Dr Jeannie Oliphant followed-up the 2019 survey of District Health Board (DHB) clinicians, with a 2021 update at the PATHA Symposium this year. She obtained information from clinicians providing gender affirming healthcare in 20 DHBs in New Zealand.

In summary, while there has been an improvement in the availability of gender affirming healthcare services provided by DHBs around Aotearoa, this has mostly been due to efforts to improve access to clinical services. It should be acknowledged that provision of clinical services is often championed by individual clinicians in contrast to other aspects of care such as providing clear pathways or advisory groups, which require resourcing by DHB management.
You can read the full findings here: https://patha.nz/gender-affirming-care-2021