Diolch, Llywydd. A UK-wide public consultation on the interim service specification for specialist gender dysphoria services for children and young people closed recently on 5 December. Although published by NHS England, the proposed changes will impact on young patients who are the commissioning responsibility of NHS Wales. Concerns have been raised by Stonewall and others that access to the interim service will include an additional consultation stage for young people before joining the waiting list, which may cause even further delays to accessing care or even deny access to it completely. There's no reference either to the newest international best practice guidelines for trans healthcare. One of the most worrying aspects is that the service specification seeks to treat social transition as a medical intervention, which is only recommended after receiving a diagnosis and experiencing clinically significant levels of distress. Do you agree, Minister, and Deputy Minister, that social transition, such as changing one's name, pronouns and/or gender presentation, is not a medical intervention?

As you know, the Tavistock gender identity development service—GIDS—is closing next spring. Two regional centres are expected to open: one in London, one in the north-west of England. But there are concerns this will lead to further gaps in provision and lengthen waiting times, which are already high. I'd like to know if the Welsh Government is aware of these proposed changes. Have they been raised with the Welsh Government? Has there been an impact assessment as to how this will affect Wales and children and young people in Wales needing to access gender dysphoria services? How will these changes impact the LGBTQ+ action plan? Did the Welsh Government contribute to the consultation? It obviously will have an impact on young people in Wales seeking support and care. Diolch.