All true.
However, he has recently said, in response to a review which determined the evidence base for gender affirming care isn't there, that being " evidence based" isn't everything.
What these people are trying to push towards in care based on the principle that adults should be able to choose their own course of treatment, and doctors have an obligation to help them.
Now I suspect the good doctor mainly wants to keep his grant money flowing. But I do think this represents an overall challenging to both the idea of evidence based care as the way to decide what is appropriate, and to do not harm as the first principle doctors need to adhere to.
It's not only around gender affirmation either. It massively impacts things like assisted death, cosmetic procedure, and many other issues. And would I am sure have massive impacts on things like doctors being responsible for bad care decisions.