No, the GRC isn't required to get hormones, but you will either have to wait a long time to see the GIC/Trans Plus, hope that a doctor will continue any prescritpion you already had or go private such as with Gender G.P. (they cost a lot to set up or learn new things and they require blood tests every three months though), or go DIY if you want and order/make it all yourself.
transgender
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The GRC is only necessary to change your birth certificate (including sex) if you're a already a UK citizen and for some limited governmental stuff (such as national insurance number and other HMRC stuff and marriages/civil partnerships), everything else can be gotten by with other documentation like passports and driving licenses etc.
Everywhere else doesn't require a birth certificate to change your sex just either whatever is already on your documentation or you can get a doctor to write a letter for you so you can change it anywhere you don't require a GRC for.