Patients may request to change gender on their patient record at any time and do not need to
have undergone any form of gender reassignment treatment in order to do so.
When a patient changes gender, the current process on NHS systems requires that they
are given a new NHS number and must be registered as a new patient at your practice. All
previous medical information relating to the patient needs to be transferred into a newly
created medical record. When the patient informs the practice that they wish to register their
new gender on the clinical system, the practice must inform the patient that this will involve a
new NHS number being issued for them. Subsequent changes to gender would involve a new
NHS number. Please confirm this has been discussed with the patient when notifying PCSE.
Gender assigned from male to female:
Following the change of gender the individual will be recorded as female on the GP clinical
system and on all linked NHS national systems including cervical screening. The woman will
receive automatic invitations from the call and recall system until the absence of cervix is
formally notified to the cervical screening team using the no cervix ceasing request form.
Gender assigned from female to male:
Inviting your patient for cervical screening and the communication of results becomes the
responsibility of the practice. The patient database can not automatically call or issue results
to a person whose gender is noted as male.