BAGIS Recommended Minimum Standards for Provision and Commissioning of Gender Affirming Care in the UK

Gender identity healthcare is a critical aspect of services provided by the National Health Service (NHS) in the United Kingdom. The British Association of Gender Identity Specialists (BAGIS) represents a well-established body of experienced professionals, with a concentration of UK expertise in gender identity healthcare amassed over three decades. The following document outlines the standards of care that the BAGIS feel are required to deliver high-quality, inclusive, and patient-centred gender identity and general healthcare to transgender, non-binary and gender-diverse (TGD) people within the NHS, under the current care paradigm. 

They are based on recent guidelines and evidence, and clinical experience and have been reviewed by numerous third sector organisations representing the TGD community. While not exhaustive, and pertaining particularly to the current models of care in the UK, they represent a first step in defining good care “from the bottom up”. We offer these not only to clinicians but also to NHS policymakers and commissioners, for guidance, with a commitment to support them to design and fund improvements in service provision.

BAGIS Recommended Minimum Standards 1st Edition October 2024