Currently in England trans people are regularly having to choose between waiting 5+ years to get the treatment that they need through the NHS, and paying upwards of £8000-10000 to go privately. This is unacceptable and can cause of exacerbate mental health issues.
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Thr reality of these long waiting times is if a individual is referred to a Gender Identity clinic at 14 they are likely going to age out of child services before even having a initial appointment. Therefore being handed to adult services, this can be extremely damaging and make a individual feel at a stop sign in life. The story isn't different for adults who have be referred. The waiting lists can be around half a decade long before talking to anyone within the services.