Prescribing Support
Prescribing Support 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 treatment.
This pathway offers support through our multidisciplinary team (MDT) of Hormone Specialists, Nurses, Pharmacists, Supervising Clinical Psychologists, Psychologists, and and experienced transgender healthcare navigation support, providing you access to hormone support tailored to your needs.
- Ongoing professional oversight
- Comprehensive assessment & 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.
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 care, and that your goals and support needs are properly understood.
There are two routes here
- Full intake appointment, for people who don't have a formal diagnosis
- £190.80
- Transferral intake, for people who already have a formal diagnosis report that can be reviewed
- £91.20
What happens in Step 1
- A structured intake appointment focused on goals, history, wellbeing, and support needs
- Review of existing diagnostic documentation, where applicable
- A written summary that supports onward prescribing care, and helps reduce delays later
Reports may take on average around 4 weeks to receive from the date of your appointment, if you have not received your report by this point, please let us know and we will follow this up with your psychologist.
Links
Link to: Registration
Link to: FAQs
Step 2: Care navigation appointment, non clinical - £94.40
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.
What happens in Step 2
- Blood test options explained, and a plan agreed for how you will obtain baseline bloods
- Forms and steps explained, including what needs uploaded and where
- GP practice details captured where possible, so shared care is easier later
- A readiness check, so the clinical appointment is not wasted on missing information
- Main medication options are explained, and general information is shared, so you understand the typical routes and what choices may come up later.
- A brief overview of fertility preservation is included, so you have time to think about this early, before any decisions feel rushed.
- After this appointment, resources will be shared with you to support you with blood test processes, and to help you understand the medication options in your own time.
Timing
Please allow a gap of at least 2 weeks after your blood tests so blood results can be returned and we can ensure all results are captured ready for review.
Links
Link to: Blood tests and monitoring
Link to: Price List
Step 3: Blood Tests & Biometric Data
You’ll need to provide up-to-date height, weight, blood pressure reading & blood test results before your Gender Clinician 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:
- Pride In Health private referral – includes lab testing & results analysis
- Through your GP (if they’re supportive) - with a £13.20 result analysis fee
- A private clinic of your choice – with a £13.20 result analysis fee
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.
Step 4: Gender Clinician Appointment, - £245 (prescription cost included)
This is the clinical appointment where your medical history is reviewed, your goals 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
Ongoing monitoring
Monitoring matters
Ongoing monitoring is part of safe 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 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
Links
Link to: Blood tests and monitoring information
Shared care option at 6 months
Shared care at 6 months, if things are stable and well monitored
After 6 months of safe, stable treatment with consistent monitoring, you can request shared care. If your GP accepts, they may take on prescribing while you continue to access structured monitoring support as needed. If they do not accept, 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 of results
- A clinical contact framework the GP practice can rely on
- A clear plan for what is asked of the GP, and what remains with the independent clinicians
Set expectations
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 is realistic in your area.
Links
Link to: FAQs
Link to: Contact us
Bookings System Closed For Updates
Please note:
Our online booking system is currently closed while we make updates to improve clinical governance and safety, including clearer pathway steps, stronger readiness checks before clinical appointments, and more consistent documentation and follow up.
Thank you for your patience, if you need to contact us, please email us and a team member will be able to reply when we reopen on Tuesday Morning.