The Ardens LGBT, Non-Binary and Gender Dysphoria Template allows the clinician to record information about general history and examination findings, sexual health, referrals, prescribing, screening, as well as communication preferences for patients identifying as LGB Trans or Non-Binary.

 

The LGBT, Non-Binary and Gender Dysphoria Template includes lots of information, advice and guidance for the clinician, as well as links to various useful and relevant website and documents.

 

Access the template within the patient record in one of the following ways:

  • Click on the Run Template option within the consultation.
  • Click on the Add > Data using Template option outside of a consultation.

 

Clicking on either of the options above will display the Template Picker screen. 

 


 Search for the 'LGBT, Non-Binary and Gender Dysphoria' template using the search box provided or via the navigation pane. Select the template and click OK.

 

The template has been broken down by pages on the left-hand side. Navigate to the page required.

 

The Lesbian, gay, bisexual – info page gives both general and more specific statistics with regard to the LGB community and their engagement with healthcare professionals.  It also helps to explain their likelihood of experiencing mental health issues, drug use, smoking and drinking, compared to the heterosexual population.

 

The Trans – info page provides a comprehensive definition of the term ‘Trans’ and also ‘Gender Dysphoria’, as well as a glossary of related terms.

 

The Non-Binary – info page provides a definition of non-binary, in addition to a glossary of related terms and links to a Let’s talk about it webinar on LGBT+ Matters, plus a link to the Stonewall NHS Guide.

 

The LGB – communication page suggests ways in which a GP practice can improve engagement with the LGB community, as well as considerations around choice of language.

 

The Trans/Non-Binary communication page gives advice on the use of pronouns, and on choice of language when referring to body parts.  You can also record the patient’s preferred title for calling them to the consulting room or for official correspondence.

 


The History and Examination page allows the recording of information about various issues for the LGBT patients, such as the impact of their gender identity on their relationships, the perception of others, their future ambitions and fears etc.   General examination data can also be captured on this page.

 


The Sexual Health page enables the clinician to record information such as a patient’s history and examination data around sexual activity.  There is also a section to record HIV testing and monitoring, as well as the use of drugs to prevent or reduce the risk of HIV infection. 

 

 


The Gender dysphoria management page lists the key responsibilities of the GP in managing patients with gender dysphoria.  It also includes a link to ‘Good Practice Guidelines for the assessment and treatment of adults with gender dysphoria’.

 

The Referral page of the template enables the clinician to record that a referral to the gender identity clinic has been done. You also have the opportunity to record a concurrent referral to mental health/psychiatric services.

 

The Referral page also includes a link to a list of Specialist Gender Identity Services clinics in the U.K. for adults, children and young people, and from that link you can access the individual clinic websites.


 

The Prescribing page offers GMC guidance with regard to patients who may be, or have intentions of, self-administering hormone medications from illicit sources.  There is advice and guidance regarding bridging prescriptions which the GP may consider in the best interests of the patient, and the opportunity to record such a prescription.

 


The Screening page offers advice for the clinician when discussing sex-specific screening with Trans patients.  Such patients will drop out of automated screening processes (breast, cervical, prostate or abdominal aortic aneurysm) if their gender designation is changed on their electronic patient record.  The page also allows you to record that screening was offered or advice given.

 


The Resources page includes many relevant links to resources for patients, as well as links to websites for healthcare professionals.

 


Complete the template using the required fields and ensure you save the information, using the Save option.

 

If using the template via the Run Template option within an open consultation, you will also need to click Save to save the consultation.

 

Ardens has created a suite of Cancer Screening searches in relation to transgender patients.  These searches are located within Ardens Searches > 5.3 Ardens National Contract Reports > Network Contract DES > Cancer.

 

In this folder you will find:

 

Clinical Activity searches – identifying transgender patients from the bowel, breast or cervical cancer screening population who have been screened within appropriate timeframes.

 

Register searches – identifying patients who fall into the appropriate age ranges for bowel, breast or cervical cancer screening, are coded with gender dysphoria or reassignment, and are not excluded.

 

Work to do searches – identifying patients who are from the transgender bowel, breast or cervical cancer screening population but have not received screening for bowel, breast or cervical cancer within appropriate timeframes or have not had advice given in the last financial year.

 

If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk