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Getting care: waits, GPs and DIY

Everything on this site about getting care: waits, gps and diy: 137 pieces in all.

Insight37

GP and GIC coordination: how the referral and monitoring works

In theory, a GP refers to a gender identity clinic, the GIC assesses and recommends, and the GP then prescribes and monitors under a shared-care…

Talking to your doctor about trans care

You do not have to come out to your doctor to get good care. You can describe your symptoms, your body, and what you need in plain terms, without…

Why is the NHS failing trans people, and how can it do better?

The NHS is failing trans people because gender-affirming care was classified as highly specialised medicine when fewer than 500 people a year sought…

Provider retreat from trans care in Texas: what is happening

Hospitals and clinics across Texas have been withdrawing from trans-affirming care under sustained political pressure, accelerated by Governor Greg…

What trans youth advocates actually want from healthcare

Trans youth advocates are not calling for hormones to be handed out without clinical oversight. What they are defending is the assessed, supervised,…

When parents block access to trans healthcare

Parents who confiscate hormones, withhold medical consent, or block access to gender-affirming care are causing real, measurable harm to their child.…

Missing a gender service appointment: do you lose your place?

England's new regional Young People's Gender Services have not made their missed-appointment policies fully public, and those policies are still…

What happens when Medicaid stops covering trans youth care

The finalised Medicaid ban ends federal funding for gender-affirming hormones, puberty blockers, and surgery for trans minors, with existing patients…

Private vs NHS gender-affirming care in the UK: costs and timelines

NHS gender-affirming care in the UK involves waiting lists that commonly run to five years or more before a first appointment, and longer before any…

NHS gender clinic waiting times: the real picture

NHS gender clinics are legally required to see patients within 18 weeks of referral under the NHS Constitution. In practice, waiting times across UK…

GenderGP: structure, funding, team, and governance

GenderGP is an online private gender-affirming care service founded by Dr Helen Webberley. It is funded through the fees people pay for consultations…

HRT shortages: do trans women really cause the supply gap?

Trans women do not cause HRT shortages. Estradiol supply problems stem from manufacturing disruptions, demand forecasting failures, and regulatory…

Cutting NHS trans youth waits: practical policy solutions

NHS waiting times for trans young people currently run to several years, and delay is not neutral: unwanted puberty changes and worsening distress…

Can a GP refuse a bridging prescription?

A GP can decline a bridging prescription, but they are not required to refuse one. The GMC and RCGP both recognise that prescribing hormones to a…

NHS trans healthcare: waiting lists, costs and the DIY crisis

NHS gender clinic waiting lists now exceed 80 months in many parts of the UK, with some clinics projecting waits measured in decades rather than…

Informed consent HRT: what it means and how to access it

Informed consent HRT means a doctor prescribes gender-affirming hormones once you understand and consent to the risks and benefits, without…

DIY HRT versus supervised care: risks and harm reduction

DIY HRT is hormone therapy sourced and managed without clinical supervision. The risks are specific and serious: thrombosis, meningioma with…

Trans people leaving the UK: exile and a hostile climate

Trans people, their families, researchers, and advocates are leaving the UK in growing numbers, driven by a combination of legal restrictions, a…

Forced detransition: state coercion and medical reversal

Forced detransition happens when a trans person is compelled to reverse or abandon their transition not by their own choice but by external pressure:…

Labour's anti-trans policy package: what it means for you

Labour has pursued a systematic set of anti-trans policies since taking office, including school guidance restricting trans young people's social…

Trans rights wins: legal progress around the world

Trans rights are advancing through courts and legislatures around the world, even as political resistance intensifies in some places. Bulgaria's…

Trans healthcare has no before or after, only a gap

Trans healthcare systems are built around the intervention itself, with almost nothing structured before it or after it. Pre-care, the period when…

Puberty blockers: approved for some, banned for others

Puberty blockers are medications that pause the hormonal process of puberty. They have been used for decades in children with precocious puberty,…

Texas Children's Hospital forced detransition: coercion and harm

Texas Children's Hospital has opened what critics call a forced detransition clinic, requiring trans young people to halt or reverse gender-affirming…

Are public funds being spent on puberty blockers for children?

Public funding of puberty blockers is a standard healthcare commissioning decision, not a misuse of public money. These medications have been used in…

Democrats are retreating on trans rights. What does it mean?

The Democratic Party is retreating on trans rights, with figures like Amy Acton publicly referring to trans girls as boys. This is not a fringe…

JK Rowling's anti-trans funding and legal campaigns

JK Rowling has directed substantial Harry Potter-derived wealth towards legal action against NHS gender services and anti-trans influence campaigns.…

Labour's anti-trans policy package: what is actually happening

The Labour government has pursued a systematic package of anti-trans policies: draft school guidance that restricts how trans children can be…

Fertility and trans healthcare: the cost of systemic failure

Inadequate trans healthcare is causing forced infertility. Long waiting lists, poor fertility counselling, and barriers to sperm or egg freezing…

Patha v the Crown: NZ challenge to the puberty blocker ban

Patha v the Crown is a New Zealand High Court legal challenge to the government's ban on puberty blockers for transgender youth. Brought by trans…

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News93

Oregon retreats from enforcing landmark trans health care coverage mandate

When even Oregon blinks, it is worth asking what a mandate is actually worth if no one enforces it, and what trans people are supposed to do when the…

