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Feminism: Sex and gender discussions

NHS Policy Audit - working party -Thread #3

783 replies

KnottyAuty · 12/06/2025 20:57

NHS Policy Audit - working party -Thread #3

Original thread #1 here:
https://www.mumsnet.com/talk/womens_rights/5291237-nhs-policy-audit-working-party?page=1
Thread #2:
https://www.mumsnet.com/talk/womens_rights/5322494-nhs-policy-audit-working-party-thread-2

This is a thread about “keeping the receipts” on NHS Policies prior to the Supreme Court ruling on 16th April 2025.

Our working theory is that there were no single sex spaces for NHS Staff or Patients in the entire country before that date, having all been removed by stealth.

We are aiming to prove this by auditing websites and policies for all the UK trusts and using the results to raise public awareness.

As well as recording what has happened historically, the information will form a baseline so we can check which Trusts comply or defy the judgement in due course...

We are working around the country region by region. If you fancy getting involved in a bit of grassroots feminism then please do join in to help!?

Each trust takes about an hour to research and you can upload online without giving any personal details away. Comment below and we can give you the link to an online survey - it changes for each region.

Thanks soooo much to all the vipers who have helped so far and @twoloons for doing a great job with the thread wrangling!

NHS Policy Audit - working party | Mumsnet

Following on from Thread #23 of the Peggie v NHS Employment Tribunal. Anyone who wants to help with survey/audit of paperwork against the Equality Act...

https://www.mumsnet.com/talk/womens_rights/5291237-nhs-policy-audit-working-party?page=1

OP posts:
Thread gallery
33
teawamutu · 07/07/2025 10:19

Thank you, @FarriersGirl - on it.

Mipe · 07/07/2025 09:56

@FarriersGirl I have submitted Sirona Health and Care (nothing interesting) so I'm ready to join in with the NW 😀

Cantunseeit · 07/07/2025 08:22

Thank you! Happy to take several (to avoid coming back for more) maybe four to start with?

Blackmetallic · 07/07/2025 07:26

@FarriersGirl thank you for the new list, please could I take Pennine Care NHS Foundation Trust?

FarriersGirl · 07/07/2025 07:14

Morning lovely vipers - another week, another NHS region! The North West is our last English region and it is a big one so all help welcome. Don't forget that you need a new link which I will send out on the DM once your first trust is allocated.

@teawamutu could you take the first 2 acute trusts Blackpool and Bolton. Thank you

Acute trusts

Blackpool Teaching Hospitals NHS Foundation Trust
Bolton NHS Foundation Trust
Countess of Chester Hospital NHS Foundation Trust
East Cheshire NHS Trust
East Lancashire Hospitals NHS Trust
Lancashire Teaching Hospitals NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust
Liverpool Women’s NHS Foundation Trust
Manchester University NHS Foundation Trust
Mid Cheshire Hospitals NHS Foundation Trust
Northern Care Alliance NHS Foundation Trust
Mersey and West Lancashire Teaching Hospitals NHS Trust
Stockport NHS Foundation Trust
Tameside and Glossop Integrated Care NHS Foundation Trust
University Hospitals of Morecambe Bay NHS Foundation Trust
Warrington and Halton Hospitals NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust
Wrightington, Wigan & Leigh NHS Foundation Trust

Ambulance trust
North West Ambulance Service NHS Trust

Community and mental health trusts

Bridgewater Community Healthcare NHS Trust
Cheshire and Wirral Partnership NHS Foundation Trust
Greater Manchester Mental Health NHS Foundation Trust
Lancashire and South Cumbria NHS Foundation Trust
Mersey Care NHS Foundation Trust
Pennine Care NHS Foundation Trust
Wirral Community NHS Foundation Trust

Specialist trusts

Alder Hey Children’s Hospitals NHS Foundation Trust
Liverpool Heart and Chest NHS Foundation Trust
The Christie NHS Foundation Trust
The Clatterbridge Cancer Centre NHS Foundation Trust
The Walton Centre NHS Foundation Trust

Blackmetallic · 06/07/2025 23:34

Submitted Avon and Wiltshire Partnership (a mental health trust).
There wasn't much available on the website but thanks to Ermine I was able to find the local "Supporting Trans People Toolkit" which the then-CCG had commissioned from a local anti-discrimination organisation called SARI.

