NHS Launches First Integrated Gender Dysphoria, Sexual Health, and HIV Service

Jo Whelan

November 02, 2020

The UK’s first integrated NHS gender dysphoria, sexual health and HIV service has been launched by the 56 Dean Street clinic in London, part of the Chelsea and Westminster Hospital NHS Foundation Trust. The service is called TransPlus.

Alongside sexual health and HIV services, the three-year pilot scheme will provide an individually tailored range of services for transgender and non-binary people. This will include assessment and diagnosis of gender dysphoria, hormone therapy, voice therapy, referral for gender affirming surgeries, and online support and advice options. Psychology, psychosexual therapy, counselling and social work support are also available, as is cervical screening.

The service is open to people age 17 or over who registered at 56 Dean Street or its sister services before 1 January 2020 and who are on a waiting list for an established NHS gender dysphoria service and have not yet attended their first appointment. In addition, 56 Dean Street will continue to run 56T, its  weekly dedicated service for trans non-binary people and their partners, and users do not have to transfer to TransPlus.

TransPlus is a small-scale, time-limited pilot scheme and is not able to accept transfers of care from people who have already had their first appointment at another NHS Gender Dysphoria Service, its website states.

Research indicates that combining HIV care with gender-affirming services and hormone therapy can optimise people’s adherence to their HIV treatment, the website notes, resulting in better health outcomes. TransPlus service users living with HIV who receive their care elsewhere do not have to transfer their HIV care to the clinic but are welcome to do so.  

This article originally appeared on Univadis, part of the Medscape Professional Network.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.