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Links to documents:
Access this URL (http://www.rcpsych.ac.uk/files/pdfversion/CR181x.pdf)Good practice g/lines for assessment & treatment of adults with gender dysphoia[Link to copy hosted by Royal College of Psychiatrists]
Download this file (CR181x.pdf)Good practice g/lines for assessment & treatment of adults with gender dysphoia[Archive copy hosted by UK Trans Info]

Brief Summary

These best practice guidelines (which have been endorsed by 13 separate organisations) cover all areas of assessment and treatment of trans people in the UK. They are also referred to by the NHS England Interim Protocol and as such form part of the treatment protocol in England.

Extract from website

Gender variance is not uncommon, and the number of people seeking treatment in Gender Identity Clinics is increasing rapidly. A survey of 10,000 people undertaken in 2012 by the Equality and Human Rights Commission found that 1% of the population was gender variant to some extent – though this figure cannot be assumed to be representative of the whole population. Historically, more women sought treatment than men, but this difference is reducing.

People often find it difficult to confide their feelings of gender dysphoria to their GP because they fear ridicule, guilt or shame, or are concerned about delays in getting treatment on the NHS. This has led to increasing numbers of people self-medicating using hormones and hormone-blockers available via the internet. It is estimated that up to 40% of people with gender dysphoria may not be receiving appropriate help.

This report makes a series of recommendations to ensure gender dysphoria patients get the best possible care. It covers the areas of hormone treatment, surgical interventions, speech and language therapy, and general medical care.

The provision of care for patients experiencing gender dysphoria is an excellent example of an area where multidisciplinary and interdisciplinary care is not only good practice but ensures that a wide choice of treatment pathways are offered, tailored to the needs of the individual patient. This report aims to optimise the clinical care pathways for patients who may need to access several medical and allied health professionals.

The best practice guidelines – which are endorsed by 13 separate organisations – have been drawn up by a multidisciplinary working group that included representation from psychiatry, endocrinology, gynaecology, urology, general practice, nursing, psychology, psychotherapy and speech and language therapy, as well as representation from patient groups. It is the first time that so many different groups have come together to agree a common set of guidelines.

The following organisations have endorsed the report:

  •  British Association of Urological Surgeons
  •  British Psychological Society
  •  Gender Identity Research and Education Society
  •  Gender Trust
  •  Press for Change
  •  Royal College of General Practitioners
  •  Royal College of Nursing
  •  Royal College of Obstetricians and Gynaecologists
  •  Royal College of Paediatrics and Child Health (with respect only to discussion of children and adolescents)
  •  Royal College of Physicians
  •  Royal College of Speech and Language Therapists
  •  Royal College of Surgeons
  •  UK Council for Psychotherapy

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