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Gender in healthcare: a practical approach
Lucy Elizabeth Benson1, Deborah Emma Allen2, Natalie Axiotis3
1Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
Postgraduate Medical Journal
|May 3, 2023
Summary
Navigating UK transgender law for healthcare is complex. This review clarifies legal requirements and guidelines for clinicians, aiming to improve care and reduce disparities for transgender patients.
Area of Science:
- Medical Law
- Healthcare Policy
- Transgender Health
Background:
- Transgender healthcare in the UK faces challenges due to increasing referrals and limited specialist resources.
- Transgender patients report lower satisfaction with healthcare, citing poor understanding of their needs by clinicians and long waiting times.
- Existing UK laws and guidelines for transgender healthcare are complex and evolving.
Purpose of the Study:
- To review UK laws and guidelines pertinent to transgender healthcare.
- To provide practical advice for clinicians managing transgender patients.
- To explore current issues in the referral process for gender dysphoria.
Main Methods:
- Literature review of UK laws and guidelines.
- Analysis of current issues in transgender healthcare referrals.
- Examination of General Medical Council guidance for clinicians.
Main Results:
- Legal gender change currently requires a diagnosis of gender dysphoria.
- NHS records can be updated without legal gender change.
- Guidance exists for inclusive screening and privacy of gender history for transgender patients.
Conclusions:
- Clinicians can find support from the General Medical Council regarding transgender patient care.
- Understanding and applying current legal frameworks is crucial for effective transgender healthcare.
- Addressing resource limitations and improving clinician understanding are key to enhancing transgender patient experiences.
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