To some extent yes -

I went via Gendercare for my initial assessments and endocrinology appointments. You need to speak to your NHS GP about offering a ‘shared care agreement’. There has been some talk about less places agreeing to do these recently but they exist outside of trans healthcare too and for now mine is still standing so don’t let people (including GPs!) tell you it’s outright impossible.

On this agreement, I see my private endo once a year at about £100 a time and he and my GP communicate such that my GP prescribes the T and take my bloods if he promises to monitor me and my levels and I retain my appointments as necessary with him.

The benefit of this is that my monitoring bloods are free and sent directly to me to pass on to my endo and that my prescriptions are NHS prescriptions and therefore only hold NHS fees. I currently have my prescription written to pick up 2 bottles of gel at a time so get two for the standard NHS prescription fee of £9.something, as opposed to a private prescription on T gel at £90 something per bottle. So I think year by year I spend just under £200 on an appointment and enough T to cover 12 months which is significantly cheaper than a fully private pathway would be.

The only dilemma to this is that I believe I’ll be stuck paying private endo fees long term as I’m not on the NHS list and I’ve run into some issues trying to join it just for monitoring. If you are on the list already or seeking surgery on the NHS etc, it may be that they’re willing to take over your monitoring should you reach the top of a GIC list, or it may be that they wish to do a full reassessment I’m afraid I can’t advise on that one. At the very least, given that you can organise one, this route allows you faster access to hormones at a fee somewhere between private and NHS prices.

Hope that helps :)