Funding etc within the UK is very much down to local PCTs, (Primary Care Trusts), that is those who hold the purse strings. Originally my PCT had no funding available for TGs, then in the new financial year, funding became available. The first step taken was referral to a general psychiatrist. He determined that I was a suitable for referral to the GIC.

I was not referred by my GP until the PCT had agreed to fund my progress through them. Once funding was agreed I was referred to Leeds GIC and had 3 assessment meetings after which I was seen by the Consultant Psychiatrist and my Clinical Nurse Specialist. These meeting were to determine my suitability for entering the care pathway. Fortunately for me, I was classed as a Primary Transexual with Gender Dysphoria.

It is only at this point did the GIC provide the necessary medical support to begin transition. The first stage is for the TS to begin living the life of a female full time, this includes an official name change, working or volunteering in the choosen gender and provide evidence of this action being taken. This can take a period of time and as much help as possible is given to overcome any difficulties that the TS has. A TS will not be referred to an endocrinologist by the GIC until such satisfactory evidence is produced.

I cannot comment on the disparity others are having on their journey through the NHS, but I have been fortunate that my journey has been a smooth one and because I have lived as Nigella for five + years, my journey started in the NHS system in May and I am just waiting for an appointment to see the Endo. That is quick compared to others.