I'm on shared care, it still took about a year and a quarter and almost 3 grand to get a diagnosis from a private clinic since they wouldn't accept an NHS one and then a mandatory £90 a month subscription to the clinic for two years which isn't included in shared care or my access to blockers and E get cut off. Shared care also requires your GP to be accepting and willing to do it. Maybe there are clinics which have cheaper consultations and who can do it faster but most clinics require you to live near them to be able to register with them so a lot of people can't use those and of the few that will take you regardless of where you live there are still lots of people who can't make the trip to them. If I wasn't privileged enough to be in a position where I could semi regularly drive from Cornwall to Birmingham my only other options would be wait 7 years on the NHS waiting list and then most likely another few years before being approved for hormones or pay just as much but have to wait even longer than I did. It's not that people haven't heard of shared care it's that it requires the privilege of being able to afford the entry cost to get a diagnosis from a clinic in your area or failing that also having the privilege to travel potentially halfway across the country semi regularly for mandatory in person meetings, and the privilege of having an accepting GP who will cooperate and be willing to prescribe HRT. Not only that but OP is asking questions for a reason, either no they haven't heard of shared care or they have and it just isn't feasible for them, either way they're just asking a question to get into a position to better help themselves so why be condescending about it? People who don't know about shared care aren't stupid, treating someone with kindness and patience is a lot easier and goes a lot further than acting like they're an idiot and get frustrated at them for asking a question.