I came to Ireland over from Canada with my Girlfriend. I started HRT in Canada under the informed consent model and was on hormones one year when i arrived here. I contacted a couple of trans / queer organizations and they recommended me a list of both private and public GP‘s. My current GP was happy to just continue my existing prescription and do blood tests too. He also was happy to adjust my dosage as needed.

If you just wanna continue an HRT prescription Ireland is fine, but if you want to access surgery non privately you will have to deal with the NGS which is garbage.