General Medical Council guidance
The GMC have created a trans healthcare hub that gives information on how to treat trans and non-binary people. This is the most important information to read about how to support your patients.
Each nation’s public health body has published a policy for how patients should be treated.
- NHS England: Gender Dysphoria Protocol. NHS England have also published information for GPs on prescribing and monitoring hormones and information for GPs on handling requests from private medical service providers.
- NHS Scotland: Gender Reassignment Protocol. You should also read Interim Guidance which contains updates to the protocol. Some explanatory notes have been published which may help you.
- NHS Wales: Specialised Services Policy CP21
Additionally, the specialist gender services follow the Royal College of Psychiatrists Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria.
Some CCGs and Trusts have written local policies on gender diversity in patients and staff.
- NHS Brighton and Hove CCG
- NHS Brighton and Sussex University Hospitals NHS Trust
- NHS Coventry and NHS Warwickshire
- NHS East Cheshire NHS Trust
- NHS East Lancashire Health Economy Medicines Management Board
- NHS East and North Hertfordshire CCG
- NHS Fylde and Wyre Clinical Commissioning Group
- NHS Greater Manchester Medicines Management Group
- NHS Mersey Care NHS Trust
- NHS North of Tyne and Gateshead Area Prescribing Committee: 1 2
- NHS Nottinghamshire Area Prescribing Committee
- NHS Nottinghamshire Healthcare NHS Foundation Trust
- NHS Royal Cornwall Hospitals NHS Trust
- NHS South London and Maudsley NHS Foundation Trust
- NHS Sunderland CCG: 1 2
- NHS University Hospitals Birmingham NHS Foundation Trust
- NHS University Hospitals of Morecambe Bay NHS Foundation Trust
- NHS Yorkshire and the Humber
Specialist gender services
A number of specialist NHS services across the UK provide diagnosis and treatment to people experiencing issues related to gender. Some specialise in providing services to under-18s. A number of private specialist gender clinics are also available in the UK for patients who can afford this.
Full list of UK specialist gender services
Guidance published by specialist services
Some specialist gender services have produced additional guidance for GPs.
Sheffield Gender Identity Clinic:
West London Mental Health NHS Trust:
Supporting transgender and gender-diverse peopleRoyal College of Psychiatrists
Trans Guides Issue 2: Support for GPs and Trans PatientsLGBT Foundation
Contraceptive Choices and Sexual Health for Transgender and Non-binary PeopleFaculty of Sexual and Reproductive Healthcare
Fair care for trans patientsRoyal College of Nursing
Preventing suicide among trans young people: a toolkit for nursesPublic Health England
Guidelines for the Care of Trans* Patients in Primary CareRoyal College of General Practitioners
Guidelines for health organisations commissioning treatment services for trans peopleParliamentary Forum on Gender Identity
BMJ subscribers can also access BMJ Best Practice - Gender dysphoria in adults.
Transgender HealthA Practitioner's Guide to Binary and Non-Binary Trans Patient Care
Supporting Young Transgender MenA Guide for Professionals
Counseling Transgender and Non-binary YouthThe Essential Guide
The Transgender HandbookA Guide for Transgender People, Their Families and Professionals
Information for psychotherapists and counsellors
Gender, Sexual, and Relationship Diversity (GSRD) - Good Practice across the Counselling ProfessionsBritish Association for Counselling and Psychotherapy
Gender and Sexual Diversity TherapyPink Therapy
Errors and omissions
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