New process for changing name and gender in NHS Coventry

The below document was issued last month following consultation with local trans activists. It should make life a lot easier for people who are changing their name and/or gender with a G.P. or dentist within the Coventry Primary Care Trust. If you’re in the Coventry area and are having problems with changing your name and/or gender, this policy should give you the leverage to sort it out. If you live in another area where the P.C.T. is giving you grief, it might be worth trying to cite this as an example of best practice.

    Process for changing name and gender in Primary Care

The purpose of this document is to clarify and bring together already existing legislation and guidance for primary care providers to change the name and gender of trans people who request it.

Considerable legislation(1) already provides explicit protection and rights for trans people in the areas of employment, goods, facilities and services (including health) and for their legal recognition as ordinary men and women in their acquired gender.

“Gender transition is not embarked upon lightly. There is substantial evidence that many trans people encounter extreme violence and discrimination if their background becomes known within their community(2).”

When trans men and women are planning to live permanently in their preferred gender role, they need to ensure that all of their documentation reflects their new name and gender. This includes their passport, driving licence, credit cards and, of course, their medical documentation.

In the UK, anyone can call themselves by any name and any gender that they want to as long as they are not doing it in order to commit fraud. They do not need to use deed poll to change their name nor do trans people have to have a gender recognition certificate to change their gender on documents(3).

There is a simple process for this, which is accepted by many government departments including the Department of Health (4).

1. The patient tells their GP, or directly informs the PCT, that they are transitioning and that in future they would like to be known by their new name and gender(5). They can write a “statutory declaration”, they may have a deed poll document, or they may simply make the request. This request should be in writing, signed by the patient.

2. The GP writes to the Registration Office at the PCT. The GP may write a letter of support confirming the gender role change and that this change is intended to be permanent, but this is not a requirement.

3. The Registration Office then writes to the Personal Demographics’ Service National Back Office. The National Back Office will create a new identity with a new NHS number and requests the records held by the patient’s GP. These records are then transferred to the new identity and forwarded to the GP.

4. On receipt, the GP surgery changes any remaining patient information including the gender marker, pronouns and names. Trans patients have a legal right to change their name and gender on their NHS records and would be able to bring a civil claim against any GP or practice which refused to accede to their request.

Please contact me if you have any queries on the number below.

Helen Bunter
Head of Equality and Human Rights
NHS Coventry
Tel: 024 76246092

(1) The Sex Discrimination Act 1975 (amended 2008), Sex Discrimination (Gender Reassignment) Regulations 1999, The Equality Act 2006, Gender Recognition Act 2004

(2) http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_089939.pdf

(3) http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_085013.pdf

(4) Press for Change, 2008: “Name Changing on Personal Documents: A Guide for Organisations

(5) http://www.connectingforhealth.nhs.uk/systemsandservices/demographics/pds/ig/access/gender_reassignment/?searchterm=gender%20reassignment

What’s in a name? (the importance of free deed polls)

This post is part one of my response to misha the Duck of Doom, who commented on this post.

In the United Kingdom we’re pretty lucky: we’re able to change our names for free, as long as it’s not being done to commit fraud. I believe this is not merely a privilege that we’re fortunate enough to have though; it’s an important right.

This applies to anyone who wants to change their name, but is particularly important for many trans people because of the sheer importance a name can have. A name denotes identity, is usually tied to a particular gender role and accompanying gender expectations, and tends to carry a fair amount of personal history with it. No wonder then that a name change can be a key moment for those who transition. A free name change means that everyone has equal access to this right, regardless of age and financial status.

There are several means of changing your name under UK law, but the most simple is to simply announce to the world that you’ve changed your name. You don’t actually need to do anything other than this. It might help, however, to sign a piece of paper as evidence of your doing so. Maybe you could also get someone else to witness it, perhaps a solicitor. This tends to help with getting organisations such as banks, educational institutions and the Inland Revenue to recognise your name change: hence the existence of deed polls and statutory declarations.

Solicitors – and various websites – can charge a pretty penny for preparing your statutory declaration or deed poll. The amount they might ask you for varies, although as a general rule I note that the more fancy-looking the document is, the more it costs. What baffles me is that these individuals and organisations are getting away with this when you can easily make your own document for free. There are some organisations trying to make money from this through advertising, whilst other pages make them available simply out of a desire to help others. My own (free) deed poll was emailed to me by a particularly helpful individual working for the university I was applying for a few years back. I’ve used it to change my details with pretty much every organisation which will ever need to use my name, including the NHS, a Student Union and the Job Centre.

