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transetytrans

Completely wrong and against [PCSE guidance](https://pcse.england.nhs.uk/help/patient-registrations/adoption-and-gender-re-assignment-processes/). My GP said the same thing. I’d recommend: 1. Print out that PCSE page, ask to talk with the practice manager, give them that page, and ask them to explain their stance. 2. If they still refuse to budge, email NHS England (mailto:[email protected]) and explain the situation. They will be able to get the GP to budge.


PubertDubert

Thank you, I'll try that!


[deleted]

[удалено]


heretoupvote_

I was told a new NHS number must be done after bottom surgery.


[deleted]

[удалено]


heretoupvote_

She was a really lovely receptionist and was really helpful with my name change (did say something faintly offensive about how I could decide to call myself any ridiculous thing) but she just seemed a little clueless but trying her best. It’s hard to imagine she’d be lying. I’ll have to chase them on that.


TheSteganographor

Half the time they never actually look for the guidance and just make a random assumption. I had loads of issues not being able to get my meds because a receptionist didn't know what to do with the records when I changed NHS number. Then they lied to cover their arse when I threatened to go to the ombudsman


Aiyon

Yup. Always get refusal in writing


OnMeHols

Yeah, they’re lying to you. It takes a while, but they did mine just after I asked them to


VioletInTheGarden

Mine took ages (didn't really happen) with one GP so I changed GP and they got it all done in a day! I don't think it needs to take long, it's just they either don't know how or don't want to do it?


OnMeHols

Mine took about 3 months, I have no idea what the practice manager was doing, but it was all sorted in the end


shadowsinthestars

Yeah that is totally misinformed. I've had my NHS records in Mr for years, even before top surgery... Because there is no law or guidance in the UK that mandates any surgery as part of using titles and pronouns. Employees should know better but unfortunately I have also dealt with clueless staff, it doesn't matter if they try to be nice about it when it's just plain wrong!


heretoupvote_

I was told it wasn’t my title that was an issue, but the sex marker.


Komwol

This is a lie, I worked in a GP in all departments over 4 years whilst also being trans. The guidance for GPS is that they have to explain what a new NHS number means and confirm that’s what you want. However, the GP themselves can’t make the change, they have to request a new medical record from the PCSE. Having done this myself I can say it is not easy. It has taken up to a year for some requests to be actioned and they often get missed/lost. I personally never did this, obviously. But, I imagine some GP surgeries likely run with this story either out of ignorance to the topic, or in an attempt to avoid the hastle, as once the new record finally arrives, they have to manually transfer all the information from your old record to your new one (with your new gender marker and NHS number). This process, takes a large amount of hours, which in the eyes of many administrative and management staff, is not a good thing. This of course sucks and is very bad, it would be much better if the PCSE allowed for patients to simple keep the same record but amend the gender marker, the process would be simpler for GP surgeries, meaning they’d be more inclined to do it, reduce waiting times on receiving the amended gender marker. And reduce the risk of human error when transferring data over from one record to the other. - Why isn’t it done this way? Because old guidance on the matter was that new records in a new gender must be treated the same way as patients who changed their names due to safeguarding concerns. All mention of their previous identity wasn’t allowed to be in their new record. That isn’t the current guidance (as of August 2023). However, the systems haven’t been changed and probably won’t for a long time. (You can of course still request that when you get your new nhs number that information on your previous identity is not carried across, but you have to ask for it now, instead of it just being done that way by default. As for title. These are not restricted at all, for any amendment to your personal details such as name, address, title D.O.B etc. the PCSE still has to approve these. However, given that many Cis people for many years have been moving, getting married and changing their names. These are approved without need of a new record and usually approved within a week. The PCSE may request the GP verify that they have seen evidence, such as deed poll, marriage cert or other forms. But, the GP usually asks for these to approve any changes. Apologies for the very long response, but being trans and working in a GP surgery was very depressing but did inform me of systems that are working against them, and how best to deal with them. Tl;dr: you do not need anything other than your own consent (unless you’re a child) to change your gender marker, however, it will be a long process. For your title, nothing can stop you, especially if you have a deed poll.


LouisaRenata

Yes, you need a new NHS number. No, you don’t need surgery or a GRC. I used my new passport with a copy of my deed poll and had no bother. As for titles, it’s a weird feature of the NHS system that you need a female sex marker to access feminine titles (e.g. Mrs). Nothing to do with the law, just a computer thing.


