I fell like I must be missing something, because surely we aren't going through the whole consultation process - and hostile debate on self-ID - because some trans people don't want to fill out a lengthy form and pay a few hundred quid (or fill out a form to apply for a fee remission)?
The present process requires a diagnosis of gender dysphoria from one of about 40 doctors only. (The list slightly longer than that but includes people who have retired and people like endocrinologists who aren't in the business of diagnosing gender dysphoria.) If you go through the NHS system you will generate the right paperwork and just need to pay £80 to get a copy. There are concerns that is a problem for anyone on benefits.
But the bigger problem is that if people don't go through the NHS system, they don't build up a file with a diagnosis of gender dysphoria by one of the legally prescribed doctors. That's particularly the case for immigrants and ex-pats but there are others.
Then there is the problem that gender dysphoria doesn't mean now what it meant in 2004 because the medical community has changed the definition. In the next round of changes, they may well entirely remove "gender dysphoria" from the lists of definitions and call it something else, as well as changing the definition.
Then there is the problem of intersex people. A diagnosis of gender dysphoria is impossible if one is intersex. All sorts of problems there.
Then there are things like the evidence one has to provide. How can one provide utility bills in the new name if one lives with parents? If you live in Britain but are not a British Citizen, you may not be able to changed your passport so you cannot show that evidence.
Then the reports have to detail surgery. So how can a psychiatrist / psychologist - necessary to give the diagnosis of gender dysphoria - then become an expert on the surgeries someone has had? And if someone doesn't want surgery, this is presently allowed but there are huge practical issues too.
The surprise really is that somehow nearly 5,000 people have fought their way through a maze of contradictions and impossible demands. That's almost exactly the same number as have climbed Everest which sort of sets the difficult in context. There are grounds for suggesting that Self-ID isn't the answer but the present system is seriously broken and absolutely needs to change. It is also very expensive for the Government to administer so they will want a simplification to save public money.