Question to the Department of Health and Social Care:

To ask His Majesty's Government what guidance they have issued to NHS adult gender clinics about the assessment and management of patients with mental health comorbidities; and what proportion of patients prescribed cross-sex hormones have comorbidities.

The approach for assessment, diagnosis, and care planning, including patients with other presentations, are described in NHS England's published service specification for National Health Service adult gender clinics, which was adopted in April 2020 following a comprehensive public consultation, respondents to which included medical bodies, professional associations, and regulatory bodies. There is currently no specific data field that records the number of patients who are prescribed cross-sex hormones and who have comorbidities.