Having now read the 54 page judgement, (thanks for the direct links, nauticant) I agree CharlieParley with your analysis. Indeed, I am relieved that it is not actually the rip-roaring success activists are claiming.
If this was an attempt to bring in self-ID covertly, a la Dentons, by removing the need for a medical diagnosis, it did not work.
The court finds there should still be a medical diagnosis pre awarding a GRC, a process which has a necessary gatekeeping function and which has benefits for both the patient and wider community.
This from the judgement I thought was perceptive:
Indeed, there is an uneasy tension at the heart of the applicant’s case, namely that, on the one hand, she eschews any ‘medicalisation’ of the process for legal gender recognition but, on the other, contends that any necessary diagnosis (and presumably any consequent gender reassignment or gender confirming treatment) should be paid for on the NHS.
In opposition to what the Old Court opinion piece avers, the historic depathologisation of homosexuality is never going to be replicated for gender dysphoria/incongruence. No one needs any form of medical input to be same sex attracted.
This tension was also noted at the time of the Women and Equalities Committee Report, since one of the contributors to the Committee’s inquiry, the Gender Identity Research and Education Society (GIRES), noted that removal altogether from the ICD (as occurred with the depathologisation of homosexuality) was not an option, since gender dysphoria frequently requires medical interventions (see paragraph 192 of the Committee’s report).
Inclusion of gender incongruence in the ICD was also designed to ensure transgender people’s access to gender-affirming health care, as well as adequate health insurance coverage for such services. When there is plainly a medical aspect to some elements of gender transition, at least for some transgender individuals, the authorities are entitled to consider that there is some value in maintaining an element of consistency of approach across both processes.
('both processes' referring to the practice of needing 2 diagnostic reports from medical professionals, one of them a gender specialist and then always having a doctor on the gender recognition panel.)