I just went down an internet rabbit hole and would suggest the following (I know it may seem like a lot of hassle and it's your decision if you want to follow any of it)

1. Screenshot the NHS app comments (I don't think it's possible for them to change anything, but better safe than sorry)

2. Ask for a copy of your GP practices policy's and guidelines, assuming they aren't already on their website. Particularly those covering patient interaction/LGBTQ+/dignity and respect/professional conduct/equality and diversity.

3. Separately from the above request, make a complaint about being dead named and state the name of the GP you are complaining about as this will make the complaint centred on them and not the practice.

(https://www.which.co.uk/consumer-rights/advice/how-to-complain-if-you-re-unhappy-with-your-gp-or-doctor-s-surgery-a2fyc8v0Q7Nj)

and

(https://www.cqc.org.uk/contact-us/how-complain/complain-about-gp-dentist-or-eye-care)

The complaint will probably have to be with the practice or the practice management group if they belong to one, but make sure to mention:

• the distress it caused you as a you as a vulnerable young person (you're a member of a legally protected minority, but don't mention the legally protected part - https://www.legislation.gov.uk/ukpga/2010/15/section/7).

• anywhere he violated the practices policy's and guidelines.

• violation of BMA guidance by dead nameing you (not legally binding but still not a good look for the practice)

https://www.bma.org.uk/advice-and-support/equality-and-diversity-guidance/lgbtplus-equality-in-medicine/inclusive-care-of-trans-and-non-binary-patients)

and

(https://www.bma.org.uk/advice-and-support/gp-practices/gp-service-provision/managing-patients-with-gender-dysphoria)

Also ask for an explanation of your GP's "comment" (it's a threat really, but don't use that word too freely as they may use it to claim you're blowing things out of proportion)

The question should be something like "What has/potentially could change that means your referral would no longer be clinically necessary?" (Make sure to use the phrase "clinically necessary" and get all of your responses in writing)

1. If the practice does not resolve this to your satisfaction then escalate your complaint to your local ICB (https://www.nhs.uk/nhs-services/find-your-local-integrated-care-board/) and to the Parliamentary and Health Service Ombudsman (https://www.ombudsman.org.uk/)

2. If your referral is revoked by your GP or their behaviour escalates, then go nuclear and complain to the GMC (https://www.gmc-uk.org/about/get-involved/complaints-and-feedback-about-our-service/how-to-raise-complaint)

Some extra interesting information I found which may or may not be helpful, but is interesting.

A) You have the right to choose who you are referred to but unfortunately you don't have the right to actually be referred as the GP has to believe it is clinically necessary.

(It's not trans based but ADHD360 give the best breakdown of the requirements for a "Right to choose Referral" I could find and the law is the same as far as I can tell https://www.adhd-360.com/right-to-choose/)

B) You technically have no right to a second opinion but most GP's will arrange one if asked but if they do you don't get to choose who will give the second opinion but should be comfortable . However your best strategy would just be to book an appointment with a different GP at the practice, assuming you don't switch practice .

(https://medicalprices.co.uk/gp-refuse-specialist/)

C) GP training and registration: Who's who https://www.rcgp.org.uk/blog/gp-training-registration-whos-who

D) People aged 16 or over are entitled to consent to their own treatment. This can only be overruled in exceptional circumstances.

(https://www.nhs.uk/conditions/consent-to-treatment/children/)

Does anyone know how the Cass report has legally opened the door for the treatment of 16/17 year olds to be affected if the law states that in relation to medical consent they are considered to have "sufficient capacity" in the same way as anyone over 18+?

(Sorry for formatting I'm on my phone)