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GIC: Referrals, Waiting Times, First/Second Appointments

Reference: 23-24407a

Date response sent: 05/02/2024

Details of enquiry

Annual data; For each year from 2014 onwards (or, if 2014 is not available, from the most recent year available), please provide:

  1. The number of people who received a referral for a first appointment
  2. The number of people who were offered a first appointment
  3. The average (mean) wait in weeks for a first appointment
  4. The longest wait in weeks a patient waited for a first appointment.
  5. The number of people who received a second appointment
  6. The average (mean) wait in weeks for a second appointment
  7. The longest wait in weeks a patient waited for a second appointment

Additionally, for each month for which there is data available between Jan 2014 and the most current date available at the point of production, please provide:

First appointments

  1. The number of people waiting for a first appointment
  2. The number of people offered a first appointment
  3. Of the people who are being offered a first appointment, the month and year in which they were referred.
  4. If available, the average (mean) time in weeks from referral to first appointment.
  5. Is available, the longest wait time for a first appointment

Second appointments

  1. The number of people who have received a first appointment and are waiting for a second one
  2. The number of people offered a second appointment
  3. Is available, of the patients who are being offered a second appointment, the month in which they were initially referred.
  4. If available, the average (mean) time in weeks from referral to second appointment.

Overview

  1. The number of new referrals received
  2. The number of people currently waiting for some type of treatment or appointment
  3. The number of people who complete treatment

Response sent

Given the voluminous data requested for both our Adults GIC, and Children and Young People’s GIDS service, we have for ease of presentation and understanding of the data, to split our response into two documents, one for the GIC service and a separate one for GIDS. Each document addresses all questions raised for the respective gender service..

Our responses regarding the GIC Service are as follows:

Please note, that we do not hold Gender Identity Clinic data prior to 1 April 2017, which was when this Adults service transferred from the West London NHS Mental Health Trust to the Tavistock & Portman NHS Foundation Trust. You may wish to request pre April 2017 data on the GIC via a separate request to the service’s previous host – West London Mental Health Trust (WLMHT). Their Freedom of Information Team can be reached via foi@wlmht.nhs.uk

In line with recent guidance issued by the Information Commissioner’s Office on 28/09/23, Information Commissioner’s Office – Advisory note to public authorities | ICO this Trust will no longer provide data as excel spreadsheets/workbooks, in order to mitigate risk to personal information.  Accordingly the information you have requested has been pasted into your response as separate tables and csv files.

Annual data; For each year from 2014 onwards (or, if 2014 is not available, from the most recent year available), please provide:

  1. The number of people who received a referral for a first appointment
  2. The number of people who were offered a first appointment
  3. The average (mean) wait in weeks for a first appointment
  4. The longest wait in weeks a patient waited for a first appointment.
  5. The number of people who received a second appointment
  6. The average (mean) wait in weeks for a second appointment
  7. The longest wait in weeks a patient waited for a second appointment
Year New GIC Referrals received 1st GIC Appointments, inc Attended, Cancelled & DNAs 2nd GIC Appointments, inc Attended, Cancelled & DNAs
Booked Avge wait in weeks Longest wait in weeks Booked Average wait in weeks Longest wait in weeks
2017
Apr-Dec		 2,215 1,347 69 480.1 1,136 104.7 577.0
2018 3,518 1,993 52 374.0 1,282 97.3 602.1
2019 3,546 1,488 63 328.4 912 108.9 428.1
2020 2,828 865 87 257.7 777 126.3 393.1
2021 4,104 706 109 296.9 676 170.9 687.6
2022 3,375 973 164 311.1 694 198.0 411.4
2023 4,277 975 173 378.0 982 206.6 438.7

 

Additionally, for each month for which there is data available between Jan 2014 and the most current date available at the point of production, please provide:

First appointments

 

  1. The number of people waiting for a first appointment
Number of Referrals to GIC Awaiting 1st Appt

at End of Each Calendar Year
Month 2017 2018 2019 2020 2021 2022 2023
Jan 3,457 5,108 6,805 8,330 11,195 12,399
Feb 3,609 5,291 6,855 8,511 11,465 12,566
Mar 3,460 5,421 7,044 8,861 11,358 12,797
Apr 2,333 3,563 5,397 7,086 9,084 11,472 12,837
May 2,426 3,749 5,507 7,145 9,348 11,691 13,325
Jun 2,559 3,944 5,639 7,276 9,701 11,789 13,614
Jul 2,655 4,148 5,846 7,495 9,954 11,835 13,886
Aug 2,774 4,307 6,057 7,623 10,137 11,902 14,094
Sep 2,889 4,312 6,109 7,686 10,363 12,030 14,400
Oct 3,039 4,533 6,327 7,770 10,561 12,181 14,699
Nov 3,174 4,729 6,527 7,947 10,896 12,342 14,823
Dec 3,319 4,859 6,666 8,061 11,113 12,227 14,941

