Trans healthcare 選挙運動者s lose 控訴，上告 企て，努力，提案 over waiting times
Two transgender people have lost a 法廷，裁判所 of 控訴，上告 challenge against NHS England over waiting times for gender dysphoria 治療.
Eva Echo and Alex Harvey brought 合法的な 活動／戦闘 against the healthcare 団体／死体 over “extreme” waiting times for a first 任命 with a specialist, along with two young people who cannot be 指名するd.
At a High 法廷，裁判所 審理，公聴会 in November 2022, their lawyers argued that the organisation is failing to 会合，会う a 義務 to 確実にする that 92% of 患者s referred for 非，不，無-緊急の care at services （売買）手数料，委託（する）／委員会／権限d by NHS England ? 含むing gender dysphoria clinics ? start appropriate 治療 within 18 weeks.
In a 判決，裁定 in January, Mr 司法（官） Chamberlain 解任するd the （人命などを）奪う，主張する, finding that this was a 義務 to “make 手はず／準備” and 適用するs to 患者s as a whole, rather than individuals.
The 選挙運動者s lost their 法廷，裁判所 of 控訴，上告 challenge against NHS England (PA)
The four people challenged this 判決，裁定 at a 審理，公聴会 earlier this month, with their lawyers arguing the 規則’s language was “deliberately and una mbiguously でっちあげる，人を罪に陥れるd in 義務的な language”.
But in a 決定／判定勝ち（する） on Monday, Lady 司法（官） King, Lord 司法（官） Moylan and Lord 司法（官） Popplewell 解任するd the 控訴，上告.
Lord 司法（官） Popplewell said: “NHS England’s 機能（する）／行事 is one of arranging.
“It cannot 達成する a waiting time 基準 itself by the 準備／条項 of services, but only by making 手はず／準備 designed to 達成する it through the 準備／条項 of services by others. Whether those 手はず／準備 do 達成する it is not in NHS England’s 手渡すs.”
The 裁判官 said it would be “半端物” to make it optional to 供給する a service, but have a strict 義務 over waiting times if the service is 供給するd.
Lord 司法（官） Popplewell continued: “There are important 政策 considerations which NHSE will have to make which may 衝撃 on waiting times, やめる apart from any consideration of 配分 of 財政上の 資源s.
“戦略s for 患者 safety, 治療 結果s, staff training and working 条件s, long 称する，呼ぶ／期間／用語 planning, 地域の capacity, and buildings and 器具／備品 are a few which readily come to mind.
“These are pre-eminently 事柄s of 政策 伴う／関わるing discretionary judgments for the (n)役員／(a)執行力のある to make.”
Bekah Sparrow, 合法的な officer at the Good 法律 事業／計画（する） ? which supported the 合法的な challenge, said: “Today’s 結果 is not what we hoped for, and we are incredibly disappointed to see NHS 患者s let 負かす／撃墜する once again.
“Good 法律 事業／計画（する） wants to see a world in which everyone, 関わりなく their gender 身元, is able to 接近 the healthcare they need within reasonable timeframes.
“We continue to stand と一緒に the transgender community, and all NHS 患者s, as we work に向かって a fairer world.”
An NHS spokesperson said: “The NHS welcomes the judgment and is pleased to see that these （人命などを）奪う，主張するs have again been 解任するd ? this time, 全員一致で by three 上級の 控訴，上告 裁判官s.
“The NHS will continue to 運動 今後 改良s in gender services and 取り組む the waiting 名簿（に載せる）／表（にあげる）s which have grown because of 速く rising 需要・要求する, while taking 活動／戦闘 to 減ずる the wider elective covid backlogs.”
