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A structured, informed-consent-based pathway for trans, non-binary, and intersex adults in the UK seeking safe and personalised access to gender-affirming hormone treatment.
This pathway connects you with a multidisciplinary team (MDT) of psychologists, clinicians, and prescribing professionals, offering you access to hormone support tailored to your needs.
This pathway requires clinical oversight, blood tests, and regular review to help UK-registered clinicians ensure the safety of any prescribing decisions.
Learn more below.
Once your registration is complete, here’s what the full journey looks like. We’ve broken it down step by step so you know what to expect, and how we’ll support you along the way.
Once registered, you'll be asked to complete a few forms and be provided with information around the use of off-label prescribing. It's important that you complete these as it provides the team with the information they need to support you.
You’ll meet with one of our experienced BPS registered psychologists to explore your goals, history, and support needs. This step helps ensure your care is safe, personalised, and in line with clinical and regulatory standards.
Two Appointment Options:
To be eligible for the transferral intake, we’ll need you to upload a copy of your formal diagnosis so it can be reviewed by the clinical team. If it meets the required criteria for a diagnosis of gender incongruence, we’ll help you get booked in at a time that works for you.
You’ll need to provide up-to-date height, weight, blood pressure reading & blood test results before your Treatment Planning Appointment. These help keep your care safe, and help the team make the most informed decisions for you.
You can choose how to have your blood tests taken, including:
We’ll always guide you through what’s required and verify that the necessary information has been received before prescribing.
All prices are available below to support you with budgeting throughout your journey.
Once your blood test results have been received and reviewed, you’ll book a Treatment Planning Appointment.
During this session, we’ll:
Please note: Prescribing decisions are not made during this appointment. All treatment plans and prescribing lines will be reviewed and authorised by a UK-registered clinician following test results and final prescribing review.
This cost includes the cost of your appointment and the price of your initial *prescription (normally £14.40 inc. VAT).
Once your test results are in and reviewed by the multidisciplinary team, you’ll have a short 10 minute appointment with a UK registered clinician.
This is your chance to:
Ongoing prescriptions will be charged at £14.40 inc. VAT every 3 months.
*Please note: the price of the prescription covers the administrative and system costs involved with generating and authorising your prescription. The cost of medication is paid separately to the pharmacy of your choice and is not covered by Pride In Health. It's always recommended that you reach out to your pharmacy before requesting your prescription, for an understanding of the costs they charge, which can vary depending on the pharmacy you choose.
Once everything has been reviewed, your prescription will be checked and signed by a UK-registered prescribing clinician.
Prescriptions are then securely issued through SignatureRX, and you’ll receive a text message with a link to your digital prescription. This allows you to take it to your chosen pharmacy or share it with a pharmacy that accepts digital prescriptions.
If there are any questions or issues with dispensing, our team can help follow up with the pharmacy directly.
We’ll also keep you updated on when your next blood tests and monitoring appointments are due, to help keep your care on track.
✔️ Gives you direct access to a UK clinician
✔️ Reduces delays and avoids confusion during the prescribing process
✔️ Ensures there's an extra layer to your care while providing safe, collaborative, and auditable processes
We’re also working on setting clear timeframes between each step, so you'll always know what’s happening and when.
When you place a booking through our portal, it will be marked as provisional.
An invoice will be sent to you within 24 working hours after you make your provisional booking (excluding weekends and bank holidays).
Once you’ve received and paid your invoice, our team will review your payment and send you a confirmation email. At that point your booking is fully confirmed.
After confirmation, you’ll be able to view, rearrange, or cancel your appointment directly through your Carebit portal.
If you’re ever unsure about where you are in the process, or just need some guidance, our friendly admin team is always here to help. You don’t have to figure it out alone.
After registration, everything is managed through your secure Carebit portal. You’ll be able to:
If your GP or private provider has offered blood tests, that’s no problem.
Just upload your results to your Carebit portal, and we’ll guide you on whether anything further is needed.
There’s a £9 results analysis fee if you’re not using our private partner labs.
Prescriptions are issued digitally using SignatureRX. You’ll receive a secure message or link you can take to a pharmacy of your choice.
We can also liaise directly with the pharmacy if any issues arise.
These are the starting steps required to begin your journey with the prescribing team.
Covers admin, document review, and client setup. Gives you full access to the Carebit portal.
For clients who already have a formal diagnosis from a qualified psychologist. A short 30 minute appointment to check your history and goals.
For those without a diagnosis. A 60 minute appointment with a psychologist exploring your gender journey, support needs, and eligibility for formal diagnosis if appropriate.
Required at the start of care and yearly. Includes full blood count, liver function, kidney function (U&Es), lipids, hormone levels (testosterone & oestradiol), and general health markers.
A 45 minute appointment to discuss your care goals, test results, and treatment options. Prescriptions are not issued at this stage, and no clinical decisions will be made at this stage.
A 10 minute appointment with a UK-registered prescriber. Includes your first prescription (normally £12) and final treatment check. Following the appointment, your prescription will be created (and a reference copy shared in your portal), please note the prescription won't be released until your file and prescription has had a final audit check by one of our UK registered prescribing clinicians.
