The guidelines are part of a wide-ranging review of treatment for young transgender people seeking NHS care.
The current approach, which can include medical interventions, has been criticised by some practitioners who said it rushed people onto medication, and by families who complained the service could not manage fast-growing demand.
In England, a years-long wait for gender care has led some young people to seek medications through unregulated online pharmacies, or privately. These include therapies that block the onset of puberty or hormone treatments for older people, which are used to help transgender adolescents develop secondary sexual characteristics aligned with their gender identity.
The NHS has previously said it “strongly discouraged” people from sourcing gender-affirming medications online from providers that are not regulated within the UK. “It is crucial that the new services focus on ... actually facilitating access to treatment and support rather than leaving young people and their families in limbo,” she said.
In July, after an independent review called for England to offer regional services, the NHS said that as a first step it would move gender care away from Tavistock to two clinics, in London and north west England, to operate under the new guidelines.
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