NHS Policy Audit - working party -Thread #3

Putting a trans IDing patient in the opposite sex ward was not counted as a breach. Because wards were separated by gender not sex, so no breach in same gender accomodation happened in those circumstances. So the actual numbers of breaches of same sex accomodation will never be known.

I don't mind at all. Thank you for spreading the info.

More good news, as reported on the tribunal thread, hope @BinturongsSmellOfPopcorn doesn't mind me copying here!

BinturongsSmellOfPopcorn · Yesterday 23:33
I've now read the new guidance in full, and the dancing shoes are on.

Annex B is history.

No mention of gender variant children. No accommodate according to preference, presentation, and pronouns. No prioritising the trans patient at the expense of others.
Accommodation is by biological sex. For trans identifying patients that remains the default, but single-occupancy rooms can be used as an alternative if needed for the privacy, safety, or dignity of all the patients.

And there's a change to reporting requirements. There used to be a requirement to report breaches; now all departments have to regularly report both breaches and absence of breaches.

One small step forward...

https://www.bbc.co.uk/news/articles/cry83dyddv6no?at_link_origin=BBC_News&at_medium=social&at_link_id=BD5620C6-C8B2-11F1-A83D-C1026C46A019&at_ptr_name=facebook_page&at_bbc_team=editorial&at_format=image&at_campaign=Social_Flow&at_link_type=web_link&at_campaign_type=owned&fbclid=IwdGRzaAU-LTpjbGNrBT4r5mV4dG4DYWVtAjExAHBkb2YFc3J0YwZhcHBfaWQMMzUwNjg1NTMxNzI4AAEebj4yWe4xGCb5nvxgWO5Yo59cfu_n1bd1omXF4cp_iZK37K2enUxfH_2SnT0_aem_TFAE3IMesYyZ3X1khPjHxQ

NHSE data shows that the number of breaches of the previous mixed-sex accommodation guidance has been growing every year since 2021- where members of the opposite sex were placed on a single-sex ward.

The most recent figure for August 2026 shows there were 5,520 breaches, compared to 3,853 in June 2025.

There is also a “long read” on patient accommodation:

https://www.england.nhs.uk/long-read/privacy-dignity-and-safety-in-hospital-accommodation/

Here it is:

https://www.england.nhs.uk/long-read/guidance-on-nhs-staff-facilities/

Actual guidance is due to drop at 4pm.

Archive of Telegraph article:

https://archive.ph/Jw3Y1

Thank you @Harassedevictee!

The next step will be to see how the individual trusts respond - I fear there will be much wailing and gnashing of teeth. Fear not though - we (and others!) fully intend to hold them all to account

I just wanted to post a link to this new thread about NHS guidance making it clear that NHS must comply with SC judgment. https://www.mumsnet.com/talk/womens_rights/5589296-nhs-bans-transwomen-from-female-space?reply=155355942

The work you all did on the audit is show8ng results. Thank you.

So how on earth are people who worked with a middle aged bloke called John for ten years, supposed to convince themself that now he calls himself Jane, he should be called she? When they know and he knows that he is still the same bloke as before.

South East Coast Ambulance Service appears to be the only one of England’s 10 NHS ambulance trusts to publish transgender staff guidance on its website.
The remaining trusts told The Telegraph that any relevant guidance or policies would only be released in response to Freedom of Information requests.

So probably all of them, then.

Maybe someone will leak them.

Thank you for that @SeaStoat!

Archive link here for when the gift token expires:

https://archive.ph/vIObJ

Nice reference here to previous article and West London NHS Trust & South East Coast Ambulance Service. Gift article.

"Ministers have refused to publish transgender guidance for civil servants, raising concerns about whether the rules respect women’s rights.

The rules about how transgender civil servants should be treated at work were sent to government departments in May.

But the Cabinet Office refused to share the draft policy with The Telegraph because “ministers and officials may not feel comfortable sharing their views”.

This decision not to publish the guidance has raised concerns that it may not respect women’s rights, with Claire Coutinho, the shadow minister for women and equalities, accusing Labour of “running scared of scrutiny”."
https://www.telegraph.co.uk/gift/0f267e165875ce08

I’ve been trying to sell this story into media with no joy so far even with puberty blocker trial restarting and conversion therapy ban. Even tho Great Ormond Street has this policy and is both a household name and a gender hub under the new Cass holistic system 😔

I think the one thing which shocked me most was that even if children were not Gillick competent, their wishes as regards to gender had to be respected. This is the greatest stupidity ever. Who will pick up the pieces when it all goes wrong? Chances are it would have to be the parents.

I think it's amazing, and you wims have done wonderful work. It strikes me, not for the first time, that isn't this exactly the kind of "citizens holding power to account", Tony Benn-style, that the Labour Party was supposed to support? Maybe especially touchy-feely types like Burnham? Funny they don't seem to see it that way (I know a handful do).

We keep on keeping on. The map was a big boost for awareness- over 3,000 people clicked on it the first month it was up and hundreds sent letters to MPs / Trusts. Hopefully having an overview that evidences the extent of the capture in the NHS available on a shareable link will help get the word out further.

We’re getting some good feedback that the audit is getting traction. I was in contact with a journalist this week who had been sent audit information from three different groups (including us). So that’s encouraging

If anyone has any fresh angles or ideas please share. There’s so much to this and fresh eyes may spot things we’ve missed

Fantastic piece of work. What next though?
We can't expect the political parties or the trade unions to champion the work.

Correcting a typo.

Totally agree with this - the work @Cantunseeit did for the report was amazing. So pleased to see it in the public domain. ❤