NHS gender identity clinics (GICs), set up to provide specialist care to transgender people in the UK, often fail to meet the needs of service users by means of prohibitively long waiting lists (frequently exceeding three years), ill-trained GPs, and medical gatekeeping.
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A referral to every GIC in the UK results in a wait of between 12 and 48 months before even the first appointment - well beyond the 18-week target set by NHS England - and even here treatment is not guaranteed; as many service users report receiving no help. Many GPs are often inadequately trained to deal with their needs and refer trans patients to mental health services instead.