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"It won't go anywhere. Will what the government is proposing be enough to overcome a private patient's income? I doubt it very much."

The 52-year-old said he may need to raise at least £120,000 to pay for the treatment as a private patient.

“Seattle Children’s took legal action to protect private patient information related to gender-affirming care services at our organization sought by the Texas Attorney General,” a hospital spokesperson said in a statement.

One private patient is 13-year-old Jasper Salisbury-Jones, from Brixton in south London, who - like Alfie Dingley - has a rare form of epilepsy.

One private patient, Martin Byrne, said he was in immediate pain after an operation to repair his rotator cuff performed by Mr Shah at Spire, Little Aston, in Sutton Coldfield in August 2018.