https://www.surreysussex.icb.nhs.uk/ipsi-wellbn-general-practice-brighton/
The exec summary alone is damning.
"Care at the Practice for the 78 children and young people fell substantially below that set out in service specifications and national clinical policy. Puberty blockers and gender enhancing medications were prescribed without a comprehensive bio-psychosocial assessment (in 22 cases without even face-to-face appointments having taken place) without essential baseline and ongoing investigations and in 75 cases without referrals to 3 paediatric endocrinologists."