Help in a crisis during Coronavirus COVID-19 pandemic
During this COVID-19 pandemic there may have to be changes in the way some of our services work. Please contact the service directly to check how services are being delivered and follow their advice.
If you need help in a mental health crisis during Coronavirus pandemic outside office hours please contact our crisis team: Help in a crisis
For other medical advice and support contact your your GP or visit NHS 111.
Only visit your local Emergency Department for serious life-threatening conditions that need immediate medical attention including persistent severe chest pain, loss of consciousness, acute confused state, severe blood loss, serious burns, suspected stroke.
The Nottingham Centre for Transgender Health
The Nottingham Centre for Transgender Health is an NHS clinic for people who want support with their gender.
We see people with a range of issues to do with gender, identity and sexuality. This includes people who identify as trans and non-binary.
Not everyone who comes to us will be sure that they want to change gender. We are happy to see people who wish to have support to explore issues to do with their gender. People do not have to have any kind of diagnosis before coming to see us and do not need to have had psychotherapy or a psychiatric assessment before attending.
Whilst we are an adult service we will take referrals for young people who have had their 17th birthday and the waiting time is the same for any adult being referred. There is a service specifically commissioned for young people under the age of 18 years and information about the service can be found on their website https://gids.nhs.uk/. The Tavistock Centre in London also has a base in Leeds and outreach clinics in Exeter and Cardiff.
If someone has a mental health diagnosis such as bipolar disorder or schizophrenia it does not mean that they cannot be seen. However, if there is a significant difficulty it is important that this is well managed before attending. If there is a drug or alcohol problem this will also need to be managed prior to attending. Because smoking increases risks with hormone treatment people should start to give up smoking if they are seeking hormones.
People who wish to see us should request a referral from their GP or other health professional. If a patient is referred by another NHS health professional, their GP needs to be informed and support the referral. Unfortunately, we can't accept self-referrals.
If you are a NHS health professional who would like to make a referral, please use our referral form [docx] 22KB. Following receipt of a referral, an acknowledgment will be sent within four weeks. The person you are referring will also be sent a letter within four weeks. If these are not received then we should be contacted.
15 May 2020
Due to COVID-19 the team is working under social distancing and working remotely. This does provide the occasional challenge and we would ask people to bear with us during this exceptional time. We will continue to follow national guidance regarding social distancing and not holding face to face appointments at this time.
Where possible appointments are now Video or Telephone Consultations and details about how the Video Consultations work will be emailed to you when your appointment date and time has been confirmed.
We are trying to contact all patients by phone first, then email as we have identified a slight problem with the post system. If you are not sure if we have your current telephone or email details, please send us a Change of Details form along with an Email & Text Understanding form which can also be found on the website.
Our post goes via a franking office and some of the letters have not been franked as they have been returned by the Post Office to us, however this appears to take 6 to 8 weeks. We are looking into this and to find a solution.
Our current waiting time is 34 months on average for a new patient referral.
Patient by Experience to help with training
The clinic is looking for volunteers who would be happy to help train new starters within the service, so if you would be interested in this, please let us know by email.
Patient Video and Telephone Appointment Evaluation
During May we will be asking patients to give feedback on their experience of the appointments being held by Video or Telephone via SurveyMonkey. We would be grateful for your partition and feedback if you are asked during the two-week period of the evaluation.
It is very important that we have the right contact details for our patients so please use the forms below to let us know if you have changed any details or to give us permission to text you appointments once we start that service.
1 April 2020
To reduce the risk of infection all, clinically appropriate, face to face appointments are being moved to telephone. Video consultations are being rolled out at pace and should be replacing telephone consultations soon. Patients will be contacted in advance to confirm if their appointment will be by telephone or video conference. Appointments will not be cancelled unless necessary.
Therefore, it is important that we have your correct telephone number for you. If you have not received a call a week before the date of your appointment, please email us with TELEPHONE APPOINTMENT in the subject heading and send the Change of Details and Agreement forms which are available below..
If you do not have access to a scanner at home but can print and sign the form, we will accept a photo of the signed form.
All groups have also been cancelled, this includes the St Peter’s Andrology Group, until further notice.
Please note that due to staff redeployment or sickness we may not be able to respond as quickly to emails and phone messages. Please be patient and we will reply as quickly as possible to you. Multiple messages or emails will only delay how quickly we can respond.
