This is to be expected as there has been expansion of services following NHSE's service spec in 2018. This was introduced despite growing concern from lots of groups about the treatment of young people. These are all adult services but they take referrals from 17 up, and we know that a lot of the new cohort are very young females.
I don't think there will be any difficulty recruiting into these support posts, as there are lots of people keen to work in advocacy roles. The problem will be recruiting into the clinical posts, particularly those prescribing roles. I really can't imagine any doctor wanting to put their licence on the line by prescribing when there is a JR looking at the ethics of this right now.
Of course they might try to get round it by using non-medical prescribers, but even then, there has to be a supervising doctor overseeing other prescribers which ends up with the same problem.
I suspect the problem of really long waits for hormones will persist despite these bigger services, as there will be a lack of doctors.
Complete waste of time and money when the NHS has got bigger things to worry about and we are suffering years of underfunding. Imagine thinking this was a priority!