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

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

Treatment Protocols

Guide To Supporting Patients Accessing Specialist Gender Identity Services

Section 4.3

The guidance that governs gender dysphoria treatment in England is the ‘Interim Gender Dysphoria Protocol and Service Guideline 2013/14’, published by NHS England. It includes detailed information about treatment criteria and care pathways, and it is advisable for any GP supporting a patient accessing SGIS to read it in full.

In addition, the Royal College of Psychiatrists published its ‘Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria’, which underpins the NHS England Guideline. Taken together, these documents form the policy and practice framework for gender dysphoria treatment in England.

Additionally, readers are directed to the World Professional Association for Transgender Health (WPATH) Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People’. The SOC are based on the best available science and expert professional consensus and inform the NHSE and RCP guidance.


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