For 35 years, debates in parliament have said there should be single-sex wards. There was a huge fight 20 years ago to stop mixed-sex wards. Yet here we are: the NHS, captured by lobbyists, is implementing, outside its authority, a one-sided policy. If it wishes to recognise gender self-ID it has a duty to report to parliament, just as it has a duty of honesty and candour to all patients, not some above others.
The NHS is being encouraged to embrace quality improvement not only to improve services for patients but to reduce the eye-watering legal compensation bills.
And yet, here the NHS is, marching resolutely towards a situation that is likely to cause distress, complaints, plausible safeguarding issues and a compensation fund.