Knowledge Anglia

South Norfolk Sign In Register
  • Clinical Information
     
    • Cancer
    • Cancer - Suspected
    • Cancer - Diagnosed
    • Diagnostics
    • Haematology
    • Pathology
    • Radiology
    • Mental Health
    • Adult Mental Health
    • Antenatal and Postnatal Mental Health
    • Dementia
    • Drug & Alcohol
    • Eating Disorders
    • Gender identity / gender dysphoria
    • Learning Disabilities / Neuro Developmental Disorders
    • Severe Mental Illness (SMI) Health Checks
    • NICE
    • Connect
    • COVID-19
    • Guidelines
    • Newsletters and Alerts
    • Paediatrics
    • Child Dietetics and Nutrition
    • Child ENT and Audiology
    • Child Immunisation
    • Child Learning Disabilities
    • Child Mental Health
    • Child Physical Activity and Weight Management
    • Child Respiratory
    • Child Safeguarding
    • Children over 5 & Young People
    • Children under 5 & Breastfeeding / Weaning
    • Child Prescribing
    • Other
    • Ageing Well
    • Benefits, Work & Pensions
    • Cardiovascular
    • Carers and Independent Living
    • Complementary Therapy
    • Continuing Healthcare (CHC)
    • Dental
    • Dermatology
    • Diabetes & Endocrinology
    • Dietetics and Nutrition
    • End of Life and Palliative Care
    • ENT & Audiology
    • Falls
    • Fertility (Assisted Conception)
    • Gastroenterology and Colorectal
    • Genetics & Family History
    • Gynaecology, Pregnancy and Birth
    • Immunisation
    • Infection Control
    • Infectious Diseases
    • Long Term Conditions
    • Musculoskeletal & Orthopaedics
    • Nephrology
    • Neurology
    • Obesity / Weight Management
    • Ophthalmic
    • Pain Management
    • Physical Activity
    • Respiratory
    • Safeguarding
    • Screening
    • Sexual Health
    • Smoking Cessation
    • Transport
    • Travel Health and Driving
    • Urology and Urogenital
    • Veterans
  • Prescribing, Pharmacy and Medicines Optimisation
     
    • Therapeutic Advisory Group (TAG)
    • Shared Care Activity Searches
    • Shared Care Agreements
    • TAG Guidance
    • TAG Recommendations
    • Guidance Updates and Newsletters
    • Prescribing A-Z
    • A-D
    • E-H
    • I-N
    • O-S
    • T-Z
    • Clinical Areas
    • Cardiovascular
    • Chronic Pain
    • Diabetes
    • Dietetics and Nutrition
    • Respiratory
    • Care Homes
    • Commissioning Information
    • COVID-19 Prescribing / Medicines Resources
    • Drug and Safety Alerts
    • MHRA safety info for GP practices
    • MHRA safety warnings, alerts, recalls
    • NPSA Resources
    • Drug Shortages and Supply Issues
    • Forms
    • Funding Request Forms
    • Incident Reporting
    • Medicines/Prescribing
    • IFR
    • Netformulary - N&W Formulary
    • Other N&W Formularies
    • Allergies
    • Analgesics
    • Antimicrobial Prescribing Guidance Summary
    • Bone
    • CNS - Mental Health
    • Combined Commissioned Drug Therapies List - Under Review
    • Continence including Full Guidance
    • Emollient Pathway
    • Eye
    • Gastrointestinal System
    • Hosiery Garment and Sundries Formulary
    • Infant Feeding and Guides
    • Pain Management Pathway
    • Skin
    • Woundcare
    • GP Practice Support
    • Norfolk and Waveney Prescriber
    • Opioid Deprescribing Toolkit and Resources
    • Patient Group Directions (PGDs)
    • Patient Information and Self Care
    • Policies
    • PAC Policies
    • Restricted Prescribing and OTC
    • Prescribing Guidance
    • BNF / BNFC
    • BNF / BNFC - App for smartphone/tablet
    • Combined Commissioned Drug Therapies List - Under Review
    • Controlled Drugs - NICE
    • European Antibiotic Awareness Day (EAAD)
    • Key message bulletins (N&W ICB)
    • Medicines Optimisation (NICE)
    • PrescQIPP DROP List
    • PrescQIPP Medical Devices DROP List
    • Repeat Dispensing
    • Training - Medicines Management
    • Useful Links
  • Clinical Thresholds Policy
     