 

  1. The number of people offered a first appointment.
1st GIC Appts Booked during each calendar year

(incl attended,cancelled, DNA)
Month 2017 2018 2019 2020 2021 2022 2023
Jan 174 90 85 65 57 78
Feb 142 102 244 42 52 60
Mar 391 127 74 34 56 75
Apr 105 148 289 54 58 80 75
May 165 165 84 52 56 79 75
Jun 151 123 94 35 44 59 74
Jul 184 139 96 55 33 101 94
Aug 153 125 67 47 68 92 68
Sep 154 272 233 59 66 96 108
Oct 142 106 122 62 83 151 107
Nov 172 124 113 67 89 109 108
Dec 121 84 71 31 68 41 53
Totals 1,347 1,993 1,488 865 706 973 975

 

  1. Of the people who are being offered a first appointment, the month and year in which they were referred.

See appendix 1

  1. If available, the average (mean) time in weeks from referral to first appointment.
Average wait (in weeks) from date referral to GIC was received
to date of 1st attended GIC appt per calendar year
2017 2018 2019 2020 2021 2022 2023
Jan 92.2 106.9 130.1 144.1 163.5 166.6
Feb 90.0 103.4 149.6 149.6 176.8 165.5
Mar 85.5 109.5 135.2 135.2 126.5 177.1
Apr 109.1 103.1 150.2 114.9 114.9 174.4 182.9
May 95.6 104.0 108.7 137.4 115.5 179.7 169.9
Jun 98.5 119.0 105.0 140.3 109.9 177.1 163.6
Jul 104.9 110.5 110.4 156.6 127.5 183.6 95.9
Aug 92.8 118.2 114.6 139.8 136.7 174.4 109.6
Sep 87.7 122.6 140.1 143.3 145.2 133.4 101.1
Oct 91.7 114.3 131.3 132.9 138.8 150.9 81.9
Nov 103.5 114.3 141.1 147.2 139.7 151.1 16.6
Dec 96.3 134.9 117.6 119.3 153.8 179.0  TBC

 

  1. Is available, the longest wait time for a first appointment
Longest wait (in weeks) from date of referral to GIC was received
to date of 1st attended appt per calendar year
Months 2017 2018 2019 2020 2021 2022 2023
Jan 151.1 105.1 140.7 199.7 220.1 251.4
Feb 204.1 140.4 257.7 296.9 222.6 263.0
Mar 374.0 122.7 122.7 261.7 231.0 252.1
Apr 244.7 129.1 120.7 120.7 212.4 231.3 264.0
May 179.6 102.6 148.1 148.1 220.9 234.9 266.0
Jun 349.7 81.0 150.7 150.7 149.0 236.1 359.4
Jul 397.0 163.0 126.9 126.9 196.1 239.1 327.0
Aug 280.7 313.0 169.0 152.1 223.0 242.1 349.0
Sep 191.1 108.1 138.7 187.3 225.0 311.1 346.0
Oct 480.1 117.9 147.0 162.1 210.4 258.4 378.0
Nov 445.6 196.6 127.6 165.7 219.0 283.4 348.0
Dec 414.0 328.4 328.4 168.0 216.9 250.0 294.7

 

Second appointments

  1. The number of people who have received a first appointment and are waiting for a second one
Number of open referrals to GIC at end of calendar year,
who have attended a 1st appt, and awaiting a 2nd appt
Months 2017 2018 2019 2020 2021 2022 2023
Jan 1,310 1,459 1,598 1,409 1,029 913
Feb 1,249 1,467 1,742 1,379 1,002 849
Mar 1,471 1,480 1,729 1,370 960 770
Apr 1,460 1,455 1,674 1,684 1,331 971 719
May 1,415 1,457 1,656 1,662 1,276 975 686
Jun 1,347 1,436 1,655 1,620 1,217 955 643
Jul 1,382 1,409 1,632 1,586 1,173 981 596
Aug 1,380 1,385 1,611 1,566 1,176 1,002 554
Sep 1,346 1,524 1,735 1,532 1,147 1,027 528
Oct 1,329 1,492 1,691 1,504 1,130 1,063 516
Nov 1,307 1,486 1,652 1,489 1,106 1,013 504
Dec 1,323 1,497 1,642 1,448 1,071 965 492

