Requested by: Individual | Response provided: 19/06/2018
Category: Gender Affirming Healthcare

I write in response to your Official Information Act request, dated 23 May 2018. You requested information on Gender-Affirming services in Counties Manukau:  

Publicly available information on the Northern Region Transgender Health Services (NRTHS) service, and which may answer many of your questions can be accessed on our HealthPoint website at the following link: 

 1.       Could you please advise whether the following gender-affirming healthcare services are funded by the Counties Manukau District Health Board for transgender patients, and whether the services are currently available:

  •  Hormone therapy
  • Mastectomy
  • Hysterectomy
  • Orchidectomy
  • Facial hair removal
  • Breast augmentation
  • Voice training

2.       Could you please provide information about the process of accessing those services that are available?

a.       Specifically, is an assessment by a mental health professional required in order to access gender-affirming healthcare services? If so, which services?

b.      In the case of hormone therapy, can primary health providers prescribe hormones, or does this have to be initially approved by an endocrinologist?

c.       Is any period of real life experience required to access surgery?

3.       Finally, could you please advise what the process is if transgender patients require one of the above services, but the Counties Manukau District Health Board does not offer this service?

a.       Does the Counties Manukau District Health Board currently fund patients to travel to other areas to access this healthcare?


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