Gender Identity Service

The Gender National Referral Support Service (GNRSS) is now live.

In response to recommendations from the National Review of Adult Gender Services, a nationally managed waiting list for adult gender services has been set up to

• streamline the referral process,
• reduce waiting times,
• reduce duplication and ensure referral information is kept up to date, and
• ensure patients are kept informed and supported while they wait.

New arrangements for how referrals are made were introduced from 17 August 2026 on a phased basis.

If you have any questions about what these changes might mean for you, please visit the adult Gender National Referral Support Service website. You can request accessible or easy to read information about this change through the adult Gender National Referral Support Service website.

All gender identity service referrals should now be made to the GNRSS for processing on the national waiting list.

Alternatively, referrals from GPs or healthcare professionals can be submitted directly to the national waiting list by email to agem.agsreferrals@nhs.net.

Important information

NHS adult gender services are for those aged 18 or over who are registered with a GP in England.

The Leeds Gender Identity Service is for people aged 18 and above.

Referrals for people under the age of 18 should be directed to the National Children and Young People’s Gender Referral Support Service.

What happens under the care of the Leeds Gender Identity Service

To understand what happens visit the care pathway page on our website.

Re-referrals to Leeds Gender Identity Service

We will still be holding our priority waiting list for transfers of care from other NHS gender clinics and for those returning to the service following a treatment break.

If you have previously received care from Leeds Gender Identity Service and were advised to be re-referred when ready to progress with your care, please contact us via:

Tel: 0113 85 56346

Email: gid.lypft@nhs.net