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Guidance for prescribing in adults (18+) only :
FRAMEWORK - SHARED CARE Treatment of Gender Incongruence in Transgender men, Transmasculine and Non-binary People (Assigned Female at Birth)
FRAMEWORK - SHARED CARE Treatment of Gender Incongruence in Transgender women, Transfeminine and Non-binary People (Assigned Male at Birth)
Adult pathway:
NHS England » Service specification: Gender Identity Services for Adults (Non-Surgical Interventions)
NHS England » Service specification: Gender Identity Services for Adults (Surgical Interventions)
Children and Young People pathway:
The referral guidance for MH and paediatric services has now been published alongside the CYP Gender referral pathway specification here
Links to each of the service specific guidance docs below:
CYPMH
Paediatrics
Offers counselling psychology, endocrinology, speech language therapy to adults and young adults from 17 years and 9 months and above
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Clinical Lead
Anita Coutinho
Last updated: Aug 12th, 2025
Review date: Oct 7th, 2027
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