Non-directive
Every option, equal weight.
Including the option to wait, defer, or decline. We don't steer.
A companion for the wait
Informed support while you wait for the NHS gender service.
Whatever brought you here today, we're glad you came. gendr is a patient-centred decision-making companion for adults in the UK who have been referred to a Gender Identity Clinic. Eight clear steps, built on NICE shared-decision-making standards, designed with clinicians and people who have been through it.
What gendr is
A quiet space to prepare, in your own time.
The average wait for a first appointment at an adult NHS Gender Identity Clinic in England is now over five years. That interval is often empty. gendr turns it into a structured "waiting well" period, eight steps you work through at your own pace, building understanding, clarifying what matters to you, and preparing for the conversations you'll have with your clinical team.
gendr does not assess, diagnose, recommend or steer. It explains options, including the option of waiting or declining, with equal care, and helps you take your own questions to your appointment.
The pathway
Eight steps, at your pace.
Each step has the same shape: what's the choice, what are the options (in balanced detail), what matters to you, and what would you like to ask?
Understanding gender services
Orientation: what an adult GIC does and doesn't do, key terms in plain language, and the questions to bring with you.
Referral and waiting well
How referral works under the changing system, what bridging prescriptions and shared care are, and how to use the wait.
Assessment: what to expect
A biopsychosocial assessment is a conversation, not an exam. Prepare what you want to say and what you want to ask.
Social transition and support
Non-medical steps like name, pronouns, presentation and documents, at the pace and depth that fits your life.
Hormone options
Balanced, non-directive information on feminising, masculinising and individualised approaches, and on waiting.
Fertility and reproductive choices
What hormones can do to fertility, what preservation options exist, and what NHS funding looks like in practice.
Surgery and what is NHS-funded
An honest map of surgical options, NHS pathways, and what isn't routinely funded, so you can plan with clear eyes.
Lifelong health and sexual health
Ongoing monitoring, screening by the organs you have, and accessing trans-inclusive sexual health and primary care.
How it's built
Principles we don't negotiate on.
Honest about uncertainty
Where the evidence is thin, we say so.
Plainly, with the figures and their limits, not the confident voice.
Autonomy with safeguarding
You are the expert on you.
A crisis-support route is always one tap away, never delayed.
Built to standards
NICE NG197, IPDAS, ECD8.
Documented method, balanced options, evidence-based content, designed to be certifiable.
Plain language, WCAG 2.2 AA
Reading age ~9–11. Screen-reader native.
Adjustable text, keyboard navigable, no information by colour alone.
Private by design
Your notes stay on your device.
Nothing leaves your browser unless you explicitly choose to share it. UK GDPR throughout.
The wait wasn't the worst part. The worst part was feeling like nothing was happening while time passed. Something to read, with someone treating me like I could think. That would have changed everything. , Workshop participant, lived-experience co-design
For clinicians and commissioners
A patient who arrives prepared changes the appointment.
gendr is methodologically defensible (NICE NG197 + Three-Talk + BRAN, built to IPDAS / NICE ECD8 standards) and clinically conservative. It supports the assessment and SDM you do in clinic. It does not replace them.
Read the clinical briefBegin when you're ready
The first step is just orientation. No commitments.
Your progress is saved on your device. You can stop, return, or delete everything at any point.
Start the pathway