
"NHS England must prioritise improving wait times for adult gender dysphoria clinics, an independent 'Cass-style' review has said. The operational review, headed by Dr David Levy, urged the UK's public health service to create an action plan that would reduce wait times for a first appointment in its Adult Gender Identity Clinics (GICs). Patients are reportedly waiting over 15 years to access care according to the review, which said operational issues would likely exacerbate the problem if nothing is done."
"One recommendation urges NHS England to create a single national adult waiting list which emphasises transparency and sets a "clear trajectory" for minimising wait times over the next five years. Another urges healthcare officials to work with the National Quality Improvement Programme for Adult Gender Services to develop a "standardised national support programme" to help support those waiting for their first appointment."
NHS England faces very long waits at its 13 Adult Gender Identity Clinics (GICs), with reports of patients waiting more than 15 years for a first appointment. Twenty recommendations address access, quality, productivity, and culture to reduce waits and improve care. Proposals include a single national adult waiting list with transparent five-year trajectories, a standardised national support programme for people awaiting first appointments, and stronger, consistent data collection on patient numbers and outcomes. The recommendations call for improved leadership, culture, and governance across diverse clinic models and for national coordination to standardise reporting and clinical support.
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