    • Clinical Threshold Policy - Supporting Information
    • GP Clinical Threshold Referral
    • Individual Funding Requests: Commissioning Policy
    • Procedure Codes (May 2021)
    • A - D
    • Abdominoplasty / Apronectomy
    • Achilles Tendonopathy
    • Acupuncture
    • Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain
    • Bariatric Surgery
    • Benign Skin Lesions
    • Bobath Therapy
    • Breast Surgery (Aesthetic/​Cosmetic)
    • Buttock Lift
    • Calf Implants
    • Carpal Tunnel Syndrome
    • Cataract Surgery
    • Chalazion
    • Cholecystectomy
    • Circumcision
    • Corneal Collagen Cross-Linking for Keratoconus
    • Corticosteroid Injections for Chronic hip pain
    • Cosmetic Excision of Skin of Head/​Neck
    • Cryopreservation of sperm, oocytes ​& embryos
    • Dilation and Curettage (D&C)
    • Dupuytren’s Contracture
    • Dynamic Lycra Splints
    • E - H
    • Ear Lobes - Elective repair of
    • Epiphora (treatment of)
    • Exogen Bone Healing
    • Extra-Corporeal Shockwave Therapy
    • Eyelid Ectropion
    • Eyelid Ptosis
    • Eyelid - Removal of Redundant skin
    • Facet Joint Pain (Suspected)
    • Female Genital /​ Pelvic Organ Prolapse
    • Fertility Treatment (Assisted Conception)
    • Functional Electrical Stimulation (FES)
    • Ganglion ​& Mucoid Cyst
    • Gilmores Groin (see Hernia)
    • Grommets for Adults & Children
    • Haemorrhoids
    • Hair Removal
    • Hair Replacement, Wigs
    • Hallux Valgus
    • Hernia
    • Hip Arthroplasty (Primary)
    • Hip Resurfacing
    • Homeopathy
    • Hydrotherapy
    • Hypnotherapy
    • Hysterectomy for Heavy Menstrual Bleeding
    • I - N
    • Knee Arthroplasty (Primary)
    • Knee Arthroscopy
    • Labiaplasty
    • Laser Hair Removal - Non-face body areas and for non-cosmetic reasons
    • Laser Treatment of Myopia
    • Lipoma (surgical treatment of)
    • Liposuction
    • Liposuction for Lipodema
    • Low Back Pain - Other Procedures
    • Lymphoedema
    • Mandibular Advancement Device
    • MRI Guidance (Open/Upright and Wide-Bore)
    • Neurostimulation
    • O - S
    • Osteopathy ​& Chiropractic Therapy
    • Patella Re-Surfacing
    • Pectus Deformity - Surgery for
    • Pinnaplasty (Prominent Ears)
    • Plantar Fasciitis
    • Plastic Operations on Umbilicus
    • Radio Frequency Denervation of Facet Joints
    • Removal of Redundant Fat or Skin
    • Residential Pain Management
    • Reversal of Male and Female Sterilisation
    • Rhinophyma
    • Rhinoplasty
    • Sacro-iliac injections
    • Scars ​& Keloids
    • Sensory Integration Therapy
    • Simple Snoring - Surgical Intervention
    • Spinal Fusion
    • Sterilisation by Vasectomy and Reversal
    • Steroidal Epidural Injections for Patients with Acute and Severe Sciatica
    • Surgical Discectomy (for lumbar disc prolapse)
    • T - Z
    • Thigh/Arm Contouring
    • Tonsillectomy - Recurrent Tonsillitis
    • Tonsillectomy - Sleep Apnoea (under 16)
    • Tonsillectomy - CCT with Tonsilloliths
    • Transcranial Magnetic Stimulation
    • Trigger Finger
    • Ultrasound Guided Shoulder Injections
    • Varicose Veins
    • Vertebroplasty for Osteoporosis
  • Providers / Services
     
    • Local Directory of Services
    • Add New Service
    • Outpatient Waiting Times
    • Acute Trusts / Hospitals
    • Addenbrookes
    • Ipswich Hospital Site (ESNEFT)
    • James Paget
    • Norfolk & Norwich
    • Queen Elizabeth Hospital
    • Royal Papworth Hospital
    • West Suffolk Hospital Clinical Guidance and Pathways
    • Care Providers
    • Community Services
    • Email [Secure]
    • Other Services
    • CCG Website
    • Out-of-Hours
    • PCSE
    • Public Health
    • Social / Integrated Care
    • Practice Admin & Management
    • General Practice Admin & Management
    • 111 Service
    • Enhanced Services
    • e-Referral & Patient Choice
    • JPUH non e-Referral services
    • NNUH non e-Referral services
    • Information Governance, IT etc.
    • Interpretation and Translation Services - Non-Spoken (Language Empire)
    • Interpretation and Translation Services - Spoken (DA Languages)
    • NHS England General Practice
    • Quality & Patient Safety
    • Registration Authority (RA)
    • Summary Care Record
    • Information for Patients
    • Patient Information Database
    • Dietetics Leaflets
    • Norfolks Living Well Leaflets
    • Patient UK
    • Patient Decision Aids
  • Forms
     
