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What services are available for the treatment of transsexuals in Great Britain?

Nottinghamshire Healthcare NHS Trust, Stonebridge Centre, Cardiff Street, Carlton Road, Nottingham NG3 2FH

Michelle Shepherd, Consultant in General Adult Psychiatry

Derby City General Hospital

Brian G. Ferguson, Consultant Psychiatrist

Nottinghamshire Healthcare NHS Trust

AIMS AND METHOD

We conducted a questionnaire survey of all 120 health authorities and boards responsible for the commissioning of services for the assessment and treatment of transsexual people in England, Scotland and Wales, in order to identify the nature of the input offered and assess conformity to current international standards of care.

RESULTS

Eighty-two per cent of the commissioning authorities responded and confirmed that most health authorities/boards provide a full service for the treatment of transsexuals, although this would be delivered at a local level in only 20% of cases. However, 11 commissioning authorities gave confused and inaccurate responses and three other health authorities appear to hold views on the commissioning of these specialist services that are not in keeping with the current legal situation and a recent High Court ruling, which establishes the right of transsexual people to NHS assessment and treatment.

CLINICAL IMPLICATIONS

There are discrepancies in prioritisation and provision of clinical services for this group that are not standard across Great Britain.

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