The 2025 Levy Review: Progress and Persistent Gaps
A decade after the NHS was identified as failing trans people, the 2025 Levy Review reveals what has changed and where significant work remains.2 January 2026
In 2015, the House of Commons Health Committee concluded that the NHS was fundamentally failing trans people. Ten years on, the 2025 Levy Review offers us an opportunity to assess what has shifted in that time and where the gaps remain most acute.
The review's findings are sobering in places and encouraging in others. What emerges is a picture of inconsistency: some regions have made meaningful progress in affirming care and reducing waiting times, whilst others continue to operate within outdated frameworks that fail to meet people's needs with compassion or clinical competence.
Read the full analysis to understand what the review identifies, how it builds on earlier critiques, and what the recommendations mean for trans people accessing NHS care today.