    • Cancer / 2WW
    • Norfolk & Norwich Hospital (NNUH)
    • James Paget Hospital (JPUH)
    • Queen Elizabeth Hospital (QEH)
    • Ipswich Hospital Site (ESNEFT)
    • West Suffolk Hospital Clinical Guidance and Pathways
    • Multi-organisation forms
    • Fertility
    • Hearing Aid
    • Mental Health & Learning Difficulties
    • Learning Difficulty (LD)
    • Mental Health
    • Community Services
    • All Community Services
    • Children
    • Diabetes
    • End of Life
    • Exercise
    • Infectious Diseases
    • Integrated Care (ICN/ICO)
    • Neurology
    • Smoking
    • Termination of Pregnancy (ToP)
    • Weight Management
    • Continuing Healthcare (CHC)
    • Hospitals
    • Ipswich Hospital
    • James Paget Hospital
    • Norfolk & Norwich Hospital
    • Queen Elizabeth Hospital
    • West Suffolk Hospital
    • Addenbrooke's
    • Incident reporting / Quality issue concerns
    • Individual Funding Requests
    • Medicines / Prescribing
    • Practice Admin
    • Services to Primary Care
    • GP Clinical Threshold Referral
    • GP Clinical Threshold Referral - RMS Participation
    • Safeguarding
    • Safeguarding Adults
    • Safeguarding Children (LSCB1)
    • Guidance
    • Referral Form Creation Guidance
    • Systmone User Guide
    • Emis User Guide
Page last updated: 24/01/2023 Home > Clinical Information > Mental Health > Gender identity / gender dysphoria

Gender Identity / Gender Dysphoria

August 2021

 

Gender Identity Services for Adults (Surgical Interventions): Service Specification December 2020

Gender Identity Services for Adults (Non-Surgical Interventions): Service Specification December 2020

 

Gender dysphoria

The term used to describe a discrepancy between birth-assigned sex and gender identity is gender incongruence; this term is preferable to the formerly-used terms of gender identity disorder and transsexualism. Gender incongruence is frequently, but not universally, accompanied by the symptom of gender dysphoria.  

The current version of the International Statistical Classification of Diseases and Related Health Problems identifies ‘transsexualism’ (ICD 10 code F64) as “a disorder characterized by a strong and persistent cross-gender identification (such as stating a desire to be the other sex or frequently passing as the other sex) coupled with persistent discomfort with his or her sex (manifested in adults, for example, as a preoccupation with altering primary and secondary sex characteristics through hormonal manipulation or surgery)”

 

Care Pathway

The NHS pathway of care may be summarised as:

  • Referral to a specialist Gender Dysphoria Clinic (self-referral; or by primary, secondary or tertiary care)
  • Assessment for gender dysphoria, and diagnosis
  • Individuals who meet the criteria for diagnosis of gender dysphoria related to gender incongruence are accepted on to the NHS care pathway and an individualised treatment plan is agreed
  • Therapeutic interventions delivered by the specialist Gender Dysphoria Clinic; and / or referral for interventions with other providers 
  • Ongoing review and monitoring during and after interventions
  • Conclusion of contact: discharge to primary care

 

New Referrals

Self-referrals may be made by individuals themselves, provided the individual is registered with a General Practitioner (GP). Referrals may also be made by GPs, other medically qualified professionals, and other professionals regulated by the Health and Care Professions Council

 

Preservation of Gametes

Where the patient meets the thresholds defined by the Cryopreservation of sperm, oocytes and embryos in patients whose treatment poses a risk to their fertility Clinical Threshold Policy, referrals for preservation of gametes should be sent to Bourn Hall. The referral letter should be accompanied by a recent letter from the provider of the gender dysphoria service, and sent by email to: bournhall.referral@nhs.net.

 

Requests for transfers of care from the Gender Identity Development Service for Children and Young People

A request for transfer of care may be made by the designated Gender Identity Development Service for children and young people to a designated Gender Dysphoria Clinic before the young person’s 17th birthday. This may be appropriate where joint working between the two services, including joint consultations with the young person, within a “lead-in” period is beneficial to ensure a timely and effective eventual transfer once the young person has reached 17 years.

 

Service for over 18 year olds

There are 7 gender specialist clinics for adults in NHS England and referrals can be made to these clinics to explore with the patient the options available to them.

