At a glance
You'll assess, consent, prescribe for and follow up your own patients. It's autonomous specialist prescribing, with time built into the day for admin.
| Salary | £60,000 to £65,000 |
|---|---|
| Hours | 37.5 a week, Monday to Friday, 8.30am to 5pm |
| Weekends and bank holidays | Never |
| Location | London clinic (Fitzrovia Hospital, 13-14 Fitzroy Square, W1T 6AH) |
| Hybrid working | 2 days a week in clinic, 3 days from home |
| Contract | Permanent, full-time |
About GHC
The Gender Hormone Clinic is a nurse-led service providing gender-affirming hormone care to adults. We opened in February 2023 with around 1,200 patients and now care for close to 4,000, with 80 to 120 new patients asking to join every month.
We're growing because patients need us. You'll join a team of about 19 across Stafford, London and Exeter, led by experienced nurse prescribers and supported by a specialist multidisciplinary team. We put compassionate, evidence-informed care, patient safety and good clinical governance first.
The role
The patient pathway:
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Step 1
Video history
You assess eligibility, then review the patient's GP summary and baseline bloods.
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Step 2
Consent appointment
A one-hour, face-to-face appointment in clinic covering benefits, risks and alternatives.
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Step 3
Prescribing
You start treatment after the in-person appointment, within our clinical protocols.
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Step 4
Follow-up
Six-monthly reviews for the first two years, then yearly once stable, including blood results and dose adjustments.
A typical day is about four patient appointments, alternating with admin time. You'll spend 2 days a week at our London clinic and 3 working from home. This isn't a fully remote role.
Key responsibilities
Once signed off on our protocols, you will:
- Run video history and eligibility assessments, taking medical, medication and family histories.
- Lead face-to-face consent appointments, including physical observations and a clear explanation of benefits, risks and alternatives.
- Prescribe, start and adjust gender-affirming hormone therapy within our clinical protocols.
- Review and interpret blood results, escalating anything that needs further investigation.
- Monitor treatment response, side effects and complications at follow-up.
- Give clear patient education, health promotion and safety-netting.
- Write accurate clinical records and letters to GPs, including shared care.
- Recognise clinical, psychological and safeguarding concerns and escalate them.
- Take part in clinical governance, audit, training and CPD.
With experience, you can manage a growing share of the patient pathway independently.
Pay
The salary we advertise is the salary we offer.
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Salary: £60,000 to £65,000
For nurses with a V300 (or equivalent) prescribing qualification.
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Where you start in the range
Depends on your experience, and we'll explain your figure in writing.
On a 37.5-hour week, £60,000 works out at about £30.77 an hour and £65,000 at about £33.33 an hour.
Progression
We're growing fast, so there's real room to grow with us. Your responsibility increases as your experience in gender-affirming care builds.
- 1
First year: settle in
Train on our protocols, then prescribe for a set caseload with senior nurse prescribers on hand.
- 2
With experience: more independence
Manage a growing share of the patient pathway independently, including more complex cases.
- 3
Over time: a senior role
Step into a more senior nurse prescriber role, supporting and mentoring newer nurses and prescribers as the clinic grows.
Hours and benefits
You'll work 37.5 hours a week, 8.30am to 5pm Monday to Friday, with an hour for lunch. No evenings, weekends or bank holidays.
| Annual leave | 28 days plus your birthday off, plus bank holidays |
|---|---|
| Pension | Nest workplace pension, at least 8% of qualifying earnings in total (see Pension below) |
| Company sick pay | 5 working days on a rolling 12-month basis, on top of statutory sick pay |
| Private health insurance | Vitality, after probation at 6 months |
| Indemnity insurance | Covered by us |
| Clinical training | One hour of protected training every week |
Pension
You're automatically enrolled into our workplace pension with Nest, the government-backed scheme. We pay in every month alongside you, and the government adds tax relief on top.
| We pay (employer) | At least 3% of your qualifying earnings |
|---|---|
| You pay | 4% of your qualifying earnings, taken from your salary |
| Government tax relief | 1% of your qualifying earnings, added to your pot |
| Total going into your pot | At least 8% of your qualifying earnings |
- Qualifying earnings are the part of your salary between £6,240 and £50,270 a year (2026/27 tax year).
- Every £40 you pay in becomes at least £80 in your pot once our contribution and tax relief are added.
- Nest charges 1.8% on each new contribution and an annual management charge of 0.3% of your pot. There are no other fees.
- You can pay in more at any time, pause contributions, or bring other pension pots into Nest.
Figures are Nest's published auto-enrolment rates. See Nest's contributions and fees.
Training and support
You don't need experience in gender care. We'll train you in our protocols before you prescribe independently.
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First weeks
Shadowing senior nurse prescribers, then running your own history appointments.
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First year
A set caseload while you settle in, with no pressure to take on more.
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Throughout
Senior nurse prescribers on hand during clinic hours, weekly clinical training, and a multidisciplinary team (endocrinology, psychiatry and psychology) for complex cases.
Your induction and training cover
- Gender-affirming hormone therapy and the medicines used
- Clinical assessment and ongoing monitoring
- Interpreting relevant blood results
- Recognising and managing complications
- Clinical protocols and escalation pathways
- Shared care and communication with GPs
- Safeguarding and clinical governance
About you
We're looking for an experienced prescriber who combines sound clinical judgement with warmth, curiosity and excellent communication. You may want to build specialist expertise outside a traditional NHS role.
Essential
- Registered nurse with current NMC registration
- V300 independent/supplementary prescribing qualification, with active prescribing practice
- At least six years' post-registration experience
- Significant experience of autonomous consultations and clinical assessments
- Confident interpreting blood results and knowing when to escalate
- Strong medicines management and patient safety
- Excellent clinical documentation and communication
- Comfortable consulting by video and working remotely part of the week
- A respectful, inclusive and non-judgemental approach to care
Desirable
- Experience in general practice, sexual health, endocrinology, women's health or reproductive health
- Experience with HRT or hormone therapies
- Experience prescribing off-licence medicines
- Experience in gender healthcare
- Experience in an independent or CQC-regulated service
How to apply
Apply using our short online application form. Questions first? Email careers@thegenderhormoneclinic.com.
What happens next
- 1
First interview (video, about 30 minutes)
With our practice manager and assistant clinical lead. We'll ask about your experience, and you'll hear the full package: pay, hours, clinic days, pension, sick pay and training. We'll also ask what matters to you.
- 2
Same day
We email you a one-page summary of the package.
- 3
Optional second stage
A short meeting with our director and a chance to visit the clinic.
- 4
Decision within five working days
Of your final interview, with the full offer in writing.
FAQs
Still unsure? Email us before you apply and we'll answer honestly.