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HCW - GENDER DYSPHORIA – TREATMENT REFERRAL PROFILE

 
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Location: North Wales

PostPosted: Thu Jan 05, 2006 3:39 pm    Post subject: HCW - GENDER DYSPHORIA – TREATMENT REFERRAL PROFILE Reply with quote

Stage 1

GP refers the patient to local NHS consultant psychiatrist.

Stage 2

The local consultant psychiatrist assesses the patient.

Referred to a 2nd NHS consultant psychiatrist in Wales, preferably with an interest in gender disorders

Stage 3

Patient assessed by second consultant

Stage 4

Referred to a specialist HCW approved GID clinic, but only after prior authorisation from HCW’s NPSA Panel.

Stage 5

Patient begins "real life" test

Minimum of 18 months

Stage 6

Patient reassessed against referral criteria by the specialist GID service and written report to be sent to HCW and copied to original referring consultant psychiatrist

Patient meets criteria and must be referred for surgery to one of HCW’s preferred service providers.

Patient cannot proceed

Patient assessed for surgery

Suitable for surgery

Patient receives reassignment surgery (that's if the HCW will allow funding )
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PostPosted: Wed Mar 22, 2006 10:35 am    Post subject: Reply with quote

Just a little update

Even if you have done all the above and followed the guidlines given by the HCW, they then use the excuse of "Exceptional Cases Only" and will still not allow funding for GRS
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PostPosted: Mon Mar 27, 2006 2:15 pm    Post subject: Reply with quote

That's odd. I was told that if they were to refer anybody now, then they'd be referred allowing full funding up to and including GRS.
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PostPosted: Mon Mar 27, 2006 2:38 pm    Post subject: Reply with quote

Anonymous wrote:
That's odd. I was told that if they were to refer anybody now, then they'd be referred allowing full funding up to and including GRS.

Who told you that
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rachel2b
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PostPosted: Mon Mar 27, 2006 11:20 pm    Post subject: Initial Referral Reply with quote

Interesting stuff, i myself have reached stage 4, awaiting referral to Gender clinic for ist appointment, however i understand that even this is subject to funding being approved by HCW, any ideas how long this may take, would appreciate your replies.

Many Thanks
Rachel
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PostPosted: Tue Mar 28, 2006 1:05 pm    Post subject: Re: Initial Referral Reply with quote

rachel2b wrote:
Interesting stuff, i myself have reached stage 4, awaiting referral to Gender clinic for ist appointment, however i understand that even this is subject to funding being approved by HCW, any ideas how long this may take, would appreciate your replies.

Many Thanks
Rachel

It took me about 18 months to get my first appointment at stage 4, I myself am at Stage 6 and have been refused funding for surgery under the HCWs wonderful little excuse of "Exceptional Cases Only" in other words, the HCW will not approve funding for something they themselves do not understand
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PostPosted: Fri Apr 07, 2006 11:57 am    Post subject: Reply with quote

Quote:
Who told you that?


It was Sue Thomas at HCW over the phone.

I too am at "stage 4". Unfortunately though,when I first presented to my GP I was ready, and things were progressing well (ie, in terms of transition and "gender role consolidation") for about 6-12 months. After that, things started getting worse. Fighting HCW to get the treatment I need has turned me into a complete wreck, and as I result I now probably fall foul of their guidelines, as I'm no longer ready to transition immediately, at least not without a little extra medical support and some time to recover. The trouble is, none of my problems are going to get any better unless I have a guarentee of treatment for my "GID".

It makes me laugh that they claim that the policy is to be reviewed in december this year, or earlier if significant information arises. Were the Parliamentary Forum on Transexualisms guidelines, as published last year, not significant enough?

As for the "only referral to HCW approved gender clinics" policy, if that's not illegal now, it's certainly directly opposed to "patient choice", and is even somewhat discriminatory! If it's not illegal already I'd be suprised.
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PostPosted: Sun Apr 09, 2006 8:47 am    Post subject: Reply with quote

I'm still fighting them for funding for surgery and they just won't budge on allowing funding for the surgery, it seems that nobody at the HCW actually knows what they are doing or what any of their work associates are doing either.
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PostPosted: Sun Apr 09, 2006 10:58 am    Post subject: Reply with quote

I got that impression too. lol.

It's Crimsone by the way, in case you hadn't guessed. I've just been lazy. lol
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