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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 get 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.
Most Anne appointments take place online by video call. This includes your therapeutic intake, medical consultations, and counselling sessions. You can join from wherever feels safe and comfortable for you.
Some parts of your care need to happen in person. Blood tests, for example, can be done in a way that works best for you; through your GP, at one of our partner clinics, or at home using a mobile phlebotomy service.
There are a few ways to get your blood tests done, so you can choose what works best for you.
With your GP
If you go through your GP, we’ll provide all the details you and your GP need.
At one of our partner clinics
If you’d like to visit a partner clinic, we’ll make the referral and email you simple instructions for booking your test. You’ll go to your appointment, and the lab will send your results directly to us.
Clinic blood tests are included in your monthly membership, except for Lite members.
At home with a mobile blood test service
If you choose the at-home option, we’ll email you instructions for booking. A trained healthcare professional (called a phlebotomist) will come to your home to take your blood sample. They’ll send it to the lab, and your results will be shared with us.
Please note that if there’s a clinic near you, choosing the at-home service instead may come with an extra cost.
Whichever option you choose, we’ll guide you through it and make sure everything is straightforward.
Writing your prescription is included in your membership. You’ll just need to pay for the medication itself.
The cost of medication can vary depending on what you’re prescribed, your dose, and where you get it from.
For more details, visit our hormone therapy page.
Our care is based on informed consent, but there’s still a process to follow.
All members go through an intake process. This helps us make sure hormone therapy is the right next step for you 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.
The intake process can take up to 12 weeks to complete, although this can vary from person to person.
This is because everyone’s situation is different. The timeline can depend on things like your age, where you are on your gender journey, what kind of support you’re looking for, whether you’ve had hormone therapy before, and the type of gender-affirming care support you need.
It can also vary based on how many intake sessions are recommended, your availability for appointments, and how you choose to arrange your blood tests.
We tailor the process to you, so you get the right level of support at the right pace.
For more detailed information, see our guide to joining Anne Health.
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.
Yes. If you’re under 18, we need consent from at least one parent or legal guardian before we can welcome you to Anne Health. We’ll also need that parent or guardian to join some of your appointments if asked. This helps us make sure you’re supported and safe throughout your care.
Take the first step with Anne.
We’re here to guide and support you with inclusive, gender-affirming care built around you.