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Transgender issues: ‘Referrals have gone through the roof’

Despite an eight-month waiting list, a four-stage care pathway assessment and an assortment of clinical tests, the number of young people over the age of 14 who want to change gender has increased significantly since 1989 
Alex Bolt and Paul Carruthers

Despite an eight-month waiting list, a four-stage care pathway assessment and an assortment of clinical tests, the number of young people over the age of 14 who want to change gender has increased significantly since 1989

The NHS gender identity development service was established in London in 1989. Back then there were only one or two referrals a year. In 2009 it became a nationally funded service with bases in Leeds and the Tavistock centre in London. Referrals have risen by 50% every year with 1,800 referrals last year.

50%

increase in referrals year on year since 1989

Leeds covers the north west of England and Scottish borders and there are

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