Thank you for your kind words. We are aware of the anxiety caused by the waiting and are working with our commissioners to reduce this. Best wishes, Hugh Jones, Patient Experience Manager.

Thank you for your comment. The length of time between a referral being made and a first appointment is (at a national level) far in excess of what we would wish it to be. There are many reasons for this, but ultimately it has become clear that the number of people being referred to gender clinics has seen a phenomenal increase since 2016 and there is no sign of this demand waning as yet. NHS England has acknowledged the imbalance between service demand and inadequate supply and has commissioned locally based 'Trans Health Hubs' (several of which are already operating across England), with a view to make gender services more readily accessible for those needing support.