Papillon is a gender service pilot in Jersey, Channel Islands, which has been created to provide primary care that is safe, timely and easy to navigate. Papillon is a partnership between Jersey’s Health Service, Liberate (a Channel Islands equality and diversity charity delivering services, advice and information to the LGBTQ+ community) and YES (the Youth Enquiry Service, a project of Jersey Youth Service that provides young people with free confidential, information, advice and counselling).
The gender clinic is the culmination of several years of work to develop an improved model of care for trans and non-binary people, which reduces waiting times, removes barriers to accessing care and is delivered on-Island.
We know that trans and non-binary people are the experts of their own experience, and that is why this service has been developed by and for our trans community. Our services are trans and non-binary led, with trans and non-binary people guiding and feeding into them at all levels.
Papillon offers trans and non-binary people different ways to access support services, including assessment and diagnosis for gender dysphoria. This includes holistic assessments of an individual’s needs and offers referrals and signposting to other services.
We work within the NHS service specification, which requires at least two in-depth one-hour appointments with clinicians trained in assessing and diagnosing gender dysphoria. These appointments assess the person’s physical and mental health history, as well as their experience of gender.
Not all trans and non-binary people want to go down a medical transition route, but for those who do, recommendations for hormone treatment, hair removal or surgery are only made after clinicians have confirmed a diagnosis.
Our support is person-centred – we recognise that there are many ways to be trans and non-binary and we tailor our support to meet each person’s individual needs. There is no standard route, speed or order of interventions anyone needs to follow. Treatment is only made at the pace comfortable for the person accessing the service, with continuous oversight of Jersey clinicians by NHS supervisors.
A team of care navigators with lived experience works with people who access our services to help them to get the most out of the service and enable them to connect with other trans and non-binary people in Jersey.
We take a multidisciplinary approach to care, bringing together knowledge and expertise from different fields and backgrounds to ensure our service delivers the highest quality care to our trans community. Papillon is staffed by an experienced primary care team in Jersey and receives clinical support from the NHS Tavistock Gender Identity Clinic in the UK.
We make sure that care is safe, inclusive and affirmative. We do this by supporting trans and non-binary people to be well informed about their choices by sharing knowledge, explaining options, promoting health, and supporting people to make decisions that are right for them, at their pace.