# Senior Clinical Fellow in Gender Dysphoria, TransPlus > NHS job listing from Job Clerk for Chelsea and Westminster Hospital NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/senior-clinical-fellow-in-gender-dysphoria-transplus/466247ab-ebb1-44ce-87c2-cdd6384741a1 - **Markdown:** https://www.jobclerk.com/job/senior-clinical-fellow-in-gender-dysphoria-transplus/466247ab-ebb1-44ce-87c2-cdd6384741a1.md ## Summary - **Status:** Live - **Employer:** Chelsea and Westminster Hospital NHS Foundation Trust - **Location:** Chelsea and Westminster Hospital - **Workplace type:** onsite - **Profession:** Medical doctor - **Speciality:** Genitourinary Medicine and Sexual Health - **Grade:** Senior - **Salary:** £45,715 - £69,976 Per Annum - **Contract type:** Fixed term: 12 months (12 month FTC) - **Employment type:** Full time, Part time, Job share, 40 hours per week (open to part-time working) - **Closing date:** 2026-09-13T22:59:00.000Z - **Posted:** 2026-08-19T15:20:55.461Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Chelsea_Westminster_Hospital_NHS_Foundation_Trust/Gender_Health/Gender_Health-v8206668 - **Application URL:** https://apps.trac.jobs/job-advert/8206668?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.chelwest.nhs.uk ## Job Content ### Job overview Chelsea and Westminster Hospital NHS Foundation Trust has been commissioned to provide TransPlus at 56 Dean Street, the first integrated gender, HIV and Sexual Health service by NHS England. Our vision is for an innovative and patient-centred service, based on the principle that patients must have equal access to services whatever their gender identity with reasonable adjustments to the delivery of care to match the individual’s needs and circumstances. This exciting opportunity is aimed at Specialist Registrars currently in a GUM, SRH, or other comparable training programme. It will allow the post holder to complete a 12-month OOPE and develop skills in gender medicine whilst also allowing them to maintain their Sexual Health / HIV / SRH competencies. The senior clinical fellow post covers work within the TransPlus Gender Dysphoria service and wider trans/non-binary sexual healthcare based at 56 Dean Street. Candidates would ideally currently be in a GUM or SRH Specialty Training Programme, but applications from candidates in other training programmes, such as Public Health, could also be considered. The senior clinical fellow will work alongside junior and senior members of staff to help manage those with gender dysphoria and sexual health needs. They will assist with the prescribing of hormone therapy, management of results, and liaison with GPs and other associated health professionals. They will be responsible for the formulation of treatment plans for those diagnosed with gender dysphoria. The service refers for the range of services described in the NHS England service specification and agrees and co- ordinates treatment plans specifically tailored to address each service-user’s goals and clinical needs. ### Main duties of the job The post holder will work a 40-hour week at 56 Dean Street. There will be opportunities for training in other specialist clinics within the department if the candidate so desires. The post holder will work as part of the multidisciplinary TransPlus team to deliver high-quality, patient-centred care for individuals with gender dysphoria and associated sexual health needs. ### Detailed job description and main responsibilities - 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. - 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. - 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. - 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. - 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. - 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. - 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. - 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. - 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. - 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. ### Applicant requirements You must have appropriate UK professional registration. This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service. ## Person Specification ### Essential and Desirable Criteria **Essential** - MRCP or MFSRH (or working towards this) - Full Registration with the GMC - 4 years full time post-graduate training - Specialty Registrar experience in GUM / HIV or SRH medicine - Knowledge of gender diversity and dysphoria, and the clinical and social interventions for the relief of gender dysphoria - Ability to cope with stressful situations, and undertake responsibility and make effective decisions **Desirable** - DipGUM and/or DipHIV - Competence in the management of hormone therapy and gender specific health issues - Good professional knowledge of neurodevelopmental conditions and neurodiversity ## Documents - [recruitment pack (pdf, 2.8mb)](https://www.healthjobsuk.com/documents?edoc=1313) - [policy statement (pdf, 144.5kb)](https://www.healthjobsuk.com/documents?edoc=891) - [job features form (pdf, 528.6kb)](https://www.healthjobsuk.com/documents?vdoc=10513363) - [guidance for applicants (pdf, 85.4kb)](https://www.healthjobsuk.com/documents?edoc=890) - [staff benefits and wellbeing (pdf, 177.9kb)](https://www.healthjobsuk.com/documents?edoc=1256) - [jd - senior clinical fellow in gender dysphoria & sexual health (pdf, 912.2kb)](https://www.healthjobsuk.com/documents?vdoc=10552851) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.