Susan's Place Logo

News:

Visit our Discord server  and Wiki

Main Menu

Changing NHS GICs?

Started by Willowicious, July 15, 2015, 03:35:50 PM

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

Willowicious

Hiya!

I'm a uni student in Wales, and have such registered with the local GP. I've read and been told that NHS Wales, and thus my GP will only refer me to a Charring Cross in London, which has a waiting time of 3 years, and is expensive for me to get to. Thus, I would rather be referred to Nottingham (nearer to my home town) or The Laurels in Exeter. Is it possible for me to be referred to either one of these straight away at the GP, or for my referral to be switched? Any advice is greatly appreciated! ^_^


  •  

FTMDiaries

Sadly, NHS Wales only pays for referrals to Charing Cross. So no, you cannot have your referral changed to any other NHS clinic if you live in Wales because your NHS will not fund it.  :(

If your folks live in England, you can get a doctor there to refer you to another English clinic. But if they also live in Wales, I'm afraid you're stuck with CHX. Incidentally, the current waiting time is around 13 months for Charing Cross so it's not entirely hopeless.

If you can afford it, you can speed things up considerably by booking an appointment at one of the private clinics in London. Transhealth and GenderCare are both reputable clinics who can work with your GP (if your GP agrees - check beforehand) to start you on the right care pathway. They could get you started on hormones etc. whilst you wait for Charing Cross to see you, and you can then switch back to the NHS at that point. They both have a waiting list of about 3-4 months and they charge around £200-250 per appointment, but in most cases you only need to see them once or twice before they hand you back to your NHS GP with a prescription for some lovely, lovely hormones.

Alternatively, if you'd like some gender counselling you might also want to look into Alex Drummond, a psychotherapist & mental health counsellor in Caerphilly. They identify as a genderqueer transwoman and offer therapy in South Wales. Sessions cost a maximum of £50 and are available over Skype if you can't travel. I don't think Alex can prescribe hormones though, because you need to be a medical doctor to do that.





  •  

Willowicious

Thanks for the info! :D I'm seeing about having a one-off appointment in England so I can be referred to a different one ^_^


  •  

FTMDiaries

You're welcome! :) It's just such a shame that you have to jump through so many hoops to do this. The powers-that-be are working hard to set up a Welsh GIC for the 31,000 trans people in the country, but it takes a very long time for those bureaucratic wheels to turn.

Please be aware that the problem you have is with the funding for your treatment by NHS Wales: they assess each application on a case-by-case basis and have to approve funding for you before you can even be referred to the GIC. NHS Wales funds everyone who lives in Wales, and they only fund Charing Cross referrals. To be referred to another GIC, you'd need to be resident in England and you'd have to use that English address to register with an English GP so that funding can be requested from NHS England instead of NHS Wales. So that one-off appointment might not be a straight-forward as you might hope. (If this wasn't the case, I'd be using my English address to register with a Welsh GP so I could get free prescriptions; the bridge toll is less than the prescription charge so I'd be quids-in!) ;)

I have also heard that the Welsh referral protocol is different than in England, and it's a bit of a palaver:

  • First, you see your GP who refers you to a Consultant Psychiatrist in your local Mental Health team;
  • The Psych then refers your case to a Health Board Clinical Gatekeeper for review & approval;
  • The Gatekeeper then sends your referral to WHSSC for funding authorisation;
  • If funding is approved, the Psych is then able to refer you to London.
I presume you've been through these stages already? They're reviewing this protocol in September, so who knows... it might improve.

Incidentally, the shortest waiting time in England at the moment is Daventry at 12 weeks, followed by The Laurels at 18 weeks. So try Daventry first if you can get there (you did mention Nottingham, but their waiting list is about 35 weeks).





  •  

Willowicious

#4
A Welsh GIC is greatly needed. I got in touch with the Beaumont Society, and they told me that as part of some Patient Charter or something of the like I have the right to be referred to whatever GIC I wanted, so maybe I can get around using a Welsh GP? If not, I'll register with a near-by English GP I haven't actually started my transition proper yet, but am trying to get everything planned to make it as smooth as possible ^_^


  •  

FTMDiaries

Here's a thought... if you temporarily register with an English GP to get a referral to the English GIC of your choice, you can then continue your care in Wales once that referral comes through because it will still be funded by England as that is where the original funding request was made.

I know of several people who have lived in England temporarily (for Uni, etc.) and have started their GIC pathways there, only to move back to Wales later. Their Welsh GPs have been happy to continue their care, and they're able to continue attending the English GIC of their choice, fully funded by NHS England. It's that initial referral that's the key factor in getting the GIC of your choice.

Whilst you're waiting for your GIC appointment to come through, you can still attend a Welsh GP as a temporary patient if you need medical treatment for any reason. 

The Beaumont Society were mistaken, incidentally (and they are based in London, so their advice tends to be London-centric). The Patient Charter is individual to each NHS body, and the right they mentioned is guaranteed by NHS England. To clarify: you have the right to be referred to any service that is commissioned by your particular branch of the NHS, which is NHS Wales in your case. NHS England's Patient Charter may very well guarantee English citizens the right to attend any clinic it commissions, of which there are several throughout England. But of course, NHS Wales only commissions one clinic - Charing Cross - for gender services for all Welsh citizens... so under NHS Wales' Patient Charter, you only have the right to be referred to that one.

So much for a 'National' Health Service, eh? :-\





  •  

Willowicious

That's a great idea! I may just end up doing that ^_^ I think I read somewhere that starting this year you can register with any GP regardless of whether you live in its catchment zone or not (I'll see if I can find the link again), so that would make it easier for choosing my one-off GP thing. I've also been told by another organisation that regardless of whether NHS Wales has a contract with Charring X or not, if they refer me to there without me wanting to be referred there it counts as discrimination (and as Wales has no gender clinics of its own I have a choice), so they would have to give a referral for the GIC of my choice. Annoying about the NHS being split into its constituent countries :-/ I heard they're working on a Welsh GIC though :)


  •