Aug 12, 2026 · 23 min · 9 segments
0.5 CPD hours ‘There are a lot of things the GP can do’ for transgender patients, according to GP lead for East of England gender services Dr Kamilla Kamaruddin, interviewed for the Clinical Update…
Kamilla KamaruddinGuestPat AndersonHostSo what, as a GP who knows the healthcare system from inside and as a trans person who's seen it from both sides, what do you think needs changing now?

When a trans patient comes to see a GP and says, like, I'm trans, the worst thing that you can do is to disbelieve them at the first encounter.

There's so many things that you can help before they get to be seen by a gender identity service, before they get hormone therapy.

Support, you know, is probably the most important thing for a trans person.

Once you listen to the struggles, it probably opens up to a lot of opportunities for you to help your patient.

Okay, you have only 10 minutes or 15 minutes to listen to the story, but you can always tell them to come back.

You know, like, no, you know, there's a process, a process of support, a process of affirming your gender identity.

Making sure that they have support from their family, from their friends, if there's something that you can actually signpost them to get some therapy from the local therapy, who can help them to actually to process their difficulties in getting support.

Also signpost them to trans support groups who are actually very good at supporting patients.

There's some other few things that you can do in change the name on the record system.

And now these GPs can change the name and change the gender without changing the initials number.

Trans people also do understand that a lot of GPs cannot just start hormone therapy, but they do expect some compassion.
So what, as a GP who knows the healthcare system from inside and as a trans person who's seen it from both sides, what do you think needs changing now?

When a trans patient comes to see a GP and says, like, I'm trans, the worst thing that you can do is to disbelieve them at the first encounter.

There's so many things that you can help before they get to be seen by a gender identity service, before they get hormone therapy.

Support, you know, is probably the most important thing for a trans person.

Once you listen to the struggles, it probably opens up to a lot of opportunities for you to help your patient.

Okay, you have only 10 minutes or 15 minutes to listen to the story, but you can always tell them to come back.

You know, like, no, you know, there's a process, a process of support, a process of affirming your gender identity.

Making sure that they have support from their family, from their friends, if there's something that you can actually signpost them to get some therapy from the local therapy, who can help them to actually to process their difficulties in getting support.

Also signpost them to trans support groups who are actually very good at supporting patients.

There's some other few things that you can do in change the name on the record system.

And now these GPs can change the name and change the gender without changing the initials number.

Trans people also do understand that a lot of GPs cannot just start hormone therapy, but they do expect some compassion.
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