Shared Care

Shared Care Pathway – £65 Registration Fee

This pathway is for our trans, non-binary, and intersex community in the UK (aged 18+) who have a supportive GP and want a collaborative approach to their gender-affirming care.

With shared care, you’ll have access to our multidisciplinary team (MDT) of gender-affirming clinicians while your GP manages your prescriptions. This means you get ongoing medical oversight, individualised treatment plans, and expert support, all while keeping your care connected to your local healthcare provider.

Work with your GP for ongoing prescribing
Keep your care integrated & collaborative
Receive expert support every step of the way

⚠ This pathway requires a GP who is willing to participate in shared care. If your GP is unsure, we can provide guidance on how it works.

Learn more below.

Pathway Overview

Step 1: Registration

Once you're ready to register, you can complete the registration form linked on this page. After submitting your request, we’ll be in touch to request your ID documents to verify your details.

What You’ll Need to Provide:

1. Photo Identification (Upload two of the following):

Photocard Driving Licence (expired licences accepted)
Valid Passport (expired passports accepted)
Formal ID Card (e.g., armed forces, police, student, company ID)
A photo of yourself holding a piece of paper with your name, date of birth (DD/MM/YYYY), and full address (including postcode).

2. Proof of Address (Upload one of the following):

Valid UK Driving Licence
Recent Utility Bill (gas, electricity, water, or phone)
Council Tax Bill
Recent Bank or Credit Card Statement
Tenancy Agreement

Next Steps:

Submit your registration request using the form linked on this page.
We’ll request your ID documents for verification.
Once reviewed, we’ll send you an invoice for your registration fee (£65).
After payment is received, we’ll set up your account in the system.
You’ll then be ready to book your first appointment and access the services you need.

If you have any questions, feel free to reach out via the contact us page.

Step 2: Initial Assessments

Once registered, you'll be asked to complete an intake form, clinical intake form and consent to sharing information form. It's important that you complete these as it provides the team with the information they need to support you.

If you need a formal diagnosis, you’ll book an intake appointment with a psychologist:

£138: For those needing a formal diagnosis (60-minute appointment)
£66 If you already have a verified formal diagnosis (30-minute appointment)

This appointment will provide information around gender incongruence, discuss your transition goals, and assess your capacity to consent.

After your initial intake appointment, you’ll book a 45-minute consultation (£136) with a doctor to discuss your transition goals.

During this session, the doctor will:

Confirm which blood tests are required Review any medical concerns
Provide information on gender-affirming treatment options
Ensure you understand informed consent.

At this stage, you’ll need to confirm your GP’s willingness to participate in shared care.

Once confirmed, Pride In Health can liaise with your GP to facilitate the agreement.
A Shared Care Agreement (£24) will be sent to your GP for approval.
If accepted, you’ll proceed with GP-based prescribing with our support of a 3-monthly treatment recommendation from your clinician.

Ongoing Prescribing Support:

£12 Treatment Recommendation every 3 months to your GP
Blood tests arranged every 3 months via Pride In Health (£24 referral + £9 results analysis)
Monitoring Appointments every 6 months (from £65) with either a clinician or psychologist.
GP prescribes medication, which you collect from your chosen pharmacy

Step 3: Why Choose Shared Care?

Expert Support: Access a team of experienced healthcare professionals, with joint collaboration between an independent MDT and your GP
Safe & Informed Care: Prescribing is based on a thorough medical review before being passed to your GP for prescribing.
Personalised Treatment: Ongoing assessments ensure your care remains tailored to your needs.
Convenient Monitoring : Regular check-ins help keep your transition safe and effective.

Ready to get started?

Frequently Asked Questions

What is Shared Care?

Shared care means that your GP prescribes your gender-affirming medication, while the independent team provide ongoing medical oversight and recommendations. This allows you to keep your care connected to NHS services while still accessing expert support.

Do I need a supportive GP to access this pathway?

You will, your GP needs to be willing to participate in shared care. If they’re unsure, we can help by providing a shared care agreement (£24) with information on how it works and answering any questions they may have.

What if my GP refuses to prescribe?

Unfortunately, some GPs aren’t comfortable with shared care, even when guidance supports it. If your GP refuses, you might want to look into the Comprehensive Care Pathway, which offers private prescribing instead.

We know this can be frustrating, but you’re not alone, many of us have been there too. If you need help figuring out what to do next, we’re here to help talk through your options.

What happens after I register?

Once you register and submit your documents, we aim to review everything within 2 working days and confirm your registration by email along with an invoice for your registration. Once paid, we will get you set up within the system so you can then start booking your appointments.

How long does it take to get my prescription?

This depends on your GP’s approval process. Once your Shared Care Agreement is accepted, the next step is to arrange your blood tests, have them reviewed by the multidisciplinary team and creating your treatment recommendation. From there, your GP can start prescribing. We’ll continue to support you with treatment recommendations (£12) every 3 months to keep things moving smoothly.

Can I switch to a different pathway later?

If at any point you decide to move to Comprehensive Care for private prescribing, you won’t have to re-register, you’ll just pay the difference in registration fees.

If your GP later refuses shared care, you can also switch to private prescribing without losing your progress.