 

  1. The number of people offered a second appointment.
Total number of 2nd GIC appts booked during the calendar year
(incl. attended, cancelled and DNA)
Months 2017 2018 2019 2020 2021 2022 2023
Jan 220 132 108 96 88 133
Feb 211 105 67 51 58 119
Mar 174 121 120 32 91 133
Apr 175 197 93 96 59 54 116
May 252 176 94 85 73 48 105
Jun 229 141 90 79 91 46 118
Jul 146 164 118 93 70 56 128
Aug 209 143 88 74 44 70 86
Sep 201 152 113 90 101 53 84
Oct 197 140 157 73 69 82 76
Nov 188 134 150 76 96 144 86
Dec 96 58 75 57 89 97 48

 

  1. Is available, of the patients who are being offered a second appointment, the month in which they were initially referred.

See appendix 2

  1. If available, the average (mean) time in weeks from referral to second appointment.
Average wait in weeks from the date referral to GIC was received, to
second attended GIC appointment, by calendar year
Month 2017 2018 2019 2020 2021 2022 2023
Jan 100.0 101.9 118.8 140.6 193.4 210.0
Feb 89.4 97.0 120.5 130.4 171.2 204.8
Mar 96.4 112.6 119.2 143.1 193.3 204.2
Apr 100.4 91.1 112.2 123.6 150.8 183.6 207.1
May 94.8 96.8 108.8 119.9 156.8 174.7 208.5
Jun 108.5 85.6 114.2 122.0 160.4 203.8 201.6
Jul 108.7 101.9 104.9 128.1 142.7 188.2 198.2
Aug 116.9 88.4 103.3 133.5 172.0 186.2 195.2
Sep 107.2 94.7 110.8 128.0 170.0 203.2 195.7
Oct 108.2 96.8 113.0 132.9 181.3 203.5 213.3
Nov 128.1 125.4 111.0 135.1 237.6 211.5 223.3
Dec 120.4 114.0 118.6 136.4 209.0 222.4 227.3

 

Overview

  1. The number of new referrals received
Total number of new referrals to GIC received during the calendar year
Month 2017 2018 2019 2020 2021 2022 2023
Jan 283 368 269 354 296 308
Feb 272 284 304 262 328 415
Mar 274 300 254 403 392 372
Apr 179 232 329 116 319 337 202
May 218 359 278 121 342 332 560
Jun 245 328 253 183 440 299 389
Jul 258 338 323 290 336 295 347
Aug 248 284 289 227 277 187 303
Sep 251 323 296 268 302 192 412
Oct 283 304 313 232 325 254 399
Nov 288 307 297 290 465 236 414
Dec 245 214 216 274 279 227 156

 

  1. The number of people currently waiting for some type of treatment or appointment
Total number of patients  at the end of each calendar year,
(includes all GIC patients irrespective of whether they have been seen under referral)
Month 2017 2018 2019 2020 2021 2022 2023
Jan 7,688 10,390 12,765 14,547 17,120 18,263
Feb 7,925 10,621 12,878 14,685 17,305 18,443
Mar 8,105 10,830 13,066 15,028 17,208 18,683
Apr 5,539 8,304 11,052 13,128 15,207 17,275 18,724
May 5,751 8,596 11,201 13,220 15,436 17,501 19,238
Jun 5,985 8,863 11,369 13,361 15,760 17,562 19,558
Jul 6,219 9,148 11,632 13,610 15,993 17,636 19,823
Aug 6,456 9,194 11,870 13,744 16,270 17,762 19,967
Sep 6,683 9,434 12,099 13,829 16,423 17,953 20,205
Oct 6,945 9,716 12,360 13,937 16,643 18,201 20,437
Nov 7,194 9,995 12,566 14,156 16,958 18,437 20,598
Dec 7,418 10,175 12,698 14,261 17,103 18,336 20,793

 

  1. The number of people who complete treatment

 

Total number of patients discharged during period , includes those completing treatment, transfers out, and patients discharged for any reason
Month 2017 2018 2019 2020 2021 2022 2023
Jan 13 153 202 67 279 381
Feb 35 53 191 123 143 237
Mar 94 91 66 60 492 131
Apr 148 33 107 54 140 271 161
May 5 67 129 29 112 103 46
Jun 10 61 85 42 112 238 69
Jul 22 53 60 42 102 220 83
Aug 11 237 52 92 90 62 159
Sep 24 83 66 183 59 1 176
Oct 21 22 53 124 105 6 165
Nov 39 28 90 72 150 0 254
Dec 21 34 84 168 134 328 22

 

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