Transgender patients wait longer in the NHS Supreme Court case

A group of transgender people who had sued NHS England over long waits to visit gender specialists lost their court battle.

The two transgender adults and the two transgender children attempted to have the wait times, which in one case were more than four years, declared unlawful.

However, a High Court judge decided on Monday that the wait times are legitimate.

The Good Law Project, which assisted in bringing the lawsuit, announced that it would want authorization to appeal.


The four individuals filed a lawsuit against NHS England because it took too long to schedule their initial visit with a gender dysphoria specialist.

According to the plaintiffs, NHS England was in violation of its obligation to guarantee that 92% of patients referred for non-urgent care begin treatment within 18 weeks.

They argued that the delays suffered by transgender people were larger than for other types of NHS treatment and that this constituted discrimination in the waiting times.

However, the judge denied the claim for a number of reasons.

One of the transgender people who filed the petition and waited more than four years for a first appointment, Eva Echo, expressed her “great disappointment” with the court’s ruling.

Although we are aware of the pressure on NHS England, Ms. Echo added, “these delays precede Covid and this is about people getting essential, and in some cases, life-saving, care.”

The trans community and The Good Law Project both expressed their disappointment.

Emma Dearnaley, the legal director for the nonprofit organization, stated, “Good Law Project carefully considers whether to take on a case, and we think it was a solid and essential case to pursue.”

Despite having previously brought two victorious cases, this is our first defeat in this field. We have determined to challenge this ruling.

The court’s ruling was largely based on what the applicable legislation meant and the NHS England’s requirement to fulfill an 18-week waiting time objective.

According to the court ruling, 90% of the adults who were waiting for a first appointment at a gender dysphoria clinic as of August 2022 had been doing so for more than 18 weeks.

The judge came to the conclusion that the NHS had a responsibility to “create measures with a view to ensuring that the 18-week requirement is fulfilled”; nonetheless, it was important to note that the NHS “does not regard failing to meet that level… as a breach.”

The idea that waiting times were lengthier in gender identity services than in other areas of NHS England as a result of prejudice was also examined by Judge Mr. Justice Chamberlain.

However, he cited a number of factors, including increased demand, recent clinical controversy surrounding the treatment, the difficulty in finding enough specialists despite funding, and the requirement to redesign the commissioning model, as the causes of the lengthy waiting times for gender identity services.

Despite NHSE’s desire to significantly boost the resources available for this service area, he claimed, “the evidence demonstrates that the long waiting times have risen.”

“Trouble and fear”
The two youngsters who were awaiting treatment before reaching puberty were the first two claimants, and the judge stated that it was “essential to note the devastating implications of protracted waiting durations on the first two claimants.”

Their parents’ descriptions of their sorrow and worry are particularly upsetting because their own changing bodies are the root of it, he said.

It is regrettable that so many other kids and teens who are in need of children’s GID (gender identity development) programs must experience the same anxiety and misery.

“However, the question for me is not whether NHSE has adequately serviced the first two claimants and other individuals in a comparable situation, but rather whether NHSE is in violation of the legally mandated obligation.”

A girl who was born a boy but has been living as a girl for more than two years was one of the claimants in the case.

She returned to school as a female in 2020 after the lockdown, using a girl’s name. The court heard that although she was content with her new identity, the early signs of male puberty, which she wishes to delay, were causing her to feel unhappy.

She is growing more upset and depressed as her body transforms into a man’s, according to her father, who is worried that if she doesn’t get therapy quickly, she might have mental health problems that last a lifetime.

The legal action also included Charity Gendered Intelligence as a sixth claimant. This organization seeks to better the lives of trans persons and promote greater knowledge of gender variety.

The NHS defines gender dysphoria as an uncomfortable feeling that a person could experience due to a discrepancy between their biological sex and their gender identity. According to the NHS, this disquiet or discontent may be so strong that it can cause depression and anxiety as well as negatively affect daily living.

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