Hormone Prescribing
Prescribing Pathway – £90 Registration Fee
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 prescribing.
This pathway offers support through our multidisciplinary team of Hormone Specialists, Nurses, Pharmacists, Supervising Clinical Psychologists, Psychologists, and an experienced transgender healthcare navigation support team, providing you access to hormone prescribing tailored to your needs.
Ongoing professional oversight
Comprehensive assessment and monitoring
Personalised, evidence-informed care
This pathway requires clinical oversight, blood tests, and regular review to help UK-registered clinicians ensure the safety of any prescribing decisions.
Register, or learn more below.
Step 1: Psychology intake and diagnostic review
This step helps make sure the prescribing clinician has the right information to provide safe gender-affirming hormone care, and that your goals and support needs are properly understood.
There are two routes:
Intake without formal diagnosis (Transferral): - £120. For people who already have suitable existing diagnostic documentation that can be reviewed as part of the intake process.
Or Intake with formal diagnosis: - £195.
For people who need a more in-depth intake and diagnostic review before moving forward with hormone prescribing.
What happens in Step 1:
A structured intake appointment focused on your goals, history, wellbeing, and support needs. Review of existing diagnostic documentation, where applicable. A written summary to support onward prescribing care and reduce delays later. Reports may take around 4 weeks to arrive after your appointment. If you have not received your report by then, please let the team know so it can be followed up.
Links
Link to: Registration
Link to: FAQs
Book below if you're registered and have received access to your portal.
Step 2: Care Navigation appointment, non-clinical: £125
This appointment is practical and community-focused. It helps you get ready for the clinician step without having to figure everything out alone.
There is no medical advice or interpretation in this appointment. It is about coordination, readiness, and making sure you know what happens next, understand medication options and feel informed to make decisions around your gender-affirming hormone care.
What happens in Step 2
- Blood test options are explained, and a plan is agreed for how you will obtain baseline bloods.
- Forms and next steps are explained, including what needs to be uploaded and where.
- GP practice details are captured where possible, so shared care is easier later.
- A readiness check helps make sure the clinical appointment is not delayed by missing information.
- Main medication options are outlined in general terms, so you understand what choices may come up later.
- Fertility preservation is signposted early, before decisions feel rushed.
- Resources are shared afterwards so you can understand blood test processes and medication options in your own time.
Timing
Please allow at least 2 weeks after your blood tests so results can be returned and checked before clinical review.
Links
Link to: Blood tests and monitoring
Link to: Price List
Book below if you're registered, and you've had your intake or transferral appointment.
Step 3: Baseline Panel and biometric data: £195
Before your Gender Clinician appointment, you will need to provide up-to-date height, weight, blood pressure, and blood test results. These help keep your care safe and help the team make the most informed decisions for your gender-affirming hormone treatment.
You can choose how to have your blood tests arranged:
Pride In Health bloods
Blood tests are arranged through Pride In Health as part of that pathway.
External blood tests
You arrange blood tests separately and send the results to us as a PDF for review.
Through your GP or another provider
Where this is available to you, this can be used as part of the external blood test route.
We will always guide you through what is required and check that the necessary information has been received before prescribing decisions are made.
Important note
The external blood test pathway does not include the cost of arranging those blood tests.
Step 4: Gender Clinician Appointment: £245
This is the clinical appointment where your medical history is reviewed, your goals for gender-affirming hormone treatment are explored properly, risks and benefits are discussed, and informed consent is checked.
If baseline bloods are present and it is clinically appropriate, treatment may be initiated from this point.
What the clinician covers
- Medical history, current medications, allergies, and safety screening
- Risks, benefits, expected effects, timelines, and alternatives
- Fertility discussion and signposting where relevant to your goals
- Review and interpretation of baseline blood results
- A documented plan, including monitoring schedule and what happens next
Links
Link to: FAQs
Book below if you've had your Care Navigation appointment, and completed and submitted your blood test results.
Ongoing monitoring
Ongoing monitoring is part of safe gender-affirming hormone prescribing. It helps make sure your treatment is working as expected and stays safe over time.
Your clinician will confirm what tests are needed and when, based on your pathway and your medication plan.
What ongoing monitoring usually includes
- Regular blood tests at the intervals agreed with your clinician
- Review appointments to interpret results and agree any changes safely
- Clear documentation so you can request shared care later if you choose
- Ongoing prescribing based on clinical review and safe follow-up
If you want the full breakdown of ongoing care pathways, pricing, and payment options, please see our Ongoing Care page.
Links
Link to: Blood tests and monitoring information
Link to: Ongoing Care
Link to: Pricing Information & Calculator
Shared care option at 6 months
Shared care is not part of intake. It is only available to request after at least 6 months of well-monitored gender-affirming hormone treatment.
After at least 6 months of stable, well-monitored treatment, you can request shared care. If your GP agrees, they may take on prescribing and blood tests, while you continue to receive clinician-led review, treatment recommendations, documentation, and support.
If your GP does not agree, you can continue privately so you are not left stuck.
What shared care usually needs
- A clear summary of current treatment and stability
- Evidence of consistent monitoring and timely follow-up
- A clinical contact framework the GP practice can rely on
- A clear plan for what is being asked of the GP, and what remains with the Pride In Health clinical team
GP Discretion
Shared care is always at the discretion of the GP practice, even when everything is stable. It is worth speaking to your GP early, so you know what may be realistic in your area.
If you'd like support with raising the conversation with your GP, please let us know and we'll be happy to share our helpful guide.
Links
Link to: FAQs
Link to: Contact us