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

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

Current Context

Guide to Supporting Patients Accessing Specialist Gender Identity Services

Section 1.2

The Trans Needs Assessment estimates that at least 2,760 trans adults live in Brighton and Hove, but the true figure is likely to be far greater.  From 2012- 2015, the Brighton & Hove Trans Equality Scrutiny Panel set out to explore what life is like in Brighton and Hove for Trans people. In 2015, Brighton and Hove City Council worked with Brighton and Hove LGBT Switchboard and the University of Brighton to produce the Brighton & Hove Trans Needs Assessment. 

The report evidenced that trans people are less likely to report that they are in good health and more likely to report that they have a limiting long-term illness or disability. It also found that trans people are less satisfied with NHS health services than the overall population.

In the national context, the Women and Equalities Committee published a parliamentary report into Transgender Equality in 2015. The enquiry highlighted similar issues identified in the Brighton and Hove Trans Needs Assessment. In particular it found that trans people experience worse health than the general population. It also highlighted that amongst GPs there is often a lack of knowledge about trans identities, referrals to Gender Identity Services and the GPs role in prescribing hormone treatment. The report highlights that this is particularly crucial given the role of GPs as ‘gatekeepers’ to other NHS services including Gender Identity Clinics. 


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