Given the current pressures on the NHS, it is understandable that patients will choose to be seen privately if they have the resources to do so, many of these consultations will generate a request for tests or prescriptions to be issued on the NHS.
However, we do largely feel inexperienced and unqualified to prescribe hormonal treatment for transgender patients, unless under shared care guidance with NHS Gender Identity Clinics. We are mindful of the GMC requirement that we work within the limits of our competence.
Following a recent policy review, requests from private clinics for the GP surgery to take over prescribing, will no longer be accepted by Queen Square Medical Practice.
This change of policy applies to all new requests, if we currently prescribe for you as previously agreed, we will continue to do so, provided you adhere to the Shared Care Agreement.
| Hormone Prescriptions and administration | Blood tests | |
| Patients under care of NHS GIC | Yes | Yes |
| Patients under care of Private GIC | No | No |
| Patients obtaining their own hormone treatment online etc. | No | No |
| Bridging Prescription for patients on NHS wait list | No | No |
| Patients previously under NHS GIC but discharged | Yes | Yes – annual |
Effective from 08/04/2025, we will be reviewing all patients currently under our care for prescriptions, specifically checking their compliance with the Shared Care Agreement.
If a patient is found to be non-compliant, we may discontinue prescribing for them.
For more information please read our policy documents and guidance below.
Shared Care Agreements and Private Providers – Reviewed April 25
QSMP Private Referrals – Patient Guidance – Reviewed April 25
Screening
Please be aware that invites for breast, cervical and abdominal aortic aneurysm screenings are based on the gender you are listed as on the NHS system, so not all screening will still be automatic. More information about population screening in trans and nonbinary people can be found here.