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Change my preferences I'm OK with analytics cookies Home News Publications Statistics Blogs Events Contact us Search Search Menu The best of the NHS About us Our work Commissioning Get involved NHS commissioning Specialised services Specialised services clinical networks Advanced therapy medicinal products National Programmes of Care and Clinical Reference Groups Internal medicine Cancer Mental health, learning disability and autism Trauma Women and children Blood and infection Gender Services Clinical Programme Implementing advice from the Cass Review Review of adult gender dysphoria services Genomics Specialised services quality dashboards Highly specialised services Key documents Get involved Consultations May 2026 prioritisation decisions May 2024 prioritisation decision November 2023 prioritisation decisions October 2022 prioritisation decisions Home NHS commissioning Specialised services National Programmes of Care and Clinical Reference Groups Gender Services Clinical Programme Gender Services Clinical Programme NHS England has established a National Programme Board for Gender Services. The National Programme Board is responsible for leading the future delivery and configuration of specialised services for individuals with gender incongruence and dysphoria across England. The Board guides NHS England’s approach to commissioning specialised gender dysphoria services, having regard to the impact of decisions to the populations of Wales, Scotland and Northern Ireland where necessary. The scope of the board covers: specialised services for children and young people with gender incongruence specialised services for adults with gender dysphoria the relationship between primary care services and specialist clinics Interface with non-specialised services that form part of the NHS pathway of care. The Board does not have decision-making powers but makes recommendations to the NHS England Specialised Commissioning National Commissioning Group to which it is accountable. Membership Chair: Professor James Palmer – National Medical Director for Specialised Services Five patient/parent representatives Chair of NHS England Patient and Public Advisory Group for Specialised Services National Specialist Adviser for Adult Gender Dysphoria Services National Clinical Lead for Gender Dysphoria Surgery National LGBT Adviser Head of Highly Specialised Services Medical Director for Specialised Services (London Region) Head of Communications (Specialised Commissioning) Deputy Director for Clinical Services, NHS Arden and GEM Commissioning Support Unit Deputy Director of Finance, Specialised Commissioning (National) Senior Commissioning Manager (regional level) Commissioning representatives from: NHS Wales; NHS Scotland Secretariat: National Specialised Commissioning Team Adult Gender Dysphoria Services Clinical Reference Group The Clinical Reference Group for Adult Gender Dysphoria Services provides independent expert advice to the National Programme Board for Gender Dysphoria Services on the various aspects of the Board’s work. The clinical members of the CRG are: (Chair) Dr Derek Glidden , Consultant Psychiatrist at Nottinghamshire Healthcare NHS Foundation Trust and NHS England National Specialty Adviser for Gender Dysphoria Services (Adults) Ms Tina Rashid, Consultant Urological Surgeon at St George’s University Hospitals NHS Foundation Trust and NHS England National Clinical Lead for Surgery (Gender Dysphoria) Dr Laura Charlton, Consultant Clinical Psychologist, Leeds and York Partnership NHS Foundation Trust Dr Christine Mimnagh, General Practitioner and Clinical Lead for Gender Dysphoria Services at Mersey Care NHS Foundation Trust Dr Robert Wilson, Consultant in Public Health Medicine. Adult gender dysphoria services In 2018 we published two new service specifications for adult services, formed through a process of extensive stakeholder engagement and public consultation. You can read the analysis of responses and consultation report ; and the service specifications: Gender identity services for adults: non-surgical interventions Gender identity services for adults: surgical interventions Children and young people’s gender services Following the publication of the independent Review of Gender Identity Services for Children and Young People in 2024 an interim service specification for children and young people with gender incongruence was put in place in 2024. Following public consultation, a new service specification has been published in April 2026: Referral pathway for specialist service for children and young people with gender incongruence Service specification for specialist gender incongruence services for children and young people Clinical policies Clinical Policy: Puberty suppressing hormones for children and young people who have gender incongruence / gender dysphoria Prescribing of gender affirming hormones (masculinising or feminising hormones) as part of the children and young people’s gender service – * Policy paused during public consultation on a revised clinical commissioning policy * Guidance to primary care on unregulated providers NHS commissioning Specialised services Specialised services clinical networks Advanced therapy medicinal products National Programmes of Care and Clinical Reference Groups Internal medicine Cancer Mental health, learning disability and autism Trauma Women and children Blood and infection Gender Services Clinical Programme Implementing advice from the Cass Review Review of adult gender dysphoria services Genomics Specialised services quality dashboards Highly specialised services Key documents Get involved Consultations May 2026 prioritisation decisions May 2024 prioritisation decision November 2023 prioritisation decisions October 2022 prioritisation decisions Terms and conditions Privacy and cookies Social media and comment moderation Accessibility Website satisfaction survey Open Government Licence v3.0 Follow us on Twitter Visit us on LinkedIn Watch videos on YouTube View photos on Flickr All RSS