While attending a discussion event at Manchester Pride in 2015, I was astonished to hear that Manchester had no integrated care pathway for trans individuals. Th e city, while famous for its diversity and Gay Village, had no one-stop location for trans people to seek support. Paul Martin, OBE, Chief Executive of the
Lesbian, Gay, Bisexual and Trans (LGBT) Foundation, a charity in central Manchester, explained that trans people often had to travel to diff erent cities to access gender identity clinics (GICs), and even then, waiting lists were long and services frequently limited. Paul commented that service users had highlighted speech and language therapy as particularly challenging to access, while SLTs often reported feeling that they did not have the skills to work with trans individuals. I introduced myself and asked how I and my students at the University of Manchester might help on a voluntary basis.