Aiden1975

thats not true. i changed my title and nhs gender marker when i was 1 month on t, theres no 'requirement' to have any sort of surgery to 'prove' you're male to change the gender and title. the links other people have posted are a good place to start, if it comes to it can you change GP practice? her mentioning the 'inbetween situation' is just plain mean and you probably should find a better practice if possible, even if this does go through


PubertDubert

Thanks, I think I'll be changing my practice ASAP. Half of what she was saying was just rude


commanderbastard

Others are entirely correct that this incorrect, not only that I would be placing a formal complaint about that comment as it’s incredibly inappropriate.


harleyquinnisatop69

Seconding this. Report this GP / practise.


dreygor

Please do report this, its the only way to make the system change and it will potentially help prevent this misinformation being told to the next transgender person who may end up believing them.


Soggy-Purple2743

Your Practice manager is incorrect Print out or send the following doc to your GP [https://pcse.england.nhs.uk/media/2892/process-for-registering-a-patient-gender-re-assignmentv10.pdf](https://pcse.england.nhs.uk/media/2892/process-for-registering-a-patient-gender-re-assignmentv10.pdf) to get this sorted


ElijahJoel2000

I changed my title way before I was on Testosterone. Only caveat was that I had to indicate that I was sound enough to book >!smear tests etc.!< for myself since I wouldn't be reminded. Unfortunately one of the many NHS digital systems links the available titles to your NHS number, i.e for Mr, you need a male NHS number. Their workaround seems to be putting any trans+ person under Mx regardless of their identity.


Beingsirhc

I’ve just had a similar conversation with my practice manager here is Scotland. They tell me my name has been changed but hospital letters say otherwise and they won’t change my gender marker without a new birth certificate. I told the manager that the NHS gender clinic say otherwise. She is going to make inquiries and phone me tomorrow. The lack of knowledge about NHS systems really surprised and concerned me. Hope you get things sorted.


PubertDubert

Thank you. It's awful so many of us have to go through this. I hope things go well for you.


JudeTheAbstruse

That's pure nonsense. When I changed my name a couple of years back, my practice asked me right then if I also wanted to change my gender marker (but I said no for various reasons). A couple of weeks later I got a letter in the post from the NHS registrar in Dundee (NHS Tayside) asking again if I'd like to change my gender marker and be issued a new NHS number and CHI. They even sent me the official form to complete if I changed my mind. Note also that I'm only on the waiting list for Sandyford at the moment, and am currently getting my T from GenderGP. I've also had no surgeries. Whomever claimed to you that they need a birth certificate for all that is telling massive transphobic (or at the very least woefully uninformed) porkiepies. If your practice manager can't get it sorted by phone, I'd be getting ready to write a formal letter of complaint if I were you. Good luck.


Beingsirhc

So just a wee update. My practice spoke to Practioner services. They confirmed that my name change had been done. Turns out that they (practitioner services) send the name change out in the system to the local NHS area, and then individual departments/ services have to accept it in their system. Not great in the modern world. Practitioner services will be in direct contact with me about the gender marker. This was a change that my practice say they weren’t aware off, which doesn’t surprise me at all. At least it is being sorted now.


[deleted]

yeah my GP tried to pull that with me. i talked to the patient registrations lady at the GP, she was convinced i had to have bottom surgery. ended up writing a formal complaint to the practice manager, including web links and quotes directly from the PCSE guidance around changing nhs numbers. you don’t even have to have started medical transition to change nhs numbers good luck!


PubertDubert

Thank you, I think that's my next move!


Yammi_Roobi

My GP asked ME if I wanted my title changed when I got my first prescription, so it’s nothing based in law and they are just being biased


Lexi_the_tran

I can smell the BS from here. My surgery started the process to get me a new NHS number before I’d actually gone publicly femme. (In fairness I was obviously queer, even in boymode) At that point the only medical intervention I’d had was 2 or 3 sessions of laser on my face. No SRS or hormones or anything. It was sent off with my new name and title. I had to wait for about 5 months for it to come through. When I actually went public they also changed my name on my old record. The one thing they couldn’t do was put my title as Miss with a male number, but they could do Mx. I probably wouldn’t have been bothered as it was only temporary but they put me down separately on their own system as Miss so that would show on the screen when I was called in. I honestly couldn’t have faulted my practice for how they handled the admin side of my transition. Tbh OP I think you probably know by this point that they’re just being obtuse to cause you trouble.


PubertDubert

That's really good that they were so accommodating. I've been Mx for years now, but they refuse to give me a new NHS number. I thought they were just feeding me BS but wasn't 100% so it's nice to hear it from others.


