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Specialist UK gender clinics


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In the UK, people who are changing things linked to gender are supported by a set of specialist centres, often known as “gender identity clinics” (GICs), which offer formal diagnosis and access to other services like hormone medications and surgeries.

tickFree UK-based services

You can access these gender services for free by asking your GP to make a referral. However, these services have significant waiting lists, and may require a wait of several years before being seen. They will also only accept you as a patient if you are registered with a GP in a specific area.

You can find more information about waiting times - and which services will see you more quickly - on our UK service wait times page.

  • Logo of Chalmers Gender Identity Clinic
    EdinburghChalmers17+ only

    GP referral only

    Borders, Fife, or Lothian GP only

  • Logo of West of England Specialist Gender Identity Clinic
    ExeterWest of England17+ only

    GP referral only

    England GP only

  • Logo of The Nottingham Centre for Transgender Health
    Nottingham17+ only

    GP referral only

    England GP only

  • Logo of Northamptonshire Gender Identity Clinic
    NorthantsDaventry17+ only

    GP referral only

    England GP only

  • Logo of Northern Region Gender Dysphoria Service
    Newcastle17+ only

    GP referral only

    England GP only

  • Logo of Leeds Gender Identity Service
    Leeds17+ only

    Allows self-referral

    England GP only

  • Logo of Porterbrook Clinic Gender Identity Service
    SheffieldPorterbrook17+ only

    GP referral only

    England GP only

  • Logo of Grampian Gender Identity Clinic
    Grampian18+ only

    GP referral only

    Grampian, Orkney and Shetland GP only

  • Logo of Highland Gender Identity Service
    InvernessHighland GIS17+ only

    Allows self-referral

    Highland GP only

  • Logo of Knowing Our Identity Gender Identity Development Service
    Belfast KOIKOIUnder 18s

    GP referral only

    Northern Ireland residents only

  • Logo of Brackenburn Clinic Regional Gender Identity Service
    BelfastBrackenburn18+ only

    GP referral only

    Northern Ireland residents only

  • Logo of Sandyford Gender Identity Service
    GlasgowSandyfordAll ages

    Allows self-referral

    Scotland GP only

  • Logo of Sandyford Youth Gender Identity Service
    Glasgow YouthSandyford YouthAll ages

    Allows self-referral

    Scotland GP only

  • Logo of Tavistock and Portman Gender Identity Development Service
    London GIDSTavistockUnder 18s

    GP/CAMHS referral only

    UK GP only

  • Logo of Tavistock and Portman Gender Identity Clinic
    London GICTavistock17+ only

    Allows self-referral

    UK GP only

  • Logo of Welsh Gender Service
    CardiffWelsh Gender Service18+ only

    GP referral only

    Wales GP only

All these services are now accepting referrals and able to offer both phone and video appointments.

tickNHS England pilot schemes

There are also a number of pilot schemes run by different organisations within NHS England. The purpose of these schemes is to explore a more holistic and comprehensive model of how gender clinics can function, with patient agency centred more in the process.

These clinics generally have a much shorter wait, but are only open to people who’ve already been referred to another clinic, and who meet particular requirements. Waits vary, usually depending on how long you’ve been on the waiting list for the other clinic.

There are also several private gender services which charge fees but which may have significantly shorter waiting lists. You may wish to use these services while on the waiting list for an NHS service.

You can find the waiting times for these services on our UK service wait times page.

Other services

Other services that may be of interest to people in the UK include:

  • Christian Seipp offers private endocrinology services to people 18 years or older who have been previously assessed for gender dysphoria
  • GenderHealthCare offers private nursing services to gender-diverse youth and trans people of all ages, including offering specialist advice, administering injections, and taking blood samples
  • GenderGP are an international organisation providing services for trans patients of all ages, including hormones and counselling
  • 56 Dean Street provide gender-based counselling and perform injections for hormones prescribed elsewhere
  • Brighton and Hove Sexual Health provide hormone levels testing and perform injections for hormones prescribed elsewhere

Choosing a service

To ensure that you choose an appropriate service, it is important to investigate:

  • Are you likely to be seen promptly by the service?

  • Will you get written confirmation you have been added to a waiting list?

  • Will they perform medically unnecessary examinations of your chest or genitals?

  • Will they regularly monitor your health if you are prescribed hormones?

  • If they ask your GP for blood tests or to prescribe, will your GP agree?

  • If they write a letter recommending you for surgery, will surgeons accept it?

  • Do they have fees or subscriptions that have a similar cost to other services?

  • Do they respond quickly to questions? How often will they check in with you?

  • Do past patients recommend the service? What are people saying online?

A well-run service will be happy to help you with questions on these subjects. You may also find useful information on these subjects, and other people’s thoughts and experiences of services, by searching /r/transgenderuk for information.

Getting a referral to an NHS clinic

If you’re an adult, you can ask your GP for a referral to a specialist gender service, and they should refer you directly without first referring you to a local mental health team.

If you’re a young person, you can ask your GP for a referral to one of the specialist youth gender services. You can see your GP without your parents present, and they shouldn’t tell them about what you’ve discussed without your consent, though they may encourage you to talk to them yourself. If you’re in England, Wales and Northern Ireland, you might be referred to a CAMHS team before being referred to a specialist gender service. If you’re in Scotland, you can be referred to Sandyford’s Young People’s Gender Service directly.

If you’re in Scotland (regardless of age), you can self-refer to Sandyford; see their website for more information.

All the private gender services accept self-referral. However, it may be helpful to speak to your GP before self-referring to a private service, to find out if your GP will be able to support your treatment and if they are able to support you with blood tests and prescribing.

How much will it cost?

British citizens are able to access the NHS and HSC gender services for free. If you are not a British citizen, you may still be able to access these services for free, and more details can be found on the Immigration page.

Patients applying to Tavistock GIDS from Wales will need to ask their GP to apply for funding from their local CCG.

You may be able to get help with the cost of travelling to attending appointments at NHS or HSC gender services. Further information about travel costs can be found:

More information about travel funding is also available on the London GIC website and the London GIDS website.

Costs for private services vary significantly. You can find price details on their websites, plus a comparison of estimated costs on the Trans Health UK website. If you are using private gender services to obtain medications, the service will normally ask your GP to write you NHS prescriptions. Your GP may or may not agree to do this - it is up to them. NHS England have published guidance for GPs to help them make this decision, which you may wish to give to your GP. If your GP agrees to prescribe, the cost of your medication is the same as any other NHS prescription. If your GP does not, the private service can write you private prescriptions, which you will have to pay the full cost of.

Where can I learn more?

There are official pages about finding a gender clinic available:

Errors and omissions

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