We cannot provide your exact position, as the list changes frequently.

We will contact you as your referral approaches the top of the waiting list. On average, about 75 referrals are sent to CYP Gender Services each month.

Currently, we are contacting individuals referred in February 2022. Please ensure your contact details are up to date here - Change Your Contact Details

Referrals can be made by either NHS children and young people mental health services or paediatric services. More information is available here - National Referral Support Service.

If you are under 16, usually NHS healthcare professionals will ask for your parent’s or carer’s consent to refer you into specialist services, however you can discuss this with your GP or healthcare professional.

It is recommended that referrals are made with the knowledge and permission of parents or carers. By law, individuals aged 16 or over are generally assumed to have the capacity to consent to clinical treatment without needing parental consent. However, the healthcare professional considering the referral will assess whether it is appropriate to proceed without informing parents.

Ultimately, the CYP Gender Service will decide if it is suitable to see the young person under these circumstances.

There is no minimum age to access this service. It is for the referring NHS clinician (in children’s mental health services or paediatric services) to decide whether a referral is clinically appropriate.

Referrals are not usually backdated. If you believe your referral date is incorrect, email agem.cyp-gnrss@nhs.net with your name, date of birth and NHS number and the date you believe you were referred.

Referrals are added to the waiting list in referral date order. If you believe your referral date is incorrect, please email agem.cyp-gnrss@nhs.net with your name, date of birth and NHS number and the date you believe you were referred.

Please email agem.cyp-gnrss@nhs.net with your name, date of birth and NHS number and the date you believe you were referred, so we can look into this.

We will contact you as your referral approaches the top of the waiting list. On average, about 75 referrals are sent to CYP Gender Services each month.

Currently, we are contacting individuals referred in February 2022. Please ensure your contact details are up to date here - Change Your Contact Details.

We cannot provide your exact position, as the list changes frequently. On average, about 75 referrals are sent to CYP Gender Services each month. We will contact you as your referral approaches the top of the waiting list.

Currently, we are contacting individuals referred in February 2022. Please ensure your contact details are up to date here - Change Your Contact Details.

Referrals cannot be escalated or prioritised; patients are sent seen in the same order that they were referred to the CYP Gender Services to maintain fairness.

If you reach 17 years and 9 months and are unlikely to be seen before you are 18, a letter will be sent to you and your GP to tell you. You then have the option to go to your GP and talk about a referral to an NHS adult gender service. An adult gender service will honour the time you have already waited on the children and young people’s waiting list.

No, the adult gender service will honour the time you have already waited, you do not have to start again.

When you speak to your GP ask them to send a copy of the letter received about no longer being on the CYP list as this has evidence of your original waiting date.

Adult Gender Services need updated and different information and as we are not a clinical service, we cannot make the referral.

The NHS cannot support you with private prescriptions. The NHS warns you against taking any medication from organisations and online providers who are not registered with health regulators in the United Kingdom because of safety concerns.

If you have questions about medication or treatment, it’s always best to speak with your GP. Your GP can give you safe, reliable advice that’s right for you.

The NHS strongly recommends that you do not take any medicines from websites or organisations that aren’t officially approved by UK health authorities. This is because medicines from unregulated sources might not be safe and could even harm your health. If you’re unsure about any medication or treatment, please ask your GP, they’re here to help you stay safe and healthy.

The NHS does not offer puberty suppressing hormones because of concerns about the low evidence of safety. Since June 2024 private prescriptions for puberty suppressing hormones are banned by Government legislation.

New referrals for feminising and masculinising hormones for CYP have been paused since March 2026 after in-depth reviews found there was not enough evidence to support their use. Following a 90-day consultation period (NHS England » Clinical policy: Prescribing of masculinising and feminising hormones for children and adolescents who have gender incongruence or dysphoria – public consultation guide) on the use of feminising and masculinising hormones, clinical policy and guidance will be updated.

The website offers guidance on risk and safety regarding GnRH analogues (puberty suppressing hormones) and other risks in the Referrers and Professionals section here - Information for Referrers and Professionals.

The NHS does not offer puberty suppressing hormones because of concerns about the low evidence of safety. Since June 2024 private prescriptions for puberty suppressing hormones are banned by Government legislation.

New referrals for feminising and masculinising hormones for CYP have been paused since March 2026 after in-depth reviews found there was not enough evidence to support their use. Following a 90-day consultation period (NHS England » Clinical policy: Prescribing of masculinising and feminising hormones for children and adolescents who have gender incongruence or dysphoria – public consultation guide) on the use of feminising and masculinising hormones, clinical policy and guidance will be updated.

The website offers guidance on risk and safety regarding GnRH analogues (puberty suppressing hormones) and other risks in the Referrers and Professionals section here - Information for Referrers and Professionals.

The NHS does not offer puberty suppressing hormones because of concerns about the low evidence of safety.

Since June 2024 private prescriptions for puberty suppressing hormones are banned by Government legislation.

The NHS warns against taking any medication from organisations and online providers who are not registered with health regulators in the United Kingdom because of safety concerns, this includes Gender GP and Anne Healthcare.

The PATHWAYS studies, including the PATHWAYS clinical trial of puberty suppressing hormones (puberty ‘blockers '’), are only open to children and young people being seen by NHS CYP gender services.

More information about the PATHWAYS studies, including the strict eligibility criteria for individuals who might wish to consider participating in the clinical trial, can be found on the study website here. On the webpage you will find links that provide more details about each of the PATHWAYS studies, and answers to frequently asked questions (FAQs).

Please contact your GP and discuss these feelings and a referral to CYP mental health services or if known to them, then give them a call. There is a list of additional resources that may provide support as well here - Patients and Parents.

If struggling and facing an urgent mental health crisis, you can call your local NHS urgent mental health helpline any time of day or night. Find a local NHS urgent mental health helpline, or if you live in Wales, NHS 111 Wales. If you are in danger, call 999 or go to A&E now.

Please contact your GP to discuss how you are feeling and whether a referral to children and young people’s (CYP) mental health services would be appropriate. If you are already known to these services, please contact them directly. There is a list of additional resources that may provide support as well here - Patients and Parents.

If struggling and facing an urgent mental health crisis, you can call your local NHS urgent mental health helpline any time of day or night. Find a local NHS urgent mental health helpline, or if you live in Wales, NHS 111 Wales. If you are in danger, call 999 or go to A&E now.

Please call 999 or go to A&E now.

Please make sure we have your correct details and email address using this link - Change Your Contact Details.

Please complete all the fields to help us find your record to update. We will email you to confirm the changes.

You can use the ‘Close a Referral’ link on the website, and we will email you to confirm the closure.

We are not a clinical service and cannot provide this advice.

Surgery for gender reassignment is not available to young people under 18 years.

There are no options for private care within the NHS CYP Gender Services. If seeking private gender care, caution is advised about the quality and safety of any such provider and NHS care would always be recommended as the safest pathway. The NHS warns against taking any medication from organisations and online providers who are not registered with health regulators in the United Kingdom because of safety concerns. This includes Gender GP and Anne Healthcare.

Please talk to an adult about this. There is information on websites like NSPCC and Young Minds, and you can also call or message Childline.

NSPCC | The UK children's charity | NSPCC

YoungMinds | Mental Health Charity For Children And Young People | YoungMinds

Childline | Free counselling service for kids and young people | Childline