15,000 people (or 1% of the current city region population of 1.5 million). However, the GIRES analysis concludes that a significantly small percentage of this reservoir may only undergo gender reassignment at a later stage. An even smaller portion will have already sought medical care for gender dysphoria whilst an even smaller number will have undergone transition already. Therefore, the number of people in the Liverpool City Region who have sought medical care for gender variance at some point in the past currently numbers in the hundreds - a tiny fraction of the overall gender variant population. It is predicted that this number will continue to increase in time as greater numbers from the trans community eventually present themselves to medical professionals for treatment. Advances in social, medical and legislative provisions for transgender people will likely facilitate this rise. Liverpool is home to a large number of organisations that support the needs of the transgender community. Many of the organisations provide advocacy, advice or guidance in accessing medical treatment on the NHS or campaign for and champion trans rights. Groups in the Liverpool area include In-Trust Merseyside, LIV.FAST Network, Liverpool Action for Trans Health, Sefton Embrace, Spirit Level, The Action Youth, Trans Health Merseyside and TransWirral. The Navajo Merseyside & Cheshire LGBT Charter Mark is sponsored by local transgender groups and acknowledges organisations that meet certain standards of good practice towards the LGBT community. More than 60 organisations have achieved the Charter mark standards throughout the Liverpool area to date. In 2019, Liverpool held its very first Trans Pride on International Transgender Day of Visibility (TdoV). A Trans Pride march, a number of awareness, education and celebratory events were held in the city. Whilst this was the first Trans Pride, Liverpool has a long history of celebrating the transgender community and flies the transgender Pride flag every year from public buildings on TdoV. In September 2018, Liverpool City Council approved a motion in support of trans people which stated that the council believes "TRANS WOMEN ARE WOMEN" and that "there is no place in our city for hatred and bigotry." The motion came in response to concurrent anti-trans campaigns that had taken place in Liverpool whilst the British government was proposing to simplify the process of legally changing genders. The city vowed to remove anti-trans stickers seen around Liverpool, the Town Hall and other public buildings would be lit up