
The gender identity clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. We accept referrals from all over the UK for people with issues related to gender.
We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. We work together in order to provide holistic gender care, focusing on the biological/medical, psychological and social aspects of gender.
Sub services:
For urgent advice relating to hormone therapy we have a GP hormone advice phoneline: 020 8938 7369.
This is for GPs and other healthcare professionals. If we do not answer the phone call, please leave a message. We aim to respond within 48 hours.
For routine queries and matters relating to hormone therapy please contact us by email at gic.endo@tavi-port.nhs.uk. For patients under our care or previously under our care, we can review hormone therapy monitoring results and provide advice and support regarding hormonal therapies. Please also browse our endocrine webpage for more information and our clinical guidance.
In order to assess your individual needs and goals, we ask a number of questions about your background, current circumstances and future plans. The purpose of these questions is to help us gain a clear idea of how we can help you.
Based on your individual needs and circumstances your clinician will explore with you what may happen next with your gender care. For example, if you would like to, but have not yet made a social gender role transition, they may explore with you any possible obstacles in your way and help you consider ways to address these.
Additionally, in order to support you through the transition process, clinicians may discuss with you the possibility of referrals to other services within the GIC or local to you (which your GIC clinician can ask your GP to make).
We will keep your GP up-to-date about your progression through the clinic and you will be copied into the reports sent. Your clinician will also be able to offer you information and advice about other forms of support that you may find helpful as you move along your gender care pathway.
Your GP or another health professional can refer you directly to the gender identity clinic. We also accept self-referrals via your GP.
Please note we do not accept under 18 years and private referrals.
For under 18 years, you can find information, advice, and guidance on from NHS Arden & GEM, which provides resources and updates about gender services for children and young people.
You might also find support from national and local LGBTQ+ youth services, charities, or peer support groups. These organisations often provide a safe space to talk and be heard while waiting for specialist care.
There is a high demand for appointments, which is common across other gender identity clinics around the UK.
| Number of people on our waiting list | 17,236 |
| Number of referrals received in the month | 289 |
| Number of first assessments completed in the month | 83 |
| Number of patients discharged due to treatment completed* | 33 |
| Total appointments attended in the month** | 546 |
| Currently offering first appointments to people referred in | November 2020† |
| Did not attend (DNA) rate | 51 appointments |
| DNA breakdown per appointment type | CORE (Gender assessment and follow-ups inc. surgical refreshers) – 12 Endocrine – 12 Psychology – 7 Speech and language therapy – 20 |
These numbers are provisional and may change as the data is validated.
*This does not include DNA discharges, transfers, patient choice discharges
**This includes endocrinology, psychology and speech and language therapy appointments
†If you were referred before this date, please contact us
| Referrals received | First assessments completed | Discharges due to completed treatment | |
| Mar 2026 | 289 | 83 | 33 |
| Feb 2026 | 171 | 90 | 44 |
| Jan 2026 | 338 | 66 | 36 |
| Dec 2025 | 259 | 95 | 60 |
| Nov 2025 | 153 | 99 | 40 |
| Oct 2025 | 348 | 76 | 32 |
These numbers are provisional and may change as the data is validated.
| Referrals received | First assessments offered | All discharges | |
| Sept 2025 | 382 | 162 | 155 |
| Aug 2025 | 300 | 73 | 826 |
| July 2025 | 421 | 89 | 162 |
| June 2025 | 377 | 77 | 263 |
| May 2025 | 352 | 132 | 234 |
| Apr 2025 | 295 | 116 | 134 |
| Mar 2025 | 365 | 95 | 141 |
| Feb 2025 | 338 | 129 | 180 |
| Jan 2025 | 385 | 132 | 975 |
| Dec 2024 | 371 | 102 | 109 |
| Nov 2024 | 390 | 117 | 285 |
These numbers are provisional and may change as the data is validated.
Find resources and support for people waiting to be seen for our gender identity clinic service.
For under 18
For under 18 years, you can find information, advice, and guidance on from NHS Arden & GEM, which provides resources and updates about gender services for children and young people.
You might also find support from national and local LGBTQ+ youth services, charities, or peer support groups. These organisations often provide a safe space to talk and be heard while waiting for specialist care.