Currently, adults in most of the UK who want to access specialist gender identity services need to approach their GP and ask for referral to one of the UK’s seven NHS gender identity clinics. The only exception is Wales, which has recently introduced a reformed, modern system. Regardless of where in the UK a person is based, the 2016 parliamentary Inquiry on Trangender Equality found that many GPs were not aware of their responsibility to refer patients to specialist services. Some, indeed, were actively hostile to the idea: the inquiry heard evidence of ‘persistent refusal of some General
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