EOI: Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care

This notice is placed as a Prior Information Notice (PIN) to inform the market of Derby & Derbyshire Integrated Care Board (ICB) intention to commission Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care. The Commissioner would like to understand the level of provider interest in delivering these services.

*Service Overview* This service is initially a pilot with plans to then further develop and expand this service.

For the pilot, then expressions of interest are requested from existing primary and/or community care providers in Derby and Derbyshire ICB. During the initial pilot phase, the successful provider will enable a new model of care through a GP(s) with Extended Role (GPwER) to be commissioned.

This will allow general practices in NHS Derby and Derbyshire ICB to refer patients into this service to support and care and management of adult patients with gender dysphoria / gender incongruence in primary care. This supports equality of access to care and management for patients within this cohort whilst enabling further understanding of the need for this service across Joined Up Care Derbyshire.

This service will provide a specialist support service within the community to general practice where a GP and/or other healthcare professionals with additional interest / education and specialism in gender dysphoria / gender incongruence will be able to support decision making. This service would also offer, where deemed clinically necessary and at the discretion of the service, patients to receive face to face and telephone / online consultations to support them with gender dysphoria / gender incongruence.

This service will (if required) also address the care and management of those patients discharged from the Gender Identity Clinic and stable to provide long term support for patients (as such could be known as a 'step down' approach in managing their care within the community) and could provide advice, guidance and support to practices that are managing these patients. The service will also be able to support with the prescribing and monitoring, with support from Nottinghamshire Gender Identity Clinic (GIC) of:

For Transmen: • Testosterone (IM or transdermal) • GnRH analogues (Leuprorelin or triptorelin sub cut) For Transwomen The service is a pilot, and the initial contract is for 5 years with a 6 month notice period included with effect from 01st October 2025.

Annual contract value is £46,795.64. Total contract value over 5 years £233,975.00.

Interested providers should formally register their interest by emailing the ICB Primary Care team on the following email - ddicb.lcsf@nhs.net , no later than 5pm on Thursday 7th August 2025 This is a Prior Information Notice (PIN) to help ascertain market interest and capability to help shape the procurement strategy going forward.

Service details are provided below. Interested providers should formally register their interest by emailing the ICB Primary Care team on the following email - ddicb.lcsf@nhs.net, no later than 5pm on Thursday 7th August 2025.

*Service description / care pathway* The service will involve the commissioning of General Practitioner(s) with Extended Role (GPwER) model across Derby and Derbyshire which general practice can refer into to support the care and management of adult patients with gender dysphoria / gender incongruence in primary care. This service will provide a support service within the community to general practice where a GP and/or other healthcare professionals with additional interest / education and specialism in gender dysphoria / gender incongruence will be able to support decision making.

In so this supports equality of access to care and management for patients within this cohort whilst enabling further understanding of the need for this service across Joined Up Care Derbyshire. This service would also offer, where deemed clinically necessary and at the discretion of the service, patients to receive face to face and telephone / online consultations to support them with gender dysphoria / gender incongruence. This service could also address the care and management of those patients discharged from the GIC and stable to provide long term support for patients (as such could be known as a 'step down' approach in managing their care within the community) and could provide advice, guidance and support to practices that are managing these patients.