Gender-affirming healthcare availability

Gloria Fraser made this Official Information request to Lakes District Health Board

The request was successful.

From: Gloria Fraser

Kia ora,

I am writing to request information about the gender-affirming healthcare services provided by the Lakes District Health Board, as a follow up to a similar request I made in May 2018.

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

- Puberty blockers
- Hormone therapy
- Mastectomy
- Hysterectomy
- Orchidectomy
- Facial hair removal
- Breast augmentation
- Voice training
- Facial feminization surgery

Could you please also advise:

- Are transgender healthcare providers under the Lakes District Health Board encouraged to follow Oliphant et al’s (2018) Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand? If not, which guidelines do they follow, if any?

- Is a readiness assessment required to access gender-affirming healthcare services? (This is an assessment of readiness for treatment from a medical and psychosocial perspective, as well as whether the client understands the risks and benefits of treatment, and is sometimes referred to as a ‘mental health assessment’).

- If a readiness assessment is required to access gender-affirming healthcare services, who carries out this assessment? Is this assessment funded by the Lakes District Health Board? Does the assessment use an informed consent model?

- What steps is the Lakes District Health Board taking to improve healthcare provision for transgender New Zealanders?

If you require any clarification about this request, please let me know.

Ngā mihi,

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From: Theresa Fraser
Lakes District Health Board

Good Afternoon

This is to acknowledge receipt of your email and OIA request.

Thank you.


Theresa Fraser
Executive Assistant to Chief Executive | Lakes District Health Board | p +64 7 349 7982 | m 027 4309 948 | e [email address] | Private Bag 3023 | Rotorua Mail Centre| Rotorua 3046 |

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From: Shan Tapsell
Lakes District Health Board

Attachment 2019 05 21 G Fraser gender affirming health care.pdf
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Hi Gloria


Please see attached, Lakes DHB’s response to your OIA.




Shan Tapsell

Assistant Communications Officer

Lakes District Health Board

Rotorua Hospital

Pukeroa Hill

Private Bag 3923

Rotorua Mail Centre

Rotorua 3046

Phone (07) 349 7955 extn:8491


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