GIC 2024/25: Referrals, Appts, Discharges and Staff, Budget, Waiting List
Reference: 25-26040
Date response sent: 22/05/2025
Details of enquiry
- Referrals, Discharges & Waiting List
a. How many referrals received
b. How many people were discharged from the service
c. Number of people on the waiting list at the end of the financial year
2. Appointments
a. How many appointments offered in total
b. How many appointments were not attended
c. Most common reason for non-attendance
d. How many 1st appointments offered
e. How many 2nd appointments offered
f. Average number of appointments offered per patient
g. Average number of appointments attended per patient
h. Average wait time between 1st and 2nd appointment in days
i. Average time between 1st appointment and discharge, where discharge is noted as treatment completed, in days.
3. Staff
a. How many clinical / diagnostic staff (FTE) employed at the GIC each year
b. How many administrative / support staff employed at the GIC each year
c. Breakdown of job roles / titles held by clinical & diagnostic staff at the GIC, including FTE / WTE for each role
d. Salary Band / Pay Rate for each job role
e. FTE / WTE of clinical / diagnostic staff trained or capable of delivering diagnostic initial assessments & follow up assessment appointments for Gender Dysphoria / Gender Incongruence
f. Indication of which job roles / tiles provide diagnostic initial assessments & follow up assessment appointments for Gender Dysphoria / Gender Incongruence
4. Budget
a. Budget / Spend (total in £) for each year for the GIC
b. Breakdown of Budget / Spend for the year by :
c. Clinical / diagnostic staff
d. Administrative / Support staff
e. Administrative Costs
f. Other Costs
5. Service User Transfers data
a. For each financial year between 2018/2019 to 2024/2025
b. How many people were transferred from other adult clinics
c. How many people were transferred from the GIDS service to the adult service
d. Whether these transfers were counted as referrals in referrals data above
e. Whether these transfers were included in the waiting list data above
6. Waiting Time Calculations & Guidance
a. Please provide copies of any algorithms, spreadsheets, formulae used by the clinic to calculate waiting time information published by your clinic
b. Please provide copies of any guidance or processes issued to staff on the production of waiting time information published by your clinic
Response sent
- Referrals, Discharges & Waiting List
a. How many referrals received
4,457
b. How many people were discharged from the service
3,807
c. Number of people on the waiting list at the end of the financial year
16,506
- Appointments
a. How many appointments offered in total
11,629
b. How many appointments were not attended
1077
c. Most common reason for non-attendance
We do not hold this data. This is because:
- The term ‘cancelled’ applies to both:
- Booked appointments cancelled without being rescheduled.
- Booked appointments moved to a different date/time.
2 The EPR system (electronic patient record) only reports cancelled appointments and booked appointments. There is no automated field to complete to indicate change of booking/s to alternative date/s.
3 The ERP system captures instances of DNA by patient but has no dedicated data fields to capture their reasons and cannot automate reports on DNA reasons. These reasons are only occasionally narrated within the patient’s file notes.
d. How many 1st appointments offered
1,393
e. How many 2nd appointments offered
631
f. Average number of appointments offered per patient
The average number of appointments offered per patient during 2024/25 was 2.75.
The average number of total appointments offered per patient referral for patients discharged during 2024/25 was 9.37
g. Average number of appointments attended per patient
The average number of appointments attended per patient during 2024/25 was 2.05
The average number of total appointments attended per patient referral for patients discharged during 2024/25 was 7.21
h. Average wait time between 1st and 2nd appointment in days
244
i. Average time between 1st appointment and discharge, where discharge is noted as treatment completed, in days.
The Trust confirms that it does not hold this data.
Average time between 1st appt and discharge can vary enormously and does depend on the pathway and patients’ chosen outcomes. For example;
- Patients cannot be discharged until they have completed their last episode of planned surgery.
- If this is phalloplasty it is complex, multistage surgery and can be over several years.
- If that surgery is stand-alone hysterectomy, then this is not part of NHSE Specialised Commissioning and would be provided by local services.
- We often are not informed when surgery has taken place, and without this information we cannot discharge the patient.
Any calculation of average LoS (Length of Stay), cannot be calculated without an operating model of fixed parameters, which we cannot define, as the GIC patient’s pathway is not linear and patients’ needs are heterogeneous.
More examples of variable data which prevents us from performing simple calculations for average LoS are listed below. These lists are not intended to be exhaustive, but to provide you, the requester, with an increased awareness of the range of options and variances which occur.
- a patient assigned female at birth seeking the full pathway will stay in the service and pathway for longer than a patient that does not wish to pursue the genital surgical pathway.
- types of procedures and interventions sought vary in number of appointments required,
- the presence of unique co-occuring needs vary in nature and number of appointments required,
- the impact of slotting in GIDS patients to continue their treatment at GIC affects availability of appointments,
- the impact of slotting in current patients requiring urgent surgical reassessments, as mandated by NHSE, when the date of their surgery is close, and it is than 2 years since last assessed.
- whether patients require further appointments post-surgery. NHSE requires us to keep patients open on our systems whilst they complete their surgical pathway, (which we are neither responsible for nor commissioned to deliver), we cannot know how long these patients will be with us, nor how many appointments they would require.
As you can see from the above, extrapolation of the average GIC LoS would require creation of a multitude of modelling scenario’s, which would be out of scope of the Freedom of Information Act 2000 (FOIA) which applies only to recorded information (data) held at the time of the request and does not require us to answer questions where this would involve the creation of new information.
