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<p>NHS England has launched an ambitious programme to tackle waiting times, overseen
by a Programme Board for Gender Identity Services. NHS England agreed new service
specifications for gender dysphoria services in 2018 following a process of extensive
stakeholder engagement and public consultation.</p><p>In April 2019 NHS England began
a process of national procurement that will determine which organisations are best
able to deliver specialist gender services in the future against the new service specifications,
and this process is open to new providers. NHS England has also announced plans to
establish for evaluation new gender services in primary care settings and other community
care settings which if positively evaluated could be rolled out nationally, thereby
helping to increase clinical capacity.</p>
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