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Gender identity clinics are commissioned by NHS England and there are currently eight clinics available in England. The nearest clinic to our practice is the Nottingham Centre for Transgender Health.

How to find an NHS gender dysphoria clinic - NHS (www.nhs.uk)

Gender identity clinics are multi-disciplinary NHS clinics consisting of doctors, nurses and psychologists, and cover issues such a fertility preservation, psychological support, medication and surgery. Unfortunately, these clinics cannot keep pace with the growing demand for these services and the average waiting times are currently more than three years.

As GPs, we feel this is an unacceptable level of service, and we continue to campaign for more equitable care for the transgender community. This would involve not only more timely access to specialist care, but also continued resources to fund and train GPs to maintain prescribing and monitoring.

Jubilee Park Medical Partnership continues to be very supportive of our transgender patients. From 1st April 2025, we are unable to continue to provide this specialised care for the following reasons:

• This work is more appropriately provided by a specialist as it is beyond the clinical expertise and knowledge of the GPs to provide this service in the way that it should be provided

• This work has not been funded as a national or local enhanced service

• This work has not been commissioned by our local commissioners (the Integrated Care Board)

• This work is not part of the GP contract

If you would like to contact your MP to highlight the issues raised in this letter, here is some information which will help you do this: Find your MP - MPs and Lords - UK Parliament

Please do not hesitate to contact Nottinghamshire Local Medical Committee for further questions:

Telephone: 0115 977 1341; Email: office@nottslmc.co.uk