This Section is designed for healthcare professionals and GP Practice staff.

For public information, please visit the Brighton and Hove CCG public home page.

Changing NHS Records

Guide To Supporting Patients Accessing Specialist Gender Identity Services

Section 5.0

The ‘Real Life Experience’ (RLE) is a mandatory period of time spent living in the new gender role before certain treatments can be commenced, such as hormone therapy and surgery. The RLE usually includes a social/legal name change and change of gender designation on official documents and databases, including those held by GPs and the wider NHS.

Changing GP records
Administrative and other staff should be aware that patients may request this and how to manage the process. Being under the care of a SGIS or holding a Gender Recognition Certificate is not a requirement.

See Section 7 (page 18) of the PDS NHAIS Interaction Procedures Guide for useful details regarding changing NHS records. 


Introduction Guide Home Page
Section 1.0 About This Guide
Section 1.1 Why This Guide Is Needed
Section 1.2 Current Context
Section 2.0 Developing Understanding About Trans People
Section 2.1 New Thinking About Gender
Section 2.2 About Trans Identities
Section 2.3 About Gender Pronouns
Section 3.0 High Quality Services for Trans People
Section 3.1 Getting It Right
Section 3.2 A Special Note on Children and Young People
Section 3.3 A Special Note on Screening: Screen for the Organs Present
Section 4.0 Understanding the Patient Groups
Section 4.1 Understanding Specialist Gender Identity Services
Section 4.2 The Approach to Treatment
Section 4.3 Treatment Protocols
Section 4.4 Available Treatments - Adults
Section 4.5 Available Treatments - Children and Young People
Section 4.6 The Role of the GP
Section 5.0 Changing NHS Records
Section 5.1 Information Sharing - The Gender Recognition Act 2004
Section 5.2 Medical Reports
Section 6.0 Supporting Patients
Section 6.1 Sources of Information and Support
Section 7.0 Glossary