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.

https://amp.theguardian.com/society/2019/feb/26/trans-patients-in-england-face-soul-destroying-wait-for-treatment