Remember to follow the guidance regarding your general physical health and COVID 19 and we will try to keep you as updated as possible via the website.
Info about hormones
A big worry for a lot of us is the continued availability of hormones. The NHS has been swift to offer advice for those taking hormones. The advice covers everything from getting hold of injections, blood tests and what to do if you are due an appointment but feel unwell. The advice is listed on a webpage which can be found here. This information will be updated if the situation changes for any treatment.
Letters and appointments
The admin team has been expanded with two new starters in February to help with a backlog of letters which has been causing a delay. We appreciate your patience with any delays you are experiencing regarding letters and new appointment dates. Please keep checking this website for updates.
As people will know there has been a few issues regarding the telephone line which is usually very busy throughout the day taking calls from patients. The Centre is currently looking at different options regarding the management of calls and until that time if your call is not urgent, you may wish to email us via email@example.com.
It would be helpful if the subject line of your email uses the following words to enable us to direct the query more efficiently:
- Appointment query
- Awaiting letter
- Name change
- Waiting list
- Address/GP change
New appointments to the Team
In February 2020 Chris Cook joined the team. He is a qualified Speech and Language Therapist who specialises in transgender voice and communication therapy. He also has experience in the areas of paediatric speech, language, communication and voice disorders.
Chris is a member of the of the National Transgender Voice and Communication Therapy Clinical Excellence Network (CEN) which is a transgender voice and communication group for speech and language therapists in the UK.
Tina Nock also joined the team in February as the Service Manager and has a wealth of experience regarding NHS commissioning and had been one of the NHS England commissioning leads for Transgender Services. Tina has worked closely with the Centre for over 10 years.
Dr Derek Glidden has become the new clinical lead of the service.
Service opening hours
Monday – Friday, 9am - 5pm
Outside of these hours, you can contact your GP service or NHS 111. You can also contact the Samaritans helpline. In an emergency do attend your local Accident and Emergency (A&E) department.
Access to the centre
There are access issues at Broad Street and we want to ensure that they cause as little difficulty as possible. We have very limited availability of wheelchair accessible rooms which are located at the Heathcote Street entrance to the building. It would be very helpful if you could let us know if you or someone with you requires wheelchair access in advance so that we can plan rooms and ensure that the Heathcote Street entrance is staffed.
The Broad Street entrance is accessed by a small number of steps. We do have a number of rooms on the ground floor which are then accessible without further stairs. However, a large number of our rooms are upstairs and there are no lift facilities in the building. If mobility issues mean that further stairs are likely to be a problem for you or someone attending with you, please let us know so that we can organise rooms accordingly.
Please be advised that we are aware that the accessibility is a problem and will do all we can to accommodate you as comfortably as possible. Broad Street is easily accessible from the Lace Market tram stop, Nottingham Railway Station and many bus links. There are also car parks a short walk from Broad Street.
Help in a crisis
Outside of office hours your GP service or NHS 111 should be able to help. In an emergency do attend your local Accident and Emergency (A&E) department.
Information for health professionals
If you are a NHS health professional who would like to make a referral, please use our referral form [pdf] 211KB. Following receipt of a referral, an acknowledgment will be sent within four weeks. The person you are referring will also be sent a letter within four weeks. If these are not received then we should be contacted.
GP guidance documents
- Feminising Hormones GP guidelines.pdf [pdf] 95KB
- Masculinising Hormones GP guidelines.pdf [pdf] 120KB
Updates on treatment
When people are going through stressful times such as transition and physical treatments, things can feel difficult and we will try to help as best we can. Unfortunately, sometimes things can sometimes feel worse before they feel better – as in surgery or psychotherapy for example. Nonetheless you shouldn't have a poor experience at the Nottingham Center for Transgender Health.
If you need to make a complaint, please contact your clinician first of all. They will try to see what went wrong and how they can help. In areas as emotive as sexuality and gender, issues can arise simply due to miscommunication and hopefully things can be straightened out so you are heard and your point understood. Even with more complex issues, we hope we can understand together what went wrong and try to fix it.
If we've tried and you still feel you haven't got anywhere then you can contact the Trust's Patient Experience Team, who will help to resolve the issue. Find contact details for the Patient Experience Team here.