The extraordinarily long wait times, which were the subject of lawsuits (because puberty blockers need to be administered within a certain time (obviously) weren’t about to get resolved anytime soon and while this particular case went against those suing about the long wait times, there would undoubtedly be others.
So I suspect the solution to ” We can’t serve increased needs in a timely fashion ” was to shut down all operations and refocus on 16+ gender dysphoria and provide more local gender dysphoria clinics for them only.
In short, “we can’t meet the increased demands so we will close the service completely”