As part of the Prescribing Support Pathway, we use regular blood testing to help keep your care safe and responsive. The tests listed below are used at key points (typically every 3 months in the first year) depending on your medication and personal needs. After 12 months on a stable dose, your monitoring schedule may be reduced to 6 monthly or yearly.
Used at Month 3, 6, 9, and 12
Who it's for: Anyone taking oestrogen, testosterone, or other gender-affirming hormones
What's tested: Oestradiol or testosterone levels (depending on pathway), plus SHBG and LH/FSH when needed
Why it's important: Helps check that your hormone levels are within a safe and effective range
Used at Month 3, 6, 9 for clients on testosterone
Who it's for: Those prescribed testosterone or on masculinising hormone therapy
What's tested: Hormone levels, haemoglobin, and haematocrit
Why it's important: Testosterone can increase red blood cell count, so this test checks for any risks like thickened blood
Used at Month 3, 6, 9 when taking Cyproterone
Who it's for: Clients on Cyproterone with oestrogen
What's tested: Hormone levels and liver function (ALT, AST, bilirubin), with a record of blood pressure
Why it's important: Cyproterone can affect the liver, so this combination checks for early signs of impact
Used at Month 3, 6, 9 when taking Spironolactone
Who it's for: Clients on Spironolactone
What's tested: Hormone levels, urea, creatinine, electrolytes (especially potassium).
Why it's important: Spironolactone can raise potassium, which can be dangerous if not monitored.
Used at Baseline and again at Month 12
Who it's for: All clients starting or continuing gender-affirming hormone therapy
What's tested: Hormone levels, full blood count, liver and kidney function, cholesterol, and general health screening
Why it's important: Gives a complete picture of your health before starting treatment and after 12 months to assess long-term safety
Includes: Appointment + prescription (usually £12)
When it's used: Every 6 months while on hormone therapy
Who it's for: Anyone receiving prescriptions through our Prescribing Support Pathway
What happens:
Why it matters: This appointment is an essential check-in with a UK-registered clinician to make sure you
Used when submitting results from an external provider
Who it's for: Clients who choose to get bloods done via their GP or private lab
What's included: Review by the clinical team to ensure your results meet prescribing criteria
Why it's important: Ensures the team can assess whether treatment remains safe based on third-party results
Work with gender-affirming mental health professionals who understand the trans and non-binary experience. You can use appointments for general support, transition-related wellbeing, or anything else on your mind.
A shorter consultation ideal for check-ins or ongoing support. Delivered by gender-affirming therapists from our community.
A full-length therapy session for more in-depth emotional support, transition guidance, or mental health needs.
Speak with clinicians who understand gender-affirming care. Appointments are available to support you with safe self-management, advice, and access to letters.
A short appointment and letter to support updating your gender marker with the passport office, or other services. Please note this is not the same as a gender recognition certificate (GRC). If you're looking for a GRC, please do reach out and we'll do our best to support you with information and resources.
Includes a clinical consultation and preparation of a referral letter for private or NHS surgery (top, bottom, or facial surgery).
A prepared letter for your GP asking them to carry out hormone-related blood tests. You’ll need to confirm with your GP before requesting this letter.
Used to request that your GP take over administration of hormone injections. You’ll need to confirm with your GP before requesting this letter.
What it includes:
What it’s for:
This letter can be used if you wish to explore shared care with your NHS GP. It formally asks your GP consider prescribing and monitoring as part of a shared care arrangement.
Important to know: This letter does not guarantee your GP will agree to shared care. The decision rests with your individual GP or practice, and many have their own internal policies. We strongly recommend speaking with your GP in advance to understand whether they’re open to shared care.
For trans, non-binary, and intersex adults (18+) who want access to hormone support with medical oversight, ongoing monitoring, and safe prescribing from UK-registered clinicians.
No, the clinical team work under an informed consent model, so you don’t need a diagnosis to start your journey with us. However, if you do need a formal diagnosis for things like surgery referrals or legal recognition, we can help with that too.
If you already have a diagnosis, we’ll just need to verify it with a short intake appointment (£91.20 inc. VAT). If you don’t have one but need one, we offer access to a longer assessment (£190.80 inc. VAT) to provide the right documentation.
Once you’ve submitted your documents, we’ll generally review them within 2 working days and send your invoice for the registration fee (£90 inc. VAT) and once paid, confirm approval with confirmation of your Carebit portal account. From there, you can start by booking your intake appointment and accessing the support you need. We’ll keep you updated along the way, so you’re not left wondering what’s next.
We aim to process registrations within 5 working days. If there are any delays, we’ll always keep you in the loop, we understand waiting is hard when you’re just trying to move forward with your care.
If at any point you decide you don’t need prescribing support anymore, you can switch to Flexible Support without having to re-register. Your access to things like blood test referrals, therapy, and letters will continue until you choose to close your account.
If you started with Flexible Support and have chosen to access support with prescribing, you’ll just pay the difference in registration fees and won’t have to go through the full process again. We want to make this as simple and stress-free as possible.
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