Furthermore, as well as being out of scope for FOIA, as explained above, this question would take, far longer to answer that the 18 hours/£450 resources limit provisioned under s12 of FOIA for responding to a whole request because none required modelling scenarios are held. We are therefore unable to answer this question and we do not hold the requested data.
- Staff
a. How many clinical / diagnostic staff (FTE) employed at the GIC each year
b. Breakdown of job roles / titles held by clinical & diagnostic staff at the GIC, including FTE / WTE for each role
c. Salary Band / Pay Rate for each job role
d. FTE / WTE of clinical / diagnostic staff trained or capable of delivering diagnostic initial assessments & follow up assessment appointments for Gender Dysphoria / Gender Incongruence
e. Indication of which job roles / tiles provide diagnostic initial assessments & follow up assessment appointments for Gender Dysphoria / Gender Incongruence
| GIC Clinical & Diagnostic
Staff 2024/25 |
FTE | Pay Band | Conducts assessments Y/N | |
| Lead Consultant Speech and Language Therapist | 1 | 8c | No | |
| Highly Specialist Psychologist | 0.8 | 8a | Yes | |
| Highly Specialist Clinical Psychologist | 1 | 8a | Yes | |
| Advanced Specialist Speech & Lang Therapist (Voice & Comms) | 0.6 | 7 | no | |
| Lead Consultant Psychologist – GIC | 1 | 8c | Yes | |
| Speech and Language Therapist | 1 | 8a | No | |
| Highly Specialist Applied Psych/Deputy Head of Psychology | 1 | 8b | Yes | |
| Trainee Counselling Psychologist | 0.6 | N/A
Honorary Contract |
Yes | |
| Advanced Specialist Speech & Lang Therapist (Voice & Comms) | 1 | 7 | No | |
| Trainee Counselling Psychologist | 0.6 | 6 | Yes | |
| Clinical Lead Consultant | 1 | Yes | ||
| Consultant | 0.6 | other | Yes | |
| Consultant | 1 | other | Yes | |
| Consultant Psychiatrist | 1 | other | Yes | |
| Professor of Diabetes and Endocrinology | 0.4 | other | No | |
| Doctor in Gender Identity | 0.2 | other | No | |
| Consultant | 1 | other | Yes | |
| Consultant Psychiatrist | 1 | other | Yes | |
| Consultant Adult Psychiatrist | 0.6 | other | Yes | |
| Specialty Doctor | 0.2 | N/A
Honorary Contract |
Yes | |
| Specialty Doctor in Gender Identity | 0.4 | other | Yes | |
| Specialty Doctor | 1 | other | No | |
| Specialty Doctor in Gender Identity | 0.6 | other | No | |
| Specialty Doctor | 1 | other | Yes | |
| Specialty Doctor in Gender Identity | 1 | other | Yes | |
| Specialty Doctor | 0.75 | N/A
Honorary Contract |
Yes | |
| Specialty Doctor in Gender Identity | 1 | other | Yes | |
| Specialty Doctor | 0.2 | other | Yes | |
| Clinical Nurse Specialist (CNS) Endocrinology GIC | 1 | 7 | No | |
| Clinical Nurse Specialist (CNS) Endocrinology GIC | 1 | 7 | No | |
| Clinical Nurse Specialist (CNS) Endocrinology GIC | 1 | 7 | No | |
| Specialist Nurse – GIC | 0.8 | 6 | No | |
| Specialist Nurse – GIC | 1 | 6 | No | |
| Specialty Doctor | 1 | other | No | |
| Clinical Nurse Lead | 1 | 8a | No | |
| Clinical Nurse Lead | 1 | 8a | No | |
| Clinical Nurse Specialist | 1 | 7 | No | |
| Clinical Nurse Specialist | 1 | 7 | No | |
| Total WTE | 31.35 | |||
d. How many administrative / support staff employed at the GIC each year
30.7 FTE
- Budget
a. Budget / Spend (total in £) for each year for the GIC
b. Breakdown of Budget / Spend for the year by :
i. Clinical / diagnostic staff
£2,909,721
ii. Administrative / Support staff
£1,538,668
iii. Administrative Costs
Other Costs
Non Pay costs £2,783,606
- Service User Transfers data. For each financial year between 2018/2019 to 2024/2025
a. How many people were transferred from other adult clinics
We do not hold this data.
b. How many people were transferred from the GIDS service to the adult service
| GIDS to GIC Patient Transfers | |
| Financial Year | No of Patients |
| 2018/19 | 294 |
| 2019/20 | 405 |
| 2020/21 | 446 |
| 2021/22 | 544 |
| 2022/23 | 292 |
| 2023/24 | 387 |
| 2024/25 | 3 |
c. Whether these transfers were counted as referrals in referrals data above
Yes, they were counted as referrals.
d. Whether these transfers were included in the waiting list data above
Yes, provided the patient was still in the waiting list at the end of 2024/25
- Waiting Time Calculations & Guidance
a. Please provide copies of any algorithms, spreadsheets, formulae used by the clinic to calculate waiting time information published by your clinic
We do not use these.
b. Please provide copies of any guidance or processes issued to staff on the production of waiting time information published by your clinic
The Trust does not hold this data. We do not hold any documentation, guidance or SOPs on how to pull wait