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Dr Christine Mimnagh (she/her) @christinemimnagh.bsky.social · 25/06/2026

What is the most Transphobic Medicines Management Committee in NHS England?
Now, you could trawl through all the ICS websites and find the ones that actually mention trans people ( It's about a quarter of them) and then you could rank by traffic light rating picking out the ones that make it hardest for trans people to access hormones rather than the ones that make it hard for cis and trans people.
You don't have to - I did.
Given that it's the same drug, same data, same population we're talking about here you'd think all areas would reach the same conclusion.
But given that the MMCs consist of people who see the world their way we can cheerfully conclude that human factors are the cause for the variations.

I won't delay any longer- congratulations North Central London ICB- your formulary has the greatest discrepancy between hormones for cis and trans people and is the only one in NHS England that has both Estradiol and Testosterone as Red ( meaning not to be prescribed in primary care).

Ironically they also have a post of Exec Director of Transition.

Now it's possible that the board and execs don't know that they hold this position and that any talk of inclusion and community support is being undermined- so if you know anyone at NCL ICB give them a nudge.

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