Shaping better health
REMEDY : BNSSG referral pathways

Gender Identity

Checked: 25-09-2018 by vicky.ryan Next Review: 12-03-2019


Gender identity clinics are provided by the Tavistock and Portman NHS foundation trust (used to be known as Charing Cross gender identity clinic) in London and Devon Partnership NHS Trust in Exeter. Other centres are available nationally (NHS Gender Identity Clinics). Waiting times for first appointment at both is around 18-24 months.

There is also local prescribing advice for gender identity on the BNSSG formulary website.

There is GMC Advice for doctors treating trans patients which has information about responsibilities as a doctor and links to policies and educational resources.

Please note - Referrals for hair removal or any other cosmetic or other procedures must be via the gender identity clinic. Referrals outside of this pathway are liable to local funding criteria and are likely to be returned.

Referral - London

Click on the link for information on referral criteria and the referral form. A secondary care mental health assessment is no longer required prior to referral but please note that the referral form does request information about any history of physical and mental health problems including a drug and alcohol history and physical health assessment (height, weight, waist circumference, BP, pulse).

Referrals should be made directly (not via e-referral) to:

Gender Identity Clinic
179-183 Fulham Palace Road
W6 8QZ


Referral - Exeter

Click on the link for further information DPT Gender Identity Clinic

There isn't a specific referral form at the moment. A letter covering the following is advised: 

  • A clear description of your patient’s gender concerns, e.g. their experience of gender diversity and incongruence between their sex assigned at birth and their gender identity, and its impact upon their psychological wellbeing and social functioning
  • The duration of your patient’s gender concerns (patients will be offered assessment but will not be accepted into our treatment pathway unless their gender concerns have persisted for at least six months);
  • Your patient’s physical and mental health history including any details of an intellectual difficulty OR confirmation that there is no relevant history;
  • A list of medications used by your patient OR confirmation that they currently use no medications;

 If further information is required the clinic will write back.

Referrals should be made directly (not via e-referral) to:

West of England Specialist Gender Identity Clinic

The Laurels, 11-15 Dix’s Field, Exeter, EX1 1QA

Tel: 01392 677077

Clinic Email: