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.
You may be interested in these active petitions
The 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.