“The organisation Stand Against Racism and Inequality (SARI) was commissioned to produce the toolkit, working in close partnership with a range of transgender people, clinicians and stakeholders from across the South West who comprise the document’s working group.
The group have reported that in producing the toolkit, multiple organisations including mental health, learning and disability hospitals, acute hospital trusts, voluntary organisation, LGBT+ organisation and support groups, equalities specialists and a housing support organisation had either been consulted, written a section of the document or reviewed the draft.” (Quote from CCG Equality Impact Assessment)

Following the CCG "adopting" this toolkit there was what seems to have been an outcry from concerned clinicians, women's groups and members of the public due to the wording of the toolkit, the lack of statistics to back up the claims made in the toolkit and the negative impact on other protected characteristics. The clinicians wrote an excellent letter to the CCG which I have uploaded to the Jotform. The CCG had to backtrack and hold two meetings, one with the clinicians and one with the women's groups/members of the public, following which they issued an equality impact assessment at CCG level stating negative impacts on the protected characteristics of age, religion/belief, disability and sex. They said that 13 areas of the toolkit needed to be revised and rewritten before it could be re-approved by the CCG. The equality impact assessment was difficult to find - it was not released to Ermine but once I knew it was available through the CCG/ICB I was able to find it in the archives

The revised toolkit still contains paragraphs such as:

"Providing education to other service users in a ward to
prevent ignorant or transphobic comments is, if successful,
a better solution than having to protect or isolate the trans
service user, but please note that disclosing that someone is
transgender without their consent may be unlawful. Always
seek further advice if you are unsure about information
sharing."

but they did remove a comment relating to young people reporting gender dysphoria - which urged assessment/treatment/referral/affirmation rather than watchful waiting, because "Doing Nothing CAUSES HARM" (in capital letters)

The toolkit is not an official Trust policy but it seems to be treated as such and was stated in the FoI response as being part of the transgender patient policy/single sex accommodation policy

TwoLoonsAndASprout · 06/07/2025 23:21

Blackmetallic · 06/07/2025 23:14

Hi, thank you - I've submitted the second jotform - I tried back arrowing and using the history tab but couldn't retrieve the info from the first form. Hopefully you will be able to merge the two forms?

Yes, absolutely no problem!

Blackmetallic · 06/07/2025 23:14

TwoLoonsAndASprout · 06/07/2025 22:35

Don’t worry - we can sort! Also, apparently if you back arrow on your browser it might restore what you’ve already entered.

Hi, thank you - I've submitted the second jotform - I tried back arrowing and using the history tab but couldn't retrieve the info from the first form. Hopefully you will be able to merge the two forms?

TwoLoonsAndASprout · 06/07/2025 22:35

Blackmetallic · 06/07/2025 22:33

Apologies - accidentally submitted the jotform before it's quite finished. Please ignore - will resubmit shortly
@KnottyAuty @TwoLoonsAndASprout @FarriersGirl

Don’t worry - we can sort! Also, apparently if you back arrow on your browser it might restore what you’ve already entered.

Blackmetallic · 06/07/2025 22:33

Apologies - accidentally submitted the jotform before it's quite finished. Please ignore - will resubmit shortly
@KnottyAuty @TwoLoonsAndASprout @FarriersGirl

FarriersGirl · 06/07/2025 17:08

OK Vipers I have out gallivanting today so will try and find time to do the trust list for the NW this evening and hopefully post tomorrow morning. @teawamutu your request is noted thanks.

FarriersGirl · 06/07/2025 17:03

And remember that biology is only very rarely relevant in healthcare:
“In most healthcare situations, people’s assigned sex at birth is irrelevant, although there are a few exceptions. Asking inappropriate questions about a person’s assigned sex at birth is invasive and potentially very hurtful”

Good grief I'm glad I don't live in Dorset although my own home trust isn't much better🙄

Ereshkigalangcleg · 06/07/2025 14:13

There was a clear attempt a few years back to blur DSDs with “non binary” gender identity - it mostly wasn’t successful but I’m wary of it.

Opinionpolecat · 06/07/2025 11:08

I've submitted University Hospitals Dorset NHS Foundation Trust.

Their policies include such crackers as this explanation of "intersex" people's identity:
“This document equally applies to those individuals who have intersex conditions, i.e. they do not see themselves as either male or female as well as trans and non-binary."

Always make sure your face isn't being transphobic:
“Treat trans and non-binary individuals respectfully as you would for all patients, being mindful of the personal journey they may have been on. You can show respect by being relaxed and courteous, avoiding negative facial reactions”

And remember that biology is only very rarely relevant in healthcare:
“In most healthcare situations, people’s assigned sex at birth is irrelevant, although there are a few exceptions. Asking inappropriate questions about a person’s assigned sex at birth is invasive and potentially very hurtful”

teawamutu · 05/07/2025 20:00

@FarriersGirl I've submitted Wiltshire Health & Care - there was pretty much nothing, as you predicted. Please assign me a NW trust or two as soon as you like 😀

Blackmetallic · 05/07/2025 18:47

FarriersGirl · 05/07/2025 17:07

Hope you are all having a good weekend. Here is an update on the SW trusts. Everything is now allocated and there are just a handful left to complete. If you are struggling please don't feel bad but do let me know so I can re-allocate if needed.

