NHS adult gender services are for adults aged 18 or over who are registered with a GP in England.

You can be referred to NHS adult gender services by your GP or by another NHS healthcare professional. As an interim measure, which will change, all referrals should be made to the Gender National Referral Support Service using the referral form of the Gender Clinic of choice. These can be sent by the GP or NHS healthcare professional to agem.agsreferrals@nhs.net

This email address is for referrals only, please use the Contact Us Form link on the Contact Us page if you have any additional questions.

If your GP is unwilling to make a referral, you can ask for a second opinion from another GP at the same practice.

Patients will be transferred onto the National waiting list over the next few months and patients will remain on the waiting list for the clinic they were originally referred to. In cases where an individual has been referred to more than one clinic, they will be offered the choice of which clinic they prefer to remain on the waiting list for.

The date you were referred to your chosen clinic is the date that will be used to determine your position on the waiting list and your waiting time. Referral dates for individual clinics cannot be altered.

We are currently in the process of transferring current referrals onto the national waiting list and are not in a position currently to indicate where you are on the list. Once we have received your referral details, we will send you an acknowledgement. At that point, we recommend visiting our website to update any personal information that may have changed and to submit a request via the form on the Contact Us page if you have any additional questions.

No. Referrals cannot be escalated or prioritised, as they are processed in referral date order.

Your gender clinic and GP will make decisions about hormone treatment with you. The NHS strongly advises against buying hormones from unregulated sources, including online providers that are not registered with UK health regulators, due to safety concerns.

If you are taking hormones prescribed privately, please make sure your GP is aware. The NHS advises caution when using medicines from unregulated providers. You can discuss this further with a clinician once you are seen by the Adult Gender Service.

Once you are seen by a gender service, they will work with you to agree a care and treatment plan based on your individual needs.

Treatments may include:

• Assessment for Hormone therapy or other medical interventions
• Voice and communication therapy
• Specialised psychological support

NRSS will email you to confirm when your referral has been sent to an adult gender clinic, the service will then contact you in due course to organise your first appointment.

Please visit your preferred gender clinic’s website for information about what to expect at your first appointment.

The way appointments are offered can vary and may depend on your needs. Appointments can be offered face to face or via video call.

Please see Patients and Carers.

Please contact your GP to talk about how you are feeling and whether a referral to mental health services would help. More information can be found here: Where to get urgent help for mental health - NHS.

Please contact your GP to talk about how you are feeling and whether a referral to mental health services would help. More information can be found here: Where to get urgent help for mental health - NHS.

Please contact your GP to talk about how you are feeling and whether a referral to mental health services would help. More information can be found here: Where to get urgent help for mental health - NHS.

Please call 111/999 or go to A&E now.

Yes, however there will be an expectation for other mental health problems to be well managed ahead of any diagnosis and treatment of gender dysphoria.

The support you will receive whilst waiting can be found using the following link Patients and Carers.

When you approach the top of the waiting list, we will contact you and this can be discussed at this point.

You will need to wait until you are seen by the NHS Adult Gender Service. If you are considering surgery, you can discuss this with a clinician at the appropriate time.

You can change your name by deed poll. Once this is complete, please update your details with us here: Contact Us. You should also contact your GP practice, as they can update your NHS National Record with your new name.

You may be able to get help with travel costs if you receive qualifying benefits or are on a low income. More information about this can be found here: Healthcare Travel Costs Scheme (HTCS) - NHS.

You can choose to access private care. However, a private diagnosis does not replace the NHS assessment process or reduce waiting times for NHS-funded care.