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

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

Treatments Available - Children and Young People

Guide To Supporting Patients Accessing Specialist Gender Identity Services

Section 4.5

The Tavistock and Portman Clinic provides access to a multi-disciplinary team, with experts in child and adolescent psychiatry, psychology, social work, psychotherapy and paediatrics. It provides services up to age 18. However, teenagers (minimum age 17) can be seen in an adult clinic, where they follow the adult pathway. The NHS England guideline informs the approach to treatment in both settings. However, it differs in important respects for children and young people. For example:

  • Service provision will involve families
  • Psycho-therapeutic options include those tailored for children and young people
  • Cross sex hormones will not be offered before age 16 but ‘hormone blockers’ are a therapeutic option where indicated between the ages of 12-16. This can allow the young person time to explore their feelings and options and decide whether to continue with transition in the long term
  • Surgical procedures are not available before age 18.

GPs are advised to see Section 3.2 on children and young people and to contact the Clinic directly to find out more about these important differences. 

Address: Gender Identity Development Service, Tavistock Centre, 120 Belsize Lane, London, NW3 5BA.
(Also satellite clinics in Exeter and Leeds).


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