I found this very useful - it is the report which cross-checks the NHS Children and Young People’s Gender Services with the EA protected characteristics
EHIA: Children and Young People’s Gender Service: Service Specification for the National Referral Support Service
It has a lot of data, such as the proportion of boys/girls presenting,
[Before 2011]the split in the caseload was roughly even between natal girls and natal boys, but by 2019 the split had changed so that 76% per cent of referrals were natal females.
It makes some good observations as to possible causes, including
NHS England was encouraged to investigate and publicise the degree to which possible causations such as internalised homophobia, exposure to social media, trauma, bullying, difficulties in navigating bodily changes at puberty, experiencing sexual objectification, familial and social situations and social contagion had played a part in this trend.
It makes this point on the subject of the gender-questioning children and the PC of gender reassignment:
In January 2023 the High Court agreed that not every child or young person referred to a specialised gender incongruence service will have the protected characteristic of ‘gender reassignment’5. The Court agreed that children and young people who are referred to such a service do not – at the point of referral or while they remain on the waiting list - share the protected characteristic of ‘gender reassignment’ as a class or cohort of patients.
The whole cohort of patients cannot be treated as “proposing to undergo” a process (or part of a process) for the “purpose of reassigning” their sex “by changing physiological or other attributes of sex” as a class or cohort. To apply such a definition to these individuals is to make assumptions upon the aims and intentions of those referred, the certainty of those desires, their outward manifestation, and upon the appropriate treatment that may be offered and accepted in due course.
It is case-specific, even for children in treatment - so does ' a trans pupil who identifies as a girl' acquire the PC of gender reassignment simply by telling his school that he identifies a girl?
This report addresses the issue of minimum age,
there will not be a minimum age threshold for a referral to the waiting list for the Children and Young People’s Gender Service. [7 years had been proposed] This is because Recommendation 4 of the Cass Report (April 2024) advises NHS England that pre-pubertal children should be seen as quickly as possible.
This approach may be an important safeguarding measure against children being encouraged or supported to take any premature action with regards to their gender identity which might narrow or close down future choices.
This suggests that it is preferable for very young gender-questioning children to be seen by professionals who are not going to automatically confirm the child on the path to being a transgender adult, which is the danger if they are under the influence of unregulated, non-professional, pro-trans campaigning groups.
That sounds OK in theory, as long as the GYP Gender Service stays objective and neutral about what is in the best interests of each individual child.
Personally, I wouldn't put transitioning, PB's, hormones or surgery anywhere on the spectrum of 'best interests' for anybody, but at least the stated aim is not
to take any premature action with regards to their gender identity which might narrow or close down future choices.