Thank you for your suggestion, which I have passed to the service manager for a fuller response. Best wishes, Hugh Jones, Patient Experience Manager

Thank you for your comments. With such lengthy waiting times for a first appointment in all Gender Clinics in England, we completely support and endorse that people should be able to access local support services within Primary and Secondary Care via their GP. Whilst we do not view gender variance as an illness, we are very aware that the delays in accessing support in transitioning creates great distress and can give rise to mental health issues. We are hopeful that NHS England's strategy of rolling out local 'Trans Health' support hubs over the next two years will go some way to reduce waiting times overall and supplement the existing wellbeing services provided via a patient's GP.