Trust has diversified with new services such as the Family Drug and Alcohol Court in Milton Keynes and the City and Hackney community psychotherapy service. It is the largest provider of transgender services in England, but funding for the service has not kept pace with demand. In August 2019, 5,717 people were on the waiting list for a first appointment, and average waiting time was about two years. The Gender Identity Development Service (GIDS) at the Tavistock Centre has come under scrutiny due to reports that concerns over children's welfare were "shut down". The Tavistock and Portman NHS Trust defended their practices. In July 2022, following criticism in the interim report by Dr Hilary Cass, it was announced that this service would be discontinued and replaced with regional clinics providing a more "holistic" approach. BBC journalist Hannah Barnes released a book in 2023 called 'Time to think: The inside story of the Tavistock's Gender Service for Children in which she claims that children as young as ten were referred to specialists with a view to them being prescribed puberty-blocking drugs and that others were referred after as little as 20 minutes consultation. Performance It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 449 full-time equivalent staff and a sickness absence rate of 0.92%. 84% of staff recommend it as a place for treatment and 73% recommended it as a place to work. The Trust borrowed £58 million in 2016 which it intends to repay by selling its current sites. Notable contributors to the clinic Over the years many hundreds of staff members, at all levels, have contributed to the work of this institution. This list is merely representative of some of the lasting contributors to the different fields encompassed by the Clinic. Medical directors, chief executives and Chair of Trust Hugh Crichton-Miller 1920–1933 John Rawlings Rees 1933–1947 J. D. Sutherland 1947–1968 Robert H. Gosling 1968–1985 Anton Obholzer 1985–2002 Nick Temple 2002–2015 Matthew Patrick Paul Jenkins The Scottish Institute of Human Relations In line with Hugh Crichton-Miller's original vision for clinics to be set up in communities across the country, his dream was not realised in his 'native' Scotland for another 50 years. However, with Jock Sutherland's return to Edinburgh in 1968, he became the catalyst for the formation of an organisation modelled on