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At Anne, we believe in transparency, accountability, and care rooted in community values.
Many people ask why our services cost what they do, how we operate as a not-for-profit, and how we balance financial sustainability with accessibility. This page explains exactly that.
Gender-affirming healthcare should be free, high quality, and available through the NHS. Unfortunately, it’s not.
With waiting times stretching into years and limited access to youth-appropriate support, too many people are left without timely, safe, and affirming care. Anne was created to help fill that gap. Not to replace the NHS, but to offer a community-focused solution that helps people access essential care without waiting years.
We are a not-for-profit organisation. This means we exist to provide gender affirming care, not to generate profit.
Anne is registered in the United Kingdom as a private company limited by guarantee without share capital. This is a standard legal structure for not-for-profit organisations. This structure means:
Our work is legally bound by our articles of association, which commit us to operating as a not-for-profit organisation.
Our full company details and governing documents are publicly available on the Companies House website.
Providing safe, high-quality gender-affirming care requires clinical expertise, strong governance, and specialist support. Your membership fees cover the actual cost of delivering care, including:
We pay our staff fairly, maintain safe clinical standards, and ensure every service meets the level of care our patients deserve.
Because we are not for profit, any surplus is used to improve access to care. This includes:
We pay our staff fairly, maintain safe clinical standards, and ensure every service meets the level of care our patients deserve.
We run a funding application programme to help make our services more accessible to those who need financial support. Applications open during specific funding rounds throughout the year for free or partially subsidised memberships, with details of upcoming rounds shared in advance. Our aim is to reduce barriers to access and ensure that more people can access the support they need.
For more details or to find out when the next funding round opens, visit our Apply for Care page.
We believe that trust requires openness.
Our first statutory accounts will be filed by May 2026, as required for our first financial year end in August 2025. We are also exploring ways to share financial information sooner, including how funding is used and how subsidised care is allocated.
This is a reasonable expectation from our community, and something we are committed to doing well.
We exist to provide gender affirming care that is accessible, compassionate, and community focused. We do this as a not-for-profit organisation because our mission matters.
Have more questions? Feel free to email us at hello@anne.health and we’ll do our best to answer them.
View some of the most asked questions, or search below for a question you might have.
Or you can easily speak to us using one of the options below between 9am to 5pm Monday to Friday, or send us an email and we’ll get back to you as soon as we can.
Yes. All counselling and medical appointments happen online through video call, so you can attend from wherever you feel most comfortable.
If you need more mental health support during your time with us, we offer extra counselling sessions at a reduced rate.
Our counsellors are experienced in gender-affirming care and many have worked with trans+ people and their families for years. They’re here to support you, wherever you are in your journey.
There are a few ways to get your blood tests done, you can choose what works best for you. Blood tests can either be done with your GP, at one of our partner clinics or at your home with the mobile phlebotomy service.
With your GP
If you choose to go through your GP, we will always provide full details to you and your GP.
At one of our partner clinics
If you prefer to visit one of our partner clinics, we’ll make the referral and send you an email with instructions for booking your test. You’ll attend your appointment, and your results will be sent directly to us from the lab.
The cost of clinic blood tests is included in your monthly membership fee.
At home with a mobile blood test service
If you choose to use the at-home service, you’ll receive an email with instructions for booking an appointment. A mobile phlebotomist will visit you at home to draw your blood, and the sample will be posted to the lab. The results will then be sent directly to us.
Please note that if there’s a clinic near you offering appointments, choosing our mobile phlebotomy service instead may come with an additional charge.
No matter which option you choose, we’ll guide you through it and make sure you have everything you need.
The cost to write your prescriptions is included in your membership. You’ll need to pay separately for the medication itself.
Prices vary based on what you’re prescribed, your dose, and where you get it filled.
Our care is based on informed consent, but there is still a process to follow.
All members go through our intake process, where we’ll work with you to make sure hormone therapy is the right next step and that you understand what it involves.
If you’re prescribed hormone therapy, we’ll send you a digital prescription you can take to a local pharmacy. If you’re over 18, we can also connect you with a UK pharmacy that delivers to your home.
If you’re under 18 and accessing puberty blockers through our legal route, we’ll give you all the information you need to order, pay for, and administer the medication safely.
It can take up to 12 weeks to complete the intake process. However, this varies depending on your individual circumstances, such as the number of counselling sessions required, your availability for appointments and your blood test preference.
Joining Anne starts with an intake process that typically takes up to 12 weeks. The exact timeline depends on your situation, like how many therapy sessions you need, your schedule, and how you’d prefer to do your blood tests.
For more detailed information, see our guide to joining Anne.
Yes. We can write surgery referral letters for both members and non-members. But it’s important to know that each surgical provider has their own rules, so we can’t guarantee they’ll accept our letters.
Once you’ve chosen a surgeon, you can ask them directly if they accept referrals from Anne Health. If needed, we’re happy to reach out to them ourselves to explain who we are and how we work.
Take the first step with Anne.
We’re here to guide and support you with inclusive, gender-affirming care built around you.