Trans and Non Binary Health in General Practice

Drs Lisa and Sara talk to Dr Luke Wookey, Dr Joanna Bircher and Ava Bircher for an introduction to Trans and Non-Binary Health in General Practice.

We start with all important definitions, which leads us to talking about coding, healthcare records and a discussion about screening and health inequalities. We talk about how our practices and consultations can be welcoming, before considering Hormone Replacement Therapy and NHS funded surgical options which are potential options for people accessing Gender Clinics. We move onto health issues that disproportionately affect Trans and Non-Binary people, and discuss important resources for clinicians and patients. A lot more could be said but we hope you will find this a useful resource for the whole Primary Care Team to access. 

• Useful resources: 

  • LGBT Foundation including links to Pride in Practice: https://lgbt.foundation/

  • GMC ethical guidelines: Your rights as lesbian, gay, bi and trans patients: https://www.gmc-uk.org/Ethical-guidance/Patient-guides-and-materials/LGBT-patient-guide?utm_source=press&utm_medium=press%20release&utm_campaign=LGBT

  • Royal College of General Practitioners Transgender Care: https://www.rcgp.org.uk/policy/rcgp-policy-areas/transgender-care.aspx

  • TransActual UK: Supporting trans patients: A brief guide for GP surgery staff (excellent resource and links): https://www.transactual.org.uk/gp-surgery-trans

  • Information for trans and non-binary patients seeking fertility treatment: https://www.hfea.gov.uk/treatments/fertility-preservation/information-for-trans-and-non-binary-people-seeking-fertility-treatment/

  • Changing Name Greater Manchester LMC Guidance: https://manchesterlmc.co.uk/wp-content/uploads/2016/06/LGBT-Foundation-changing-a-trans-persons-name.pdf

  • Changing Name and Gender, Primary Care Support England Flow Diagram: https://pcse.england.nhs.uk/media/1291/process-for-registering-a-patient-gender-re-assignment.pdf

  • Greater Manchester Indigo Gender Service: https://indigogenderservice.uk/

  • Gender Identity Research and Education Society (includes eLearning packages): https://www.gires.org.uk/

  • The World Professional Association of Transgender Health: https://www.wpath.org/

  • The Royal College of General Practitioners Gender Variance eLearning module: https://elearning.rcgp.org.uk/course/search.php?search=transgender

  • Mutual Aid Resource for trans and non binary people in Greater Manchester: https://www.consortium.lgbt/member-directory/trans-mutual-aid-manchester/

  • Information about Hate Crimes, reporting them and third party Hate Crime centres: https://www.report-it.org.uk/home

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This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.