We follow the BMA guidance. 

Exceptions may be made on a case by case basis, following a discussion between several GPs.
Our main exception is that we will provide enter into shared care agreements for the following:

• Patients who we have already agreed to prescribe for
• Patients who are under a private provider but it is for NHS care
• Trans/non-binary patients under a private clinic that meets the criteria in our trans healthcare policy (which uses guidance issued by the General Medical Council)

The reason for making an exception for our trans and non binary patients is that there is an extremely long wait for NHS services and no work being done to reduce it. (Unlike ADHD, for example, where there is the Right To Choose pathway or a surgical waiting list ie there is funding to reduce these)