Of course, not everyone who charges for evidence of a name change charges a lot. misha the Duck of Doom suggests:

“Go to a solicitor who swears oaths.
They have the uk courts authority to swear in
a Stat Dec name change.
When doing this, they are recognised as an agent of the court.

It costs £5 IIRC
plus £2 per stamped copy. You need about 15 copies for tax, council, education certificates, utility companies
so they change your name & sex.”

This looks relatively reasonable and not too pricey. I have three major problems with this option though:

1) “Affordable” can be two very different things to different people. The above suggestion actually costs £35 (£5, plus £2 multiplied by 15 is £35). That’s a fair amount of money if you’re a teenager, a student, on minimum wage, unemployed or permanently on incapacity benefit. Of course, many solicitors would provide you with a number of copies for no additional charge, and I’d suggest you could save a lot of that money by creating photocopies and using a stamped, self-addressed envelope when you do need to provide the original, but you’re still spending money. £5 can go a long way towards other things when you’re a teenager, and has to go a long way if you’re on benefits or minimum wage. I can make several days worth of meals on £5. Sure, even the poorest can fork out for this, but would prefer spend money on better things if it’s possible to do so.

2) Trans people are more likely than the general population to have anxiety issues or problems interacting with other people. Transition has given nerves of steel to many of us (and huge amounts of confidence when things are going well), but this doesn’t apply to all. Dealing with this kind of thing via a solicitor or courts could waste a lot of spoons. In this instance, self-created evidence of a name change is clearly preferable.

3) There’s an issue of principle! Regardless of money and spoons, why should we have to spend money on evidence of a name change when, legally speaking, we don’t have to?

This is why it particularly gets my back up when a Gender Clinic decides that it’s above free deed polls, and demands that they’re witnessed by a solicitor. It’s also bizarre that they accepted a free deed poll from a trans woman and then decided to later reject the very same document. I’m glad that Charing Cross no longer seem to be doing this – and in fact have apparently written a new policy to ensure that it doesn’t happen again – but it’s quite telling that they don’t seem to have made this new policy public at all.

Update on the Charing Cross gender clinic deed poll affair

This is a brief update on the entry I wrote about Charing Cross gender clinic getting a bit funny about DIY deed polls. In short: the clinic is once accepting such documents, so hurrah!

I have been reliably informed that the issue was raised at a stakeholder meeting. It was confirmed that was indeed some confusion at the clinic about the status of home-made change of name documents.

The policy at the clinic has now been changed to bring it in line with the advice of the Gender Recognition Panel, which recognises appropriately written change of name documents signed by the person changing their name, and a witness.

Such documents can be found online in a number of locations, such as here.

Charing Cross gender identity clinic outlaws DIY deed polls

A friend of mine who changed her name a few months ago received a phone call from Charing Cross yesterday to inform her that her deed poll (which had been seen and approved of in her presence by both receptionists and medical staff working at the clinic) was “inappropriate”. As such, they will revert to using her male name in correspondence.

She says that: I have found out that my deed poll is ‘inappropriate’ because it has not been signed by, and I quote, the “Government Deed Poll Issuing Authority”.

They didn’t like her deed poll because she printed it herself, using a free template (similar to this one). A lot of young trans people do this because we often cannot afford to “buy” a deed poll. Others on low income or benefits are likely to use these deed polls too.

These documents are widely accepted. My friend whose deed poll was not good enough for Charing Cross has successfully changed the name on her driving license with hers, for example.

Apparently this wasn’t a one-off case. My friend pointed out that she knew others with similar deed polls which had been accepted by the gender clinic. She was informed: “then they are most certainly in our pile of deed polls to return and names to revert to the original name on the deed poll.”

I honestly don’t know what the hell they think they’re playing at. My own DIY deed poll was used to change my name with a university, the NHS, a couple of banks and on my passport. I fail to understand what makes Charing Cross gender clinic so special that they get to not-accept someone’s (perfectly legal) change of name, just because it hasn’t been witnessed by a solicitor.

This policy seems to demonstrate once again that Charing Cross do not have their patients’ best interests at heart. Rejecting deed polls like this will be a blow to many trans people who already have low confidence or self-esteem, and could be dangerous for those who have already changed their name and are living “stealth” if the clinic sends them correspondence addressed to their old name.

Edit: Following complaints, this policy was reversed.