However prescribing in adults off-license in primary care is also permitted as per NHS England specialised services circular, Primary Care Responsibilities in Prescribing and Monitoring Hormone Therapy for Transgender and Non-Binary Adults. This should be done in close collaboration with the specialists at the Gender Identity Clinics (decision date - May 2016)
DNP as per The Medicines Emergency Prohibition Order 2024 for new patients under 18 years of age for the purposes of puberty suppression in those experiencing gender dysphoria or incongruence. (Decision date - June 2024)