Analysis

9 ways the NHS could be improved for trans people

ANALYSIS: Trans people are being forced into the ‘grey market’ to access HRT. It doesn’t have to be this way

By Maysa Pritilata

9 ways the NHS could be improved for trans people — People celebrating Pride in Stockholm

Published: April 12, 2023, 10:00 pm

The NHS is in crisis – but trans healthcare in the UK has been in a terrible state for a long time, especially when it comes to accessing gender-affirming hormones.

Hormone replacement therapy (HRT) is a lifeline for many trans people, and can play a key role in medical transitioning. In a 2018 survey by the advocacy group Action for Trans Health, 84% of people who had previously experienced suicidal thoughts reported a decrease after starting hormone treatment. There was also a decrease in acting on such feelings.

But many trans people find themselves on years-long waiting lists, have to endure humiliating and invasive questioning at gender identity clinics (GICs), and – as openDemocracy revealed today – can be refused prescriptions on seemingly arbitrary grounds.

If you or someone you know is impacted by themes or subjects raised in this article, the following organisations can help.

Galop

Support for LGBTQ+ people who have experienced domestic or sexual abuse, hate crime, 'conversion practices' and other forms of violence.

Phone: 0800 999 5428. Website including live chat: galop.org.uk

Mermaids

Support and information for trans young people, and their families, friends and supportive communities. Helpline: 0808 801 0400 (Monday-Friday 9am-9pm). Website: Mermaids. Webchat, online help and support line: Contact Mermaids

Switchboard

National support line for anyone wishing to discuss topics related to their sexuality and gender identity including sexual health and relationships.

Phone: 0300 330 0630 (10am-10pm). Website: Switchboard

LGBT Foundation

A range of services, support and information for lesbian, gay, bi and trans people.

Phone: 0345 330 3030 (Daily 10am-10pm). Website: LGBT Foundation

The Rainbow Project

A range of services for lesbian, gay, bisexual, transgender, queer, intersex and/or asexual people and their families in Northern Ireland.

Phone: 028 9031 9030. Website: Rainbow Project

LGBT Health and Wellbeing

Services for LGBTQ+ people and their friends and families in Scotland.

Phone: 0300 123 2523 (Tue & Wed 12-9pm). Website: LGBT Health and Wellbeing

If you or someone you know are feeling emotionally distressed, the following organisations offer advice and support.

Samaritans

Available for anyone struggling to cope. They provide a safe place to talk 24 hours a day.

Phone: 116 123. Website: Samaritans

Shout

A 24/7 text service, free on all major mobile networks, for anyone struggling to cope and in need of immediate help.

Text SHOUT to 85258. Website: Shout

Papyrus

Support, practical advice and information to young people considering suicide and can also offer help and advice if you're concerned about someone you know.

Phone: 0800 068 41 41. Website: Papyrus

Lifeline

Support to people suffering distress or despair in Northern Ireland, regardless of age or district.

Phone: 0808 808 8000 (24 hours a day). Website: Lifeline

Community Advice & Listening Line

Emotional support and information on mental health and related matters to people in Wales.

Phone: 0800 132 737 (24/7) or text "help" to 81066. Website: Community Advice & Listening Line

Breathing Space

Confidential phone and web based service for people in Scotland experiencing low mood, depression or anxiety.

Phone: 0800 83 85 87 (Mon-Thu 6pm-2am, weekends 24 hours). A BSL service is also available via the website: Breathing Space

Survivors of Bereavement by Suicide

Exists to meet the needs and break the isolation of those bereaved by the suicide of a close relative or friend.

Website: Survivors of Bereavement by Suicide

Nightlines

Confidential, anonymous, non-judgemental support services run by students for students.

Website: Nightlines

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