Medical Pages

Access to treatment | Health authority policy | Satisfaction with surgery | Guidelines | Other

Access To Treatment

See also the legal reports on court cases related to access to medical treatment.

• Medical treatment problems survey — please complete this questionnaire and tell us what problems you have faced in obtaining treatment on the NHS
• What to do if your GP or Health Authority refuses to fund gender reassignment treatment
• How I challenged my Health’s Authority’s policy on funding surgery
• Supplementary guidance notes following the High Court judgment in the NW Lancashire case
• Community Health Councils: statutory bodies with power to help people having problems with the NHS

Health Authority Policy

Despite the term “National Health Service”, access to medical treatment is in practice determined by the priorities allocated to different services by local health authorities.  Their policies on funding gender reasignment vary greatly.

• North West Lancashire Health Authority draft policy on treatment of trans people (October 1999)
• PFC response to NW Lancs draft policy on treatment of trans people (November 1999)
• North West Lancashire Health Authority 2nd draft policy on treatment of trans people (January 2000)
• PFC response to NW Lancs 2nd draft policy on treatment of trans people (February 2000)
• North West Lancashire Health Authority final policy on treatment of trans people (May 2000)
• Suffolk Health Authority: PFC foreword
• Suffolk Health Authority: Transsexuals and Sex Reassignment Surgery

Satisfaction With Surgery

• Satisfaction with genital surgery: survey of post-operative trans people … with an on-line form to fill in
  … and a plaintext version of the survey form to download and print out.

Guidelines

NOTE: The desirability of standardised guidelines for the provision of medical assistance to trans people is hotly contested within the trans community.  These guidelines are not universally applied, and are reproduced here for reference, not as an endorsement of any need for such “standards” or of the suitability of these standards.

• The Patient’s Charter for England: your rights and the standards of service you can expect to receive from the National Health Service
• The HBIGDA ’Standards Of Care’ (Version 5, 1998)
  … and a Adobe Acrobat (PDF) version
• The HBIGDA Standards Of Care (Version 4, 1990)
• A Horse Designed by Committee : Mairi MacDonald’s personal and polemical view of the HBIDGA so-called “Standards of Care”

Other

• Dear Professor Brook … a PFC campaigner writes an open letter to the endocrinologist involved in the surgical reasignment of a child