Senior Clinical Fellow in Gender Dysphoria, TransPlus

Assessment and diagnosis Undertake comprehensive, holistic assessments of patients presenting with gender dysphoria, including medical, psychological, and social factors. Apply recognised diagnostic frameworks and ensure assessments are conducted in a sensitive, inclusive, and non-judgemental manner. Contribute to second opinions and complex case reviews where required. Treatment planning and ongoing care Develop, implement, and regularly review individualised care plans in collaboration with patients, ensuring shared decision-making throughout. Monitor patient progress, treatment outcomes, and wellbeing, adapting management plans in response to changing clinical needs. Provide continuity of care across assessment, treatment, and follow-up stages. Hormone therapy management Initiate, prescribe, and monitor gender-affirming hormone therapy in line with national guidance and local protocols. Interpret laboratory results and adjust treatment regimens safely and appropriately. Manage complications or side effects related to hormone therapy and escalate complex cases when required. Surgical referral and readiness assessment Assess readiness for gender-affirming surgical interventions in line with NHS England service specifications. Prepare and complete referrals for surgical services and support patients through the referral pathway. Liaise with surgical providers and ensure appropriate pre- and post-operative care planning. Sexual health care Provide comprehensive sexual health services including risk assessment, screening, diagnosis, and management of sexually transmitted infections (STIs). Deliver health promotion and prevention advice tailored to the needs of trans and non-binary individuals, including HIV prevention and treatment where appropriate. Multidisciplinary working and liaison Work collaboratively with consultants, nursing staff, psychologists, GPs, and allied health professionals to ensure integrated care delivery. Provide specialist advice and guidance to primary care and other healthcare professionals managing TransPlus patients. Contribute to case discussions, MDT meetings, and joint care planning across services. Clinical governance and service development Contribute to the implementation, evaluation, and continuous improvement of clinical pathways and protocols. Participate in audit, quality improvement initiatives, and research activities to enhance service delivery and patient outcomes. Ensure all practice is compliant with Trust policies, national standards, and clinical governance frameworks. Supervision and leadership Support and supervise junior medical staff, nursing colleagues, and other team members in delivering patient care. Provide clinical guidance in the management of complex or unstable patients, including those with new diagnoses or treatment changes. Act as a role model for inclusive, compassionate, and evidence-based practice. Safeguarding and holistic care Recognise and respond appropriately to safeguarding concerns, including mental health, vulnerability, and social risk factors. Promote a holistic approach addressing bio-psycho-social aspects of care, including signposting to relevant support services.