New donation-based trans care clinic to open in Eureka

When Open Door Community Health Centers stopped offering gender-affirming care to trans youth under federal pressure, providers and advocates in…

Trump asks Supreme Court to allow trans healthcare ban in prison

The Trump administration has asked the Supreme Court to allow it to immediately enforce a policy stopping gender-affirming care, including hormone…

What the Trump administration's hospital settlements mean for the future of trans youth care

At least six major US hospital systems have now reached settlements with the Department of Justice agreeing to stop providing gender-affirming care…

Doctor 'enraged' over NHS transgender ward policy

A consultant psychiatrist at Greater Manchester Mental Health NHS Foundation Trust has raised concerns about the trust's policy of placing trans…

India's transgender amendment leaves many in limbo

India's 2025 amendment to its transgender protection law has created serious uncertainty for trans people seeking gender-affirming care. Clinics…

When the system itself is the barrier to care

A study by the Desmond Tutu Health Foundation found that trans and gender-diverse people in South Africa face severe structural barriers to…

Newsom vetoes bill protecting trans care providers from extradition

Governor Gavin Newsom vetoed California's AB 2164, a bill that would have stopped him and future governors from extraditing healthcare providers who…

Trans rights activists protest at Mount Sinai after hospital ends gender-affirming care for youth

Trans rights activists gathered outside Mount Sinai Hospital in East Harlem on 8 September after the hospital announced it would no longer provide…

B.C. doctor ordered to pay $28,100 for refusing trans teen's puberty blocker injection

The B.C. Human Rights Tribunal has ruled that family doctor Henry Ajaero discriminated against a transgender teenager by refusing to administer a…

Waiting Well pilot is kind. It is not enough.

The Waiting Well pilot in South West England offers peer support, practical workshops, and community connection to trans and non-binary people…

First Minister wants swift review, but swift means nothing to those already turned away

Rhun ap Iorwerth, First Minister of Wales, has called for a swift resolution to the pause in surgery at the Welsh Gender Service, saying he feels for…

Welsh Gender Service halts surgery referrals, and patients are paying the price

The Welsh Gender Service has paused all new and scheduled surgical referrals following concerns that its referral rates are significantly higher than…

Trump's war on trans healthcare is a strategy of attrition

The Trump administration's escalating moves against trans healthcare, cutting Medicaid coverage, subpoenaing hospitals, and referring clinics for…

Seattle votes $300K for trans community as federal support collapses

Seattle City Council voted unanimously to allocate $300,000 to local LGBTQ+ organisations supporting trans residents and those fleeing anti-trans…

JD Vance wants doctors prosecuted for treating trans youth

JD Vance has asked the Department of Justice to investigate and potentially prosecute hospitals for billing practices related to gender-affirming…

Trump bans Medicaid funding for trans youth healthcare

The Trump administration has finalised a rule banning Medicaid and the Children's Health Insurance Program from covering puberty blockers, hormone…

Good Law Project petition: trans people deserve the same healthcare as everyone else

Trans people across the UK are being denied routine NHS care that has nothing to do with their gender identity, simply because they are trans. The…

When the system locks you out, digital care opens a door

When specialist care is scarce and bureaucratic systems exclude trans people through documentation requirements, digital health frameworks can become…

Federal workers sue Trump over gender-affirming care ban

Federal trans workers and their families have sued the Trump administration after the Office of Personnel Management quietly stripped…

When the health system cannot see you, it cannot help you

A landmark report from Voluntary Health Scotland, the (IN)VISIBLE report, found that sex and gender inequalities are making thousands of people…

Mother of trans woman who took own life addresses PM: 'Act or more will die'

Helen writes about Caroline Litman, whose daughter Alice died by suicide in May 2022 after waiting 1,023 days for gender-affirming care. Speaking at…

Northern Ireland hands Hilary Cass another gender services role

Health Minister Mike Nesbitt has asked Hilary Cass to assess Northern Ireland's gender identity services, including a proposed Lifespan Gender…

Trump's executive orders on LGBTQ+ health: what they actually do

Since January 2025, President Trump has issued a series of executive orders that collectively strip federal recognition of gender identity, cut…

Judge blocks DOJ bid for trans minors' medical records at Stanford

A federal judge has blocked the Department of Justice from obtaining the identities and medical records of transgender minors treated at Lucile…

Australia is banning care that its own reviews said was safe

Queensland and the Northern Territory have banned puberty blockers and gender-affirming hormones for trans and gender diverse young people in their…

Six thousand people waiting years for gender care in Scotland

At the end of March 2026, 6,435 people in Scotland were waiting for a first NHS gender clinic appointment, with more than 1,000 having waited over…

Massachusetts hospitals are dropping trans youth care. This is not neutral.

Massachusetts hospitals including Baystate Health, Fenway Health, and Outer Cape Health Services have stopped providing gender-affirming care to…

James Murray is Health Secretary – what does it mean for trans people?

James Murray replaced Wes Streeting as Health Secretary in May 2026. He has previously stated that trans women are women, but retreated from that…

The FTC is coming for WPATH again. Here is what is at stake.

The US Federal Trade Commission has filed a new complaint against WPATH, enlisting the attorneys general of Alaska, Iowa, Nebraska, and Texas in what…

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