Acute Trusts in the South West region

Dorset County Hospital NHS Foundation Trust - Teawamutu
Gloucestershire Hospitals NHS Foundation Trust - FarriersGirl
Great Western Hospitals NHS Foundation Trust - Mipe
North Bristol NHS Trust - Catunseeit
Royal Cornwall Hospitals NHS Trust - Cantunseeit
Royal Devon University Healthcare NHS Foundation Trust - Yellowroom
Royal United Hospitals Bath NHS Foundation Trust - Mipe
Salisbury NHS Foundation Trust - Teawamutu
Somerset NHS Foundation Trust - FarriersGirl
Torbay and South Devon Healthcare NHS Foundation Trust - Mipe
University Hospitals Bristol and Weston NHS Foundation Trust - Cantunseeit
University Hospitals Dorset NHS Foundation Trust - Opinionpolecat
University Hospitals Plymouth NHS Trust - Feedbackprovider

Community and Mental Health Trusts and Providers in the South West region

Avon and Wiltshire Mental Health Partnership NHS Trust - Blackmetallic
Cornwall Partnership NHS Foundation Trust - Bluebootsgreenboots
Devon Partnership NHS Trust - Opinionpolecat
Dorset Health Care University Foundation Trust - Yellowroom
Gloucestershire Health and Care NHS Foundation Trust - Cantunseeit
Livewell South West - FarriersGirl
Sirona Care and Health - Mipe
Wiltshire Health and Care - Teawamutu

Ambulance Trusts in the South West region
South Western Ambulance Service NHS Foundation Trust - Yellowroom

Just to say I've nearly finished Avon & Wiltshire Partnership, will get it over to you by end of tomorrow

FarriersGirl · 05/07/2025 17:07

Hope you are all having a good weekend. Here is an update on the SW trusts. Everything is now allocated and there are just a handful left to complete. If you are struggling please don't feel bad but do let me know so I can re-allocate if needed.

Acute Trusts in the South West region

Dorset County Hospital NHS Foundation Trust - Teawamutu
Gloucestershire Hospitals NHS Foundation Trust - FarriersGirl
Great Western Hospitals NHS Foundation Trust - Mipe
North Bristol NHS Trust - Catunseeit
Royal Cornwall Hospitals NHS Trust - Cantunseeit
Royal Devon University Healthcare NHS Foundation Trust - Yellowroom
Royal United Hospitals Bath NHS Foundation Trust - Mipe
Salisbury NHS Foundation Trust - Teawamutu
Somerset NHS Foundation Trust - FarriersGirl
Torbay and South Devon Healthcare NHS Foundation Trust - Mipe
University Hospitals Bristol and Weston NHS Foundation Trust - Cantunseeit
University Hospitals Dorset NHS Foundation Trust - Opinionpolecat
University Hospitals Plymouth NHS Trust - Feedbackprovider

Community and Mental Health Trusts and Providers in the South West region

Avon and Wiltshire Mental Health Partnership NHS Trust - Blackmetallic
Cornwall Partnership NHS Foundation Trust - Bluebootsgreenboots
Devon Partnership NHS Trust - Opinionpolecat
Dorset Health Care University Foundation Trust - Yellowroom
Gloucestershire Health and Care NHS Foundation Trust - Cantunseeit
Livewell South West - FarriersGirl
Sirona Care and Health - Mipe
Wiltshire Health and Care - Teawamutu

Ambulance Trusts in the South West region
South Western Ambulance Service NHS Foundation Trust - Yellowroom

FarriersGirl · 05/07/2025 16:13

LadyElaine · 05/07/2025 10:23

Hello - I am also available to help - I messaged Knotty who said to put the offer up here so that I might be allocated a trust.

Hello and welcome! I have already allocated all the trusts for the SW so if you don't mind waiting a couple of days we will be starting the NW region so there will be plenty to do at that point. Please keep an eye on this thread and you will see when we are ready to start.

FarriersGirl · 05/07/2025 16:10

@Mipe and @teawamutu Thank you both. We have just 2 left from the SW Mipe if you can pick up Sirona Care and Health, and Tea if you can do Wiltshire Health and Care. These 2 are both community health services commissioned by the NHS and delivered by private companies. We have had a few previously and are working through the form as normal. However you will probably find little on the website, there maybe some equalities info or reports. They can't be FOI'd so that is not a source. The one's I did, I ran some wider background checks and looked on their social media etc. Also in the first line of the jotform where it asks for the name add NOT NHS after the name so we know to distinguish them later on.

Mipe · 05/07/2025 15:48

Hello @FarriersGirl, I have just submitted Torbay and South Devