“It is mad,’ was the reply. Hutchinson paused. When one of the leaders of a service that helps children to access powerful, life-changing drugs comments that what they’re doing is ‘mad’, there is clearly a very big problem.” MadnessInstitutional Failure Book:Time to Think: The Inside Story of the Collapse of the Tavistock's Gender Service for Children Source: Time to Think: The Inside Story of the Collapse of the Tavistock's Gender Service for Children