Shared care protocols

Shared care prescribing guidance for treatment of gender dysphoria in people assigned male at birth transitioning to a feminine gender identity

This document has been prepared by Dr Leighton Seal, Consultant Endocrinologist, and the GIC’s Clinical Team.

The information contained in this document has been compiled in order to support GPs and other medical practitioners in safe prescribing and monitoring arrangements.

The document outlines the roles and responsibilities of the Gender Specialists, General Practitioners and Clients and contains both a shared care agreement and a client letter of consent for the initiation of hormones. It is imperative that clients who take the preparations, as listed, do so under medical supervision, and are monitored as recommended.

Please ensure that the latest updates on the medications and interactions, as listed, are obtained from the BNF.

Read or download ‘Shared Care Protocol Trans Feminine – September 2021’ (PDF)


Shared care prescribing guidance for treatment of gender dysphoria in people assigned female at birth transitioning to a masculine gender identity

This document has been prepared by Dr Leighton Seal, Consultant Endocrinologist, and the GIC’s Clinical Team.

The information contained in this document has been compiled in order to support GPs and other medical practitioners in safe prescribing and monitoring arrangements.

The document outlines the roles and responsibilities of the Gender Specialists, General Practitioners and Clients and contains both a shared care agreement and a client letter of consent for the initiation of hormones. It is imperative that clients who take the preparations, as listed, do so under medical supervision, and are monitored as recommended.

Please ensure that the latest updates on the medications and interactions, as listed, are obtained from the BNF.

Read or download ‘Shared Care Protocol Trans Masculine – September 2021’ (PDF)