 

Exeter (The Laurels)

Lead Clinician: Dr John Dean

Referral form

The West of England Specialist Gender Identity Clinic
The Laurels
11-15 Dix’s Field
Exeter
EX1 1QA

Telephone: 01392 677077
Email: dpn-tr.TheLaurels@nhs.net
Website: https://www.dpt.nhs.uk/our-services/gender-identity

Leeds (Newsome Centre)

Lead Clinician: Dr Amal Beaini

Referral form

Leeds Gender Identity Clinic

Management Suite
1st floor
Newsam Centre
Seacroft Hospital
York Road
Leeds
LS14 6WB

Telephone: 0113 855 6346
Fax: 0113 855 6483
Email: gid.lypft@nhs.net
Website: https://www.leedsandyorkpft.nhs.uk/our-services/gender-identity-service/

London (Charing Cross)

Lead Clinician: Dr James Barrett

Referral form

West London Mental Health Trust
179 – 183 Fulham Palace Road
London
W6 8QZ

Telephone: 020 8483 2801
Website: https://gic.nhs.uk

Northampton

Lead Clinician: Dr Byran Timmins

Referral form

Northamptonshire Healthcare NHS Foundation Trust
Danetre Hospital
London Road
Daventry
Northants
NN11 4DY

Telephone: 0300 027 2858
Email: genderclinic@nhft.nhs.uk
Website: http://www.nhft.nhs.uk/gic

Nottingham

Lead Clinician: Dr Walter Bouman

Referral form

The Nottingham Centre for Transgender Health,
12 Broad Street,
Nottingham,
Nottinghamshire,
NG1 3AL

Telephone: 0115 876 0160
Email: not-tr.gender-services@nhs.net
Website: https://www.nottinghamshirehealthcare.nhs.uk/nottingham-centre-for-transgender-health

Sheffield

Lead Clinician: Prof. Kevan Wylie

Making a Referral guide

Porterbrook Clinic
Michael Carlisle Centre
Nether Edge Hospital
75 Osborne Road
Sheffield
S11 9BF

Telephone 0114 271 6671
Fax: 0114 271 8693
Email: porterbrook@shsc.nhs.uk
Website: https://www.shsc.nhs.uk/services/gender-identity-clinic

London

General Practitioners: please download and complete the referral form and send the referral information directly to the referral management service via agem.gdnrss-gids@nhs.net.

If you send your referral straight to the Tavistock and Portman NHS Trust, this will be returned back to you, for you to send to agem.gdnrss-gids@nhs.net.

Gender Identity Development Service
The Tavistock and Portman NHS Foundation Trust
120 Belsize Lane
London
NW3 5BA

Telephone: 020 8938 2030/1
Email: gids@tavi-port.nhs.uk
Website: NHS official page and http://gids.nhs.uk/

Newcastle

Lead Clinician: Dr Helen Greener

Referral form

Northumberland, Tyne & Wear NHS Foundation Trust
Northern Region Gender Dysphoria Service
Benfield House
Walkergate Park
Benfield Road
Newcastle Upon Tyne
NE6 4QD

Telephone: 0191 287 6130
Email: NRGDS@ntw.nhs.uk
Website:https://www.cntw.nhs.uk/services/northern-region-gender-dysphoria-service-specialist-service-walkergate-park/

 

Services for children and under 18s

Children and young people experiencing gender dysphoria will access treatment and support via the gender reassignment protocol. Each patient will be considered on an individual basis by their gender identity clinic.

At present specialist gender identity development services for children and young people under 18 are available through the Gender Identity Development Service at The Tavistock and Portman NHS Foundation Trust, London, and their satellite clinics in Exeter and Leeds. Children and young people should contact their GP in the first instance and thereafter may be referred to the Gender Identity Development Service at The Tavistock and Portman NHS Foundation Trust, London.

Other professionals in Health, Social Services and Education departments as well as young people and their families can contact the Service directly to discuss a possible referral. Further information can be found at https://gic.nhs.uk/.

Teenagers who are 17 years of age or older may be seen in Adult Gender Clinic. They are entitled to consent to their own treatment and follow the standard adult protocol, and this consent cannot be overruled by their parents.

Additional contact details:
Gender Identity Development Service
The Tavistock and Portman NHS Foundation Trust
120 Belsize Lane
London
NW3 5BA

Telephone: 020 8938 2030/1
Email for referrals: agem.gdnrss-gids@nhs.net
Website: NHS official page and http://gids.nhs.uk/


The Gender Identity Development Service at The Tavistock and Portman NHS Foundation Trust is part of the NHS Camden Child and Adolescent Mental Health Service (CAMHS) which offers help to children and adolescents from birth until their 19th birthday, their families and carers as well as offering advice and consultation to other professionals working with children, adolescents and their families.

Further information on assessment and treatment of children and young people under 16 with gender dysphoria can also be found in the WPATH Standards of Care, 7th version (page 10, http://www.wpath.org).

Referral form is available for health professionals.

For more information please visit http://gids.nhs.uk/referrals

Report an issue

If you find something here that is incorrect and
needs changing please tell us about it.

Give Feedback
  • Contact us
  • Submitting items for this site
  • NICE and NHS Evidence
Copyright © 2023 Knowledge Anglia. All rights reserved.