The NHS has a three-tier referral system for accessing the gender clinics. Basically, you go to your GP, GP refers you to a local mental health professional, and that specialist then refers you to the clinic.
My GP, though, wanted to know: Does she refer me to a psychologist or a psychiatrist? I would think the second tier wouldn't need to be able to prescribe meds as they would really just be a waystation... am I missing a critical point here though...