There was some suggestion that private 'specialists' such as GenderGP might advise GPs so they could then prescribe 'bridging prescriptions' as a solution to the long waits for NHS GIDs etc
It may also be that whilst the registration / 'head office' moves to another country, some services remain in the UK?
There's comment about registration issues etc on the GenderGP site queries page:
"Why aren't you registered with the CQC?
As my services are currently provided from mob home in Wales, the CQC registration does not cover this area. I have been told by the CQC that my service does not need to be registered.
"What about registration with the Health Inspectorate Wales?
GenderGP started as a simple WordPress blog website for advice for patients and doctors. It very quickly grew as the demand rose and I have now given advice to thousands of people. I first applied for HIW registration in October 2016 but they have still not completed their registration processes.
Recently they have told me that I should no longer provide services and that they are mindful to not approve my application.
As there are a large number of patients relying on my care who can’t get the help they need from anywhere else, and because there is a high incidence of self harm and suicide in this patient group, I am going to transfer the hub of my service to my other residence in Malaga, Spain so that I can continue providing care while the regulatory processes are being sorted out."
Can healthcare be delivered online?
As part of the NHS ‘Five Year Plan’ there are great development plans for using technology to enhance the provision of safer, more accessible healthcare. In the future, this will be mainstream.
www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/harnessing-technology-and-innovation/
gendergp.co.uk/queries/