This is probably a silly question, but if my GP has listed in my medical records on the NHS app Gender Identity Disorder (listed as significant) does that could as a diagnosis for referrals for surgery, hrt etc? I don’t think it does but I thought I may as well ask.

  • As a clinical coder who has seen varying levels of competence when it comes to medical records software, it means someone entered the GID code as a "problem" in your GP's systems, but there are also clinicians who will put things like "complaining of: a headache" as a problem.

    Some clinicians are good at coding, some will put whatever the patient came in with regardless of official diagnosis or not.

    I once saw "Minor Past: Redundancy payout" on a medical summary. You do see all kinds.

    So it’s more like considered a “problem” right now then? That makes sense, I’ve seen them list some odd things in that area. I think they listed me missing a phone call as a problem once, lol.

    "problem" is the name of the field where a diagnosis should go, but some clinical staff use it quite liberally. 

    Gotcha, thanks for clarifying!

  • When it comes to referrals they often mean psych reports rather than a GP note on a summary, which along with day-to-day diagnoses will simply include other things you've approached them about more informally.

    Ah okay, makes sense. Good to know!

  • It's not a silly question at all. Generally, having Gender Identity Disorder listed can support your case for referrals, but it's best to check with your GP for specifics regarding your situation.

    I’m glad everyone’s answering me so clearly, haha. All of this stuff gets a bit overwhelming for me, and what I need for each new step.

  • No it’s just a note on your medical record to acknowledge that you have told your GP you are trans and most likely gets added when you’ve been referred. It’s not an official diagnosis, so you won’t be able to access hormones or surgery with that.

    For a diagnosis, you will need to have an assessment with a gender clinic, either NHS or private. The assessment will be recorded in a report which will include your diagnosis. Once you have that diagnosis you can see an endocrinologist to start HRT and eventually get surgery, get a GIC, etc.