I've revisited the Cass Review letter to NHS in May - it highlights the following:
In addition, many children and young people have complex needs, but once they are identified as having gender dysphoria, other important healthcare issues which would normally be managed by local services can sometimes be overlooked.
Data: The lack of systematic data collection is a significant issue.
Lack of an explicit assessment framework – currently expertise in assessment of children and young people presenting to GIDS is held in a small body of clinicians and their assessment processes have not been made explicit. The CQC report drew attention to the lack of structured assessment in the GIDS notes,
None of these significant issues go away regardless of the result of the appeal tomorrow