The average waiting time for transgender people aged under 18 years old and over 18 years in each of the last 12 months is not centrally available. NHS England currently has contracts in place with seven National Health Service trusts for the delivery of gender dysphoria services for individuals from 17 years of age (Newcastle; Leeds; Sheffield; Nottingham; Northampton; London; Exeter) and with two NHS trusts for the delivery of services for children and adolescents up to 18 years of age (Leeds; London). The young person’s service would not usually accept a referral for someone who is shortly due to turn 18 years. If this is the case, the service would generally recommend referring to an adult service instead. For young people on a waiting list for the young person’s service, arrangements can be made for a referral to an adult service from 17 years of age.