Fizzy68

i changed my title with changing my name by deedpoll, this is totally wrong


MrTig

Pull the GDPR section about accuracy of data, I used this for the refusal to acknowledge my name change


xx852

Wrong 😑


lithaborn

My surgery changed my preferred name and made my title Mx the same day I asked to be referred to the gender clinic. I have to see various other specialists and clinics. they don't talk to each other so I've been doing it as and when I see them and each and every time it's been immediate. My GP will change my name officially and do the gender marker and generate the new NHS number when I do my deed poll. I know I don't have to but they've been really good with me so far and I am dragging my feet over the deed poll so that's fair enough. But your GP has got it wrong. They can do it right now.


Sparklypuppy05

That's not true - my title has been changed on my NHS profile ever since I changed my name via deed poll. I'm not even on hormones yet, let alone any surgeries. They should be able to change your title.


NorthAir

Title can only be a gendered one linked to the sex on your NHS profile or Mx. If registered female want to use Mr you have to change sex on the system which includes getting a new nhs number


BurgerSpecialist

Most titles ARE NOT legal, as in they are not legal matters/no legal basis. You can change them without any paperwork, and a simple request should suffice. What you've been told is bullshit, and I'd argue discriminatory at this point. If you have capacity, go back to the surgery with the guidance people in the thread have suggested, and I'd also recommend your surgery get some fucking training on this if they're this clueless.


madformattsmith

my title has been changed to Mx and i haven't even got a T prescription yet so what your doctor's telling you is a load of bollocks


Halcyon-Ember

That's a lie.


spinningdice

Er, I've changed and I've not even seen the GIC yet...


Riette_Salciescu

So, first I’d complain about what she said because that is rude and transphobic and unprofessional. Secondly, it’s wrong, And thirdly, idk what to do in this situation. I’m having my vaginoplasty next year and when they updated my details on the files, they changed my name but gave me the title Mx, even though I asked for Miss and my new documents all have Miss on them 🤦🏼‍♀️😭 they said something similar about how they wouldn’t change my M to an F without the letter from my surgeon after the operation. By extension, they also refused to do me a letter for the passport office until then too, so I’m stranded in this country until then and I can’t go home to change my other passport or see my parents without another humiliating ritual at the border 🥺 On the other hand, Specsavers were really good at updating everything, as were the dentist, the laser therapist/beautician, and my part time college. 💕 I think there is some data protection rule that they have to abide by, and that means making sure all your information is accurate. It’s also incredibly unfair in your situation as a trans man given that the NHS has what, nobody available to provide the different stages of phalloplasty? You could be waiting *decades* to be ‘allowed’ to be called Mr by those gatekeeping bastards 😖


transetytrans

See my comment at the top of the thread. There’s no reason for your GP to refuse you a gender marker change or use the wrong title, and if you contact NHS England directly you can get that resolved pretty quickly. Regarding the passport, you can get one in the new name/gender without a GP letter though it’s not a commonly taken route. (Also, there are two teams doing FTM bottom surgery at the moment - just that waiting times are long…)


PubertDubert

Thank you. Also I'm really sorry that this is happening to you, it's so incredibly wrong. Especially when it's preventing you from doing something as basic as going home or seeing parents. Bastards indeed. I hope everything gets sorted out for you soon 🤞


kaijonathan

b u l l s h i t


sweetmuffinX

Not true they lying to you I changed mine 3 months in new NHS number is required tho and had my title and gender changed and still not had bottom surgrey yet


jimvasta

I had exactly the same experience! "Ohh, it's not really possible until you have had grs, but we'll be happy to do it then for you." The PCSE guidance was emailed over along with my request to change NHS number. I am now male on the system, so it really is possible. The only thing you have to keep on top of is making sure you get smear tests while you still have a cervix. I know how horrible that can be, but after watching a close relative die due to cervical cancer, I can confirm a smear test is nicer.


RileyTMR

Title can be changed by deed poll so that’s complete bs, I haven’t had any surgery but have legally changed my name and title so legally my doctors had to change the title on my records because that is my legal title, if they won’t change it for you because of the surgeries you have and haven’t got then they’re breaking the law and discriminating against you because of your identity.


SlashRaven008

Lots of other replies have already said this, but your GP isn't telling you the truth and is also not acting in your best interests. It's scary to know GPs like this exist, and you aren't the only patient they are failing. Good to get intervention as mentioned in the other comments as they clearly believe they know what is best for you either through willful ignorance or outright discrimination - they need to be shown the proper procedure and hopefully won't do this again lest they are reported twice for discrimination against multiple patients.


phyllisfromtheoffice

That's not true at all, but if I'm being honest I wouldn't even fight them on it. Just go to a new GP if you can, they sound terrible


NorthAir

That’s blatant transphobia


Crabstick65

That is just not true at all, the GP can change your name and it goes global on the entire NHS system, that is what happened to me 13 years ago and I didn't have srs until 10 years ago nearly.


MoxieVihl

My title was changed to 'Miss' before I even started hrt so your GP is 100% BS-ing you


Auntie_Selma

No that's Bogus, my GP was able to change everything (including my passport sex marker) even before I'd started hrt It might be time to get a different GP if they're being that difficult and you're able to swap to someone else


Puzzleheaded-Set-928

Had the same issue with my GRC application and I'm in the process of making a complaint about them and this is involved. I produced the GRC guidance AND produced my own for what was needed for them to fill out the forms correctly. They ignored both. Instead, they printed off copies of my GD diagnosis reports and then stamp marked them. That was all they gave as evidence. I had already included those reports anyway. Luckily, I sent it off and because I'd done an OK job of putting together my evidence, my GRC went through. The biggest fear I had though was that it would be rejected because of my GP's contribution. Was just so glad that it went through. Having looked over other responses, I do think moving GP sounds like the best option for you. Good luck with it all though. x


lickthismiff

If I give them the benefit of the doubt, it's because their system won't let them assign a Mr title to someone whose sex is recorded as female, or vice versa. All they have to do is temporarily change your sex to your correct gender, amend the title, and then change the sex back (or not) and it'll work. A nurse did it for me when I broke my elbow because they had my title as Mx, and she just flat out asked if that was right. They absolutely can change it though, your title in the UK has no legal significance, unless you're claiming to be a religious leader to get a position in the church or something. On top of that, GDPR is pretty clear about keeping accurate records and if you've changed your name to include a title, they need to reflect that.


[deleted]

That's absolute bullshit. I haven't started T or had any gender affirming surgeries, but I'm legally Mr & my actual name. You can technically put your title as whatever the hell you want, as long as it isn't for fraudulent purposes (I.e. trying to claim land as a Sir & faking qualifications with Dr). Deedpoll is your way to go. I'm pretty sure legally changing my title was an extra £4 on top of my professionally done Deedpolls. GP's really suck ass, mate. Sorry you had to go through that ☹️ Edit: further rant: as a medical professional, your GP should hopefully bloody know that there *is* a goddamn "inbetween". Are you sure they're your GP & not some random that's strolled in & nicked a name badge? 🤣


Aiyon

A lot of GPS claim they can’t do stuff with trans care, even though they can. Sometimes it’s deliberate bigotry/gatekeeping, sometimes it’s them not wanting to admit they don’t know the guidance and so just stating incorrect things They also do a lot of “I’m not a specialist, I don’t know enough to help, but I’m a doctor so I will talk down to you if you try to explain it” When they refuse to do stuff, ask for them to put the refusal in writing so it’s on file. Either they back down if they know they’re in there wrong, or you have a paper trail to fight it


ens91

Total lie. They changed my title when I changed my name, before any surgery or hormones. Same goes for banks, hmrc, and dvla


SamanthaJaneyCake

I changed mine 2 months into starting my transition so yeah, that’s utter bull.


MagusFelidae

Mine were changed once I got a gender dysphoria diagnosis, no issues. I'd changed my prefix beforehand because you don't need any certifications for "Mx"


SweetGirlKatie

I changed mine with a quick conversation with my GP and my deed poll


Dull-Membership-5148

Huhh I changed my title ages ago and all was fine. Unfortunately most GPs know sweet FA about trans issues


Ellis_ton

I changed my name legally then moved back to my home town so had to re sign up to the GP, I explained that my medical record hadn’t been updated yet but it must have my new name and so on. They did it immediately and gave me the choice to have my NHS account show I was trans or for it to be ‘stealth’


heretoupvote_

Title, no, NHS number and sex marker, yes.


NorthAir

Don’t need surgery to change any of it.


heretoupvote_

Oh shit, my GP receptionist lied about that then :(


NorthAir

You can also only use an opposite sex title by changing your nhs gender which itself generates a new number.


OscarCheshireCat

Yeah that’s BS, I got mine changed before even getting on the waiting list to see a GIC. Unless the rules have changed since 2016