Skip to content
21 July 2026

A comprehensive guide to accessing gender-affirming care within the NHS

Navigating the NHS as a trans or nonbinary patient can be complex, but understanding the process can help

A comprehensive guide to accessing gender-affirming care within the NHS

Accessing gender-affirming care within the National Health Service (NHS) can be a complex process for trans and nonbinary individuals. It is essential to understand the steps involved in accessing care, including referrals, complaints, and patient rights. The NHS provides a range of services for trans and nonbinary patients, including hormone replacement therapy and gender-affirming surgery.

The process of accessing care typically begins with a referral from a general practitioner (GP). The GP will assess the individual’s needs and provide a referral to a specialist service such as a gender identity clinic. It is crucial to be prepared for the initial appointment, which may involve discussing medical historymental health and transition goals.

Referrals and Assessments

Once a referral has been made, the individual will be assessed by a multidisciplinary team which may include psychologistsendocrinologists and surgeons. This assessment will help determine the most appropriate course of treatment. It is essential to be open and honest during this process, as it will help the team understand the individual’s needs and provide the best possible care.

Complaints and Patient Rights

If an individual is not satisfied with the care they are receiving, they have the right to make a complaint. The NHS has a complaints procedure in place, which allows individuals to express their concerns and receive a response. It is also essential to understand patient rights including the right to confidentialityrespect and autonomy.

Managing Waiting Lists

Waiting lists for gender-affirming care can be long, and it is essential to be prepared for this. Individuals can contact their GP or local health authority for information on waiting times and to discuss options for managing their care while they wait. It is also crucial to stay informed about the process and to seek support from support groups or online communities.

By being prepared, staying informed, and seeking support, individuals can access the care they need and live a healthy and fulfilling life.

Author

Jordan Wells

Jordan Wells covers Pride, policy and the cultural arc with equal seriousness. Reports on legislation, films, and the writers reshaping queer narrative today.