Especially if they stick together. Lawsuits are just around the corner and we need surgeons to focus on surgeries that are actually necessary.
This is from Reddit, so not exactly a reliable source.

But it appears that hormones and surgeries seem to be getting more difficult to obtain.
According to Google, funding for phalloplasty (the so called "bottom surgery" for TIF) was cut in 2021, resulting in a drastic reduction in hospitals offering this. Reddit says that one of these hospitals has just announced it will no longer perform this procedure leaving only one hospital doing these.
Google says: "phalloplasty is centrally commissioned by NHS England and primarily performed in London at facilities". This sounds like more than one hospital, but maybe all in London?
(In contrast, vaginoplasty ("bottom surgery" for TIM) is offered by 3 different NHS hospitals. I believe that phalloplasty is a more complex surgery which might explain the difference).
Both surgeries have a very high rate of long-term complications and - IMO - the lawyers are going to have a field day.
Hormones are often prescribed under shared care. Shared care is an arrangement where a hospital consultant decides which medication is appropriate and the patient's GP then takes over the regular prescribing. Sometimes the GP can make changes to the dosage but for any significant alterations the Consultant is involved.
According to Reddit, increasing numbers of GP's are refusing to take over prescribing hormones, stating that they don't have the necessary training or experience to monitor the patients.
Hmm.

Maybe this is true
...or maybe they don't agree with giving cross-sex hormones
...or maybe they are covering their backs.
Or maybe a mixture of the above.
And finally, Reddit also says that TIF are increasingly having difficulty finding a GP surgery who will administer testosterone injections.
Whatever is happening, if the threat of lawsuits is making the medical profession nervous - good!