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<p>NHS England nationally commissions Gender Identity Services. In April 2019, NHS
England began a process of national procurement to determine which organisations are
best able to deliver adult gender dysphoria services in the future. The process of
procurement is open to organisations that currently host a gender dysphoria clinic
as well as new market entrants. The outcome of the process is expected to be known
by the autumn of 2019.</p><p>Separately, NHS England has announced its intention to
establish a number of pilot services across England from 2019/20 that will evaluate
the extent to which gender dysphoria services can be delivered by trained clinical
teams in local primary care or community health settings. If evaluated positively,
NHS England will consider how to extend the new models to other parts of the country.</p><p>
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