburgh branch, which seems to be a lot more explicitly anarchist in both its content on Facebook and their own manifesto. The proposals in this manifesto seem to contradict the proposals in London's response to the NHS consultation, which has a much more reformist approach compared to the radical, abolitionist points within the Edinburgh one. In order for the group to expand and maintain control, there needs to be more unity across all branches and more specific guidelines set up for new branches in order to ensure long term success, whilst maintaining significant degrees of autonomy in local branches to ensure they can meet any specific needs of the trans community in these areas. This proposal calls for the establishment of a manifesto for Action for Trans Health on a national scale that is implemented across all branches and setting up guidelines for new branches to follow in order to have a political line which is unified across all branches and prevents confusion and alienation from members and non-members alike.