Dr Magennis, Barrett & Grant Practice Policy for Guidance on the management of requests for testosterone (HRT) Following a self-funded assessment by a private clinician
This guidance was written for patients seeking testosterone as part of their hormone replacement therapy (HRT) regime, following assessment and recommendation from a private clinician.
Patients electing to see a private specialist, should do so on the expectation that all recommended tests, procedures and prescribed medicines will be provided privately (not on the NHS). A recommendation from a private specialist for a medicine that is available on the NHS does not entitle the patient to NHS prescriptions for that medicine.
Recommendations from specialists for ongoing prescribing on the NHS need to be made at an NHS consultation with an NHS specialist. A GP is therefore under no obligation to provide an NHS prescription to a patient based on the recommendation of a private specialist.
Requests for on-going prescribing of testosterone medication will be refused, and the patient referred back to obtain supplies from their private specialist. It may be mutually agreeable for the GP to make a referral under the NHS to an NHS provider, however the patient would be required to join the waiting list in the same way as any other referred patient