Greater Manchester Trans Health Service Pilot

NHS England has launched a selection process to find a suitable provider, or group of providers, to deliver a pilot healthcare service for trans and non-binary adults (17 and above) in Greater Manchester. The pilot will initially run for up to three years.

As an outcome of a significant programme of work to improve gender dysphoria services, NHS England has concluded that a new delivery model is necessary for England that offers access to specialist care by trained professionals in primary care and other local settings.

NHS England is looking to establish – for evaluation – a multi-disciplinary team based in primary care in Greater Manchester that will deliver NHS services that are currently only available in designated Gender Dysphoria Clinics.

The advantage of this model, if positively evaluated, is the ability to increase clinical capacity to an extent not possible using the current delivery model; more timely and accessible care delivered (initially) in the Greater Manchester area; and a better join-up between the team providing specialist care and the individual’s own GP.

The Greater Manchester Trans Health Service will work to an adaptation of NHS England’s national service specification for gender dysphoria services (that was agreed in 2018 as an outcome of public consultation).

A key feature of the selection process is for bidding organisations to describe a delivery model that has been co-designed with the trans and non-binary communities of Greater Manchester, and which is tailored to meet their particular needs. A common theme heard during consultation was around the need for a more inclusive service, streamlined referral processes and multi professional/multi-sector staffing.

As well as providing a range of support to people, the Trans Health Service will work closely with GP practices and build collaborative relationships with local statutory services and voluntary sector services, so that individuals may be easily referred or sign-posted to other services in Greater Manchester that meet their overall health and social care needs.

NHS England is working collaboratively with the Greater Manchester Health and Social Care Partnership (GMH&SCP), which combines health and local government, on the pilot. GMH&SCP will support NHS England in setting up the service and consider how additional services could be incorporated over time.

The service will initially focus on supporting individuals from Greater Manchester who are on the waiting list for a first appointment at a Gender Dysphoria Clinic.

The invitation to tender for the Trans Health Service is open to health and social care and third sector organisations. More information about requirements of the service for potential bidders is available on the Government Contracts Finder website. The tender process closes on 22 November 2019.

The Trans Health Service is expected to be in place in 2020.

For more information about NHS England’s work on gender dysphoria, please contact

Author: National LGB&T Partnership

The National LGB&T Partnership is an England-wide group of 10 LGB&T voluntary and community organisations who are committed to reducing the health inequalities of lesbian, gay, bisexual and trans communities and to challenging homophobia, biphobia and transphobia within public services. The Partnership aim: o To ensure that tackling the health inequalities experienced by LGB&T people is kept high on the government’s agenda o That best use is made of the experience and expertise found within the LGB&T voluntary and community sector o To support the sustainability of the LGB&T sector so it can engage with government and statutory bodies, such as the Department of Health, at a strategic level to improve service delivery The Partnership complements the work of The Consortium of LGB&T VCOs by having The Consortium is an executive member of The Partnership and responding to key areas of policy development that affect LGB&T individuals as well as policy that impacts on our sector. Since inception, The Partnership has responded to a vast number of government and Department of Health white papers and consultations of relevance to the LGB&T sector and its communities as a Strategic Partner to the Department of Health, which gives us a platform and opportunity to influence positive changes for LGB&T people and reduce health inequalities in public services.

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