there will need to be specific legal actions, probably not judicial reviews, against medical institutions by individuals harmed by those institutions in respect of the harm they suffered.
Which presumably would have been (and still is) a path open to Keira Bell, and was what a lot of us thought would happen - detransitioners suing for damages, and enough to make institutions to do better to stop the lawsuits.
But to me the judicial review seemed more altruistic and straightforward to get the remedy desired rapidly in the UK - more care with future patients.
But if they want Keira and others to start suing GIDS, then we can support that...
In the US, suing is the only route (but I gather a lot considering it there have been hit by statutes of limitation. If you detransition 2 years after transitioning, then it's too long since the original procedure to claim anything was wrong with it!)