The Northern Gender Network is a network of Specialists in the Field of Gender Dysphoria, based in the North of England.
This new initiative, founded by Dr H Eli Joubert, Consultant Clinical Psychologist and Gender Specialist, aims to alleviate the distress that people with gender incongruence experience. It is based in the North of England where there are very few private clinicians who are appropriately qualified and experienced.
The professions represented in this network include psychology, psychiatry and endocrinology. All clinicians also work in the NHS at senior levels and most are included in the HM Court and Tribunal Services’ List of Specialists in the Field of Gender Dysphoria. Our clinicians are experienced in this field. You may read about the different clinicians here.
This network allows for cross referral across the North of England to colleagues who are known and trusted to provide high quality, safe clinical care. It also allows for clinical supervision and governance structures. You may read more about that here.
Any service contracted from any of the clinicians within this network, will not give any priority or speed up the process to access NHS care. Although several of the clinicians in the Northern Gender Network also work for the NHS, this private work is entirely separate from their NHS work.
Regular clinical supervision for all clinicians, regardless of qualification and experience
All clinicians follow the World Professional Association for Transgender Health’s Standards of Care, Version 7
Clinicians usually do their own initial assessment in order to consider possible recommendation for any surgery
Following assessment for diagnosis and/or surgery, appropriate clinical reports are produced.
Suitably qualified and experienced clinicians are allowed to assess for and prescribe cross-sex hormone therapy.
All clinicians are familiar with and welcoming of non-binary people.
Founding member of the Norther Gender Network. He is based in Leeds and works in both Leeds and London.
Dr Hammond is a consultant physician specialising in diabetes and endocrinology in Harrogate in 1996.
Nazlin has been working as specialist with trans and non binary folk since 2012.
Dr Charlton is a Consultant Clinical Psychologist and Gender Specialist, registered with the Health & Care Professions Council (PYL27033).
Regular clinical supervision for all clinicians, regardless of qualification and experience, is considered good practice within all medical and associated professions.
To this end, The Northern Gender Network holds a joint supervision and Clinical Governance meeting once every three months. In this manner, we can ensure that all clinicians remain up to date with current research, CPD and professional development.
This opportunity further provides our network of clinicians to share complex cases and jointly decide on future management through peer supervision. In this manner we ensure safe practice for our clients. Should any clinician require more urgent supervision, cases may be discussed more informally with colleagues from this network.
Please see the Network Charter for more information about how the Network operates
All clinicians follow the World Professional Association for Transgender Health’s Standards of Care, Version 7 as well as NHS England’s Interim Gender Dysphoria Protocol and Service Guideline 2013/14.
According to these guidelines, all service users are required to have diagnoses confirmed by two practitioners before any treatment may commence. The second assessment is usually done by the clinician who also initiate cross-sex hormone therapy. Assessment can usually be completed within one session but, more complex cases may require additional sessions.
Clinicians would usually do their own initial assessment in order to consider possible recommendation for any surgery. It is advisable to seek a medical opinion from one of the clinicians who completed the initial assessments.
Clinicians strictly follow the WPATH and NHS England guidelines regarding readiness for surgery. Please see such guidelines and/or discuss with your clinician.
Following assessment for diagnosis and/or surgery, appropriate clinical reports are produced. Copies of these are made available to all service users as part of the assessment process. Typically, copies are also sent to GPs for their records. These documents could be used to confirm diagnosis, as part of disclosing a wish to transition at the service users place of work, to change legal documents such as driver’s licenses, bank accounts and others. In order to change a person’s name and gender in their passport, a special letter is required. Most clinicians are able to produce such letters following assessment.
Please also see the Norther Gender Network Charter for more information
At the moment, only suitably qualified and experienced clinicians are allowed to assess for and prescribe cross-sex hormone therapy. These are usually medical doctors but may also include non-medical prescribers, such as nurses. You would typically need to have a diagnosis confirmed before hormone therapy could be considered.
Psychologist do not prescribe any medication but may do so in the future. Typically, psychologists would provide diagnostic assessments as well as clinical opinions for surgery. Guidelines require at least one assessor should be a mental health practitioner and, as such, most prescribing clinicians would require as an assessment prior to commencing a person on cross-sex hormone therapy.
All clinicians are familiar with and welcoming of non-binary people. There is no requirement that people should follow a binary process of transitioning. However, the assessment process might be somewhat more extensive, and clinicians may ask for a second opinion from a colleague. This is to ensure the best and safest clinical care for all service users.
Dr Hammond qualified from Oxford university in 1987 and trained mostly at the Royal Postgraduate Medical School before becoming a consultant physician specialising in diabetes and endocrinology in Harrogate in 1996.
He has been endocrinology lead for the Leeds Gender Identity Service since 2007 and has considerable experience in balancing hormone treatment so that client’s expectations can be met as effectively and safely as possible. He lectures widely on transgender endocrinology and is a member of the national transgender hormone prescribing group.
Nazlin has been working as specialist with trans and non binary folk since 2012, and offers one to one and group therapy to people seeking to develop their authentic voice that is congruent with their gender identity.
Nazlin is a member of the Health and Care Professional Council (HCPC), the Royal College of Speech and Language Therapists (RCSLT), and the Association of Speech and Language Therapists in Independent Practice (ASLTIP ). She is a member of the British Association of Gender Identity Specialists (BAGIS) . Nazlin is one of the founder members of the Trans and Gender Diverse Voice and Communication Clinical Excellence Network and is the current Chair.
Nazlin also has training in psychotherapeutic approaches to help with the psychological and emotional aspects of voice modification . These include Acceptance and Commitement Therapy (ACT ) , Narrative Therapy, Cognitive Behavioural Therapy (CBT) and mindfulness.
Email: [email protected]
Dr Charlton is a Consultant Clinical Psychologist and Gender Specialist, registered with the Health & Care Professions Council (PYL27033) . She is the Clinical Lead of the NHS Gender Identity Service in Leeds. She has extensive experience working with gender diversity across the lifespan, having worked in the national child & adolescent Gender Identity Development service for 6 years before adult services.
Dr Charlton can offer specialist gender assessment and recommendations for older adolescents (16 and 17 year olds) and adult clients (18 years +). Urgent appointments can sometimes be available. Assessment services include:
Dr Charlton offers therapeutic support to gender diverse and transgender people from a non-judgemental and compassionate stance. She is trained and accredited to provide a range of therapies, and can support transgender people and their families at any stage of their journey. Therapeutic approaches include: