This probably needs a new topic with links to related topics (like this one) but relevant here in the meantime.
@AnyOldPrion and @R0wantrees mentioned a new Trans / Gender Service in Manchester:
www.gmcvo.org.uk/gm-trans-health-service-informal-expressions-interest
GM Trans Health Service - Informal Expressions of Interest
Greater Manchester Health & Social Care Partnership is jointly working with NHS England to build a new model of health care for transgender and non-binary people in Greater Manchester. NHS England wants to explore alternative models for delivery that may offer better opportunity for increasing clinical capacity across the country, thereby reducing waiting times, addressing geographical inequality and improving the patient experience.
The Greater Manchester Health and Social Care Partnership are seeking to identify potential expressions of interest in delivering a two year pilot. The deadline for the submission of informal expressions of interest is Friday 18th January 2019
To find out more, click here:
www.gmcvo.org.uk/system/files/gm_ths_expressions_of_interest_dec_2018.pdf
If you are interested in delivering this pilot or would like to discuss further, please contact Sara Roscoe, Associate Director of Transition and Development, Manchester Health and Care Commissioning – [email protected]
(I can't find an update anywhere on the site)
The PDF download starts:
Building a Trans Health Service in Greater Manchester - Informal Expressions of Interest
Greater Manchester Health & Social Care Partnership is jointly working with NHS England to build a new model of health care for transgender and non-binary people in Greater Manchester. This communique is intended as an awareness, communication and information gathering exercise.
Background
NHS England is the direct commissioner for specialised services in England for individuals with a diagnosis of gender dysphoria. The model of care for gender services against which we are commissioning is not sustainable, and the patient experience is increasingly poor. There is no specialist gender clinic in the North West of England.
NHS England wants to explore alternative models for delivery that may offer better opportunity for increasing clinical capacity across the country, thereby reducing waiting times, addressing geographical inequality and improving the patient experience.
The proposal for a two year pilot service is subject to full agreement by NHS England in January 2019.
The pilot service will be commissioned and funded by NHS England."
(See link above for the rest of it - PDF)
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NHS SPECIALIST COMMISSIONING
Reading the articles in the Times yesterday (I have not seen James Kirkup's Spectator blog yet) it struck me that the investigative journalists need now to take a step up the food chain to NHS SPECIALIST COMMISSIONING
This is the level where the strings are pulled and health care providers jump to their tune because . . . follow the money.
NHS Blog: Next steps in shaping the future of specialised gender identity services 11 May 2018
www.england.nhs.uk/blog/next-steps-in-shaping-the-future-of-specialised-gender-identity-services/
Home > NHS commissioning > Specialised services > National Programmes of Care and Clinical Reference Groups > Gender Dysphoria Clinical Programme
www.england.nhs.uk/commissioning/spec-services/npc-crg/gender-dysphoria-clinical-programme/
Gender Dysphoria Clinical Programme
"NHS England has established a Programme Board for Gender Dysphoria Services, view the terms of reference and membership. The Clinical Reference Group will give independent expert advice to the Programme Board on the various aspects of the Board’s work.
In 2018 NHS England published new service specifications for adult services, formed through a process of extensive stakeholder engagement and public consultation. You can read the analysis of responses and consultation report; and the service specifications can be found here:
Gender identity services for adults; non-surgical interventions
Gender identity services for adults; surgical interventions.
The new service specifications will be adopted later in 2019/20 once NHS England has used a process of competitive procurement to identify which organisations are best placed to deliver specialised gender dysphoria services in the future. The process of procurement will commence in the spring of 2019. In the meantime, current providers of adult services will continue to work to the Interim Gender Dysphoria Protocol and Service Guideline.
Documents relevant to the Gender Identity Development Service for Children and Young People:
Gender identity development service for children and adolescent service specification
Clinical Commissioning Policy for Prescribing Cross Sex Hormones
In 2019/20 the Programme Board for Gender Dysphoria Services will:
- Oversee the process of awarding contracts for the provision of specialised services for adults (surgical; and non-surgical) through a process of competitive procurement
- Use procurement to consider designation of one or two Gender Dysphoria Clinics to function as a National Trans Health Unit, having responsibility for managing a national or supra-regional network of Gender Dysphoria Clinics
- Establish a pioneering gender dysphoria service in a community or primary care setting in Greater Manchester, as a pilot for evaluation; and consider pilots for other models for delivery in other parts of the country
- Establish a National Referral Support Service to assist individuals in choosing a surgical provider that can best meet their objectives
- Establish a new quality framework that requires designated providers to report meaningful clinical indicators, and that includes Patient Reported Outcome and Experience Measures (co-designed with people with lived experience)
- Review the service specification and clinical commissioning policy for the Gender Identity Development Service for Children and Young People.
That last one is interesting. Is it the Review that has already been completed or a different one?
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ps. There is a lot of relevant info already released under FOI on "What Do They Know?"
What Do They Know: Search results for "gender dysphoria"