We provide specialist gender assessment for children, adolescent and adults. Including family where appropriate.

A full gender assessment is conducted and recommendations made. Where appropriate the report can be used as an onward referral to an appropriate endocrine or surgical team.

Specialist gender assessments vary in the number of meetings required, however as we take a developmental approach, it tends to take at least 6 meetings over 6 months for those under 18 years old. For those under- 18 years, at least one appointment must take place in-person.

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For those aged 18 years plus an assessment typically lasts 2-3 appointments. The session number may vary depending on the client’s needs. A full specialist gender assessment report can be provided where relevant.

Our practice is guided by WPATH (World Professional Association for Transgender Health) Standards of Care and NHS Service Specifications for Gender Services.

Autism Assessment

We conduct the Autism Assessment process in line with NICE guidelines and NHS protocols, via a multi-disciplinary team and take into consideration how a person is in different settings (home, school, and social life) and across time (infancy, childhood, teenage years).

First, we take a developmental history and complete screening questionnaires. We may need to liaise with a teacher at school that knows the child or young person well.

Then there is a standardised assessment with the young person, called the ADOS-II. It needs to be in-person and lasts for up to 90mins.

There is also a parent assessment, again a structured set of questions. That assessment is called the 3Di parent interview and can be done virtually.

Each assessment (ADOS and 3Di) is done by a different person both with many years of experience in neurodevelopmental assessment. Those two clinicians then meet to discuss their assessment results and agree on a diagnosis.

Lastly, a feedback session is completed to explain the outcome and recommendations before a summary report is then shared with the family.

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These non-assessment sessions are for those people and/ or families that need therapeutic support or exploration pre or post-assessment.

This service also covers those who have completed a specialist gender assessment and require ongoing gender support while.

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Post-assessment referral to our associated hormone clinic is available to those aged 16 years+.

The pathway is available to transgender and non-binary people in line with current national and international guidelines.

Hormone clinics started in Dublin in November 2023 and in Birmingham in February 2024 and will be run as a hybrid offering of in-person and virtual appointments (consent must be taken in-person).

In addition to providing gender affirming hormone treatment patients are also reviewed to monitor their psycho-social wellbeing as part of our holistic and integrated care pathway.

For more information visit our Gender Plus Hormone Clinic website. Costs are also outline on that website here