22.07.20 5 mins
Practical tips on putting our guidance into practice and respecting the rights of trans patients.

The GMC offers robust guidance for GPs who are supporting trans/non-binary patients in a primary care setting.

GPs should collaborate with NHS Gender Dysphoria services or any other gender specialists to ensure trans/non-binary people receive timely and efficient care.

This may include:

  • Supporting trans/non-binary people to be referred to a gender service of their choice
  • Prescribing medicines recommended by gender specialist in order to relieve gender dysphoria
  • Undertaking the on-going monitoring of hormone therapy

GPs are not expected to assess or diagnose Gender Dysphoria, but they are expected to refer people who are questioning their gender to an appropriate service.

If you have specific questions about a patient’s care we host regular telephone surgeries for GPs who have patients that are accessing the TransPlus service at 56 Dean Street.

However, you may find the answer to your question in these pages.

Updating your patient’s records

  • Address your patient by whichever name, title and pronouns they have indicated they are using.
  • Respect a patient’s request to change the sex indicated on their medical records; you don’t have to wait for a Gender Recognition Certificate, updated birth certificate or another form of identification.
  • Trans patients have a legal right to change their name and gender on their NHS records and would be able to bring a civil claim against any GP or practice which I refused to accede their request.

Don’t disclose a patient’s gender history unless it is directly relevant to the condition or its likely treatment. It’s unlawful to disclose a patient’s gender history without their consent.