Gender Dysphoria Clinical Programme

NHS England has established a Programme Board for Gender Dysphoria Services. View the terms of reference and membership. The Clinical Reference Group (CRG) will give independent expert advice to the Programme Board on the various aspects of the Board’s work.

Dr John Dean, Consultant at Devon Partnership NHS Trust, has been appointed as the CRG chair. The other clinical members of CRG are:

  • Dr Sarah Davidson, Consultant Clinical Psychologist
  • Matthew Mills, Consultant Speech and Language Therapist
  • Dr Talat Mushtaq, Consultant in Paediatric Endocrinology
  • Dr Jatinder Singh, GP.

Services for gender dysphoria

In 2018 NHS England published two new service specifications for adult services, formed through a process of extensive stakeholder engagement and public consultation. You can read the analysis of responses and consultation report; and the service specifications:

NHS England has completed the first phase of procurement to identify organisations who are best placed to deliver specialised gender dysphoria surgical services from 2019. The providers (listed in the specification) will work to the requirements in the Gender identity services for adults – surgical interventions service specification. The procurement process for providers to deliver the non-surgical services will complete in early 2020.

Documents relevant to the Gender Identity Development Service for Children and Young People:

In 2019/20 the Programme Board for Gender Dysphoria Services will:

  • Oversee the process of awarding contracts for the provision of specialised services for adults (surgical; and non-surgical) through a process of competitive procurement
  • Use procurement to consider designation of one or two Gender Dysphoria Clinics to function as a National Trans Health Unit, having responsibility for managing a national or supra-regional network of Gender Dysphoria Clinics
  • Establish a pioneering gender dysphoria service in a community or primary care setting in Greater Manchester, as a pilot for evaluation; and consider pilots for other models for delivery in other parts of the country
  • Establish a National Referral Support Service to assist individuals in choosing a surgical provider that can best meet their objectives
  • Establish a new quality framework that requires designated providers to report meaningful clinical indicators, and that includes Patient Reported Outcome and Experience Measures (co-designed with people with lived experience)
  • Review the service specification and clinical commissioning policy for the Gender Identity Development Service for Children and Young People.