@Folkyfaery @DadTrans I'm going to guess it was driven by public awareness of the existences of the GIDS due to media exposure. It 'front loaded' the system - which may explain part of the dramatic slowing of the growth rate in the following years. But that is just a guess.
@Folkyfaery @DadTrans It is also worth noting this comment from the Tavistock & Portmant NHS Foundation Trust about referrals:
tavistockandportman.nhs.uk/about-us/news/… The majority of our users do not take up physical treatment through our service, and any decisions around hormone treatment needs time and considered thought. The long term health and psycho-social wellbeing of young people is always our priority. In all our work we aim to be extremely careful to properly support people and allow them to explore their full range of options.”
@Folkyfaery @DadTrans A good (full text) paper explaining the GIDS procedures, methods, and clients:

Butler G, De Graaf N, Wren B, et al
Assessment and support of children and adolescents with gender dysphoria
Archives of Disease in Childhood 2018;103:631-636.

adc.bmj.com/content/103/7/…
@Folkyfaery @DadTrans Note that it takes 6+ months and 4-6 sessions to even *diagnose* GD by their procedure. And that is *on top of* a 18 month+ waiting list after referral for the first session. Especially look at Figure 2 - they finally refer *less than half* of their referrals to endos. Figure 2<br />
<br />
Numbers of young people presenting to the Gender Identity Development Service (GIDS) between 2010 and 2013 by age at initial referral (blue bars) and the proportion who had been referred on to the paediatric endocrinology clinics by 2017 (orange line).
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