Grrrr

it is very annoying. But at 32, a few more months should not make any difference to you at all. Work on the things that you do not need medical/psych help. Voice, image, mannerisms etc. This helps to fill in the gap before the medical bit. As you know, hormones only do so much. It is no good looking like a supermodel and then walking into a restaurant picking your nose, scratching your bum, walking like an ape and talking like a builder ( no offence to apes). I am 41, and have been full time for over a year and only had my first endo appointment at the beginning of January. Was sent to the doctors for a Zoladex implant and was told by them that the dosage my endo wanted to prescribe did not exist. Guess what, another delay. It is not just the delays, but the incompetence that gets to you. So, even when you think you are moving forward..... you get the picture. So, take things into your own hands while you wait. You need to be the driving force behind your transition. Do the safe things to aid progress. It WILL make you feel better.
It WILL happen for you, just on the NHS' timescale and not yours should you take the NHS route.
Oh, and one more thing, there is nothing like jumping in at the deep end with transition. It causes you to readjust preeeeety rapidly in a kind of sink or swim way. Goes something like this... Monday, take ALL male clothes to charity shop, Tuesday, send deed poll and change of name requests to all relevant organisations, Wednesday walk into bank in female clothes with a deed poll and change all your bank details over, Thursday go shopping in Tescos and surprise yourself that because you are dressing to blend in with the other women, nobody is staring at you. Get annoyed that the price of cherry tomatoes has doubled. Friday go for a meal or a coffee or both. Following week repeat...repeat....repeat... Then get all happy when time has passed, life starts to normalize and you get all your new documentation with your new name and acquired gender on. Driving license is a real cool one.
Thing that puzzles me is, looking at your profile pic, what are you waiting for


? Get the groundwork done and you can walk into your first appointment, where and whenever that may be with proof of name change and RLE with your head held high.
Remember, you do not need the NHS' permission to be you and start living your life.
Do not get upset, get busy and get creative.