How GenderGP operates

The GenderGP Service model.

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Delivering a robust service

Despite the highly political nature of this area of healthcare and the significant levels of discrimination faced by this patient group, GenderGP provides a safe and potentially life-saving alternative for UK patients who the Women and Equalities commission described as being let down by the NHS.

The GenderGP Appraisal Pathway provides feminising and masculinising treatment as well as blocking medication. A full overview of the process can be found here.

We operate according to a model of informed consent. We believe that the person is the expert in their own gender experience. We combine this personal knowledge and insight with our expertise in providing gender-affirmative care, to help the individual to find the best way forward in a safe and accessible way.

GenderGP works with a specialist multi-disciplinary team, all of our counsellors, psychologists and doctors are highly experienced in their roles. Each individual practitioner is registered and indemnified to carry out their role. To request specific prescriber details please complete the following form.

Our prescribing doctors are all trained in providing Gender-Affirming Care. If you would like to see registration certificates, insurance documents or indemnity policies for our prescribers then please request these here.

GenderGP Prescribing Protocols

All of our clinicians prescribe in line with The Endocrine Society Guidelines for the Care of Transgender Patients.

Our prescribing protocol and a list of prescribed medications can be found below.


Repeat Patient Prescribing Protocols

New Patient Prescribing Protocols

Our doctors

GenderGP’s expertise comes from a multidisciplinary team of gender specialists including doctors, counsellors and psychotherapists from various countries including the UK, the EU, Egypt and the USA.

Doctors working with GenderGP support thousands of patients in their capacity as gender specialists. As there is no recognised training or qualification in this field all learning is by personal professional development. GenderGP’s doctors follow best practice and guidelines set out by World Professional Association for Transgender Health (WPATH) and the Endocrine Society.

All of GenderGP’s medical specialists are regulated in their own country, by their individual regulators. GenderGP operates entirely within the law and follows international published guidance on the care of transgender patients of all ages.

All of our doctors have been carefully selected for their knowledge, skills and attitude in the field of gender-related healthcare and they follow strict International guidance for treatment protocols.

The UK has a long and successful working relationship with non UK-based doctors and nurses who have provided a very welcome extra pair of hands when the UK’s own NHS services have been under-staffed.

In order to make healthcare as affordable as possible, and to provide the widest range of options to its users, GenderGP works both as an independent service and collaboratively with the patient’s doctor. Patients can choose whether to have blood tests privately or through their doctor. Medication can also be prescribed by their family doctor, under a shared care agreement, or via a private prescription.

Prescriptions issued by doctors in the EEA

All GenderGP prescriptions can be filled in line with Government guidelines which state that:A prescription issued in an EEA member state or Switzerland can be dispensed in the UK if the prescriber is from a profession recognised by this guidance that is legally entitled to issue a prescription of that kind in the country in which the prescription is issued.

Staff Training – Clinical Guidelines and Advice

There are no specific NICE guidelines for the care of transgender patients. There are no published, peer-reviewed NHS guidelines. General guidance can be found here. The Endocrine Society Guidelines are found here. Specific guidance for children and adolescents can be found here. Further information can be found here.

GP collaboration

We like to work with patient’s GPs whenever possible and will always seek the patient’s consent to inform their doctor of their treatment and management plan. However, some patients find it difficult to share information about their trans healthcare with their GP, for a variety of reasons. Guidance on GenderGP’s approach to working with GPs can be found here.

Incident reporting

At GenderGP we take incident reporting very seriously, if you have anything that you would like to share or have any recommendations about how the care for trans people can be improved, then please let us know here.


Consent and capacity

All patients are continually assessed and monitored for their competence in consenting to treatment. Where we can we work with families and other support to make sure a young person is supported in the best way. More information can be found here. GMC guidance on children and young people is found here. GPHC guidance can be found here.

Internal procedure

Our internal procedure can be viewed here.

Safeguarding statement

Our safeguarding statement can be found here.

Further information

Specific information on safeguarding trans youth can be read here.

GenderGP Frequently Asked Questions

Safeguarding FAQs

Safeguarding FAQs are found here.

GenderGP Frequently Asked Questions

Parental responsibility statement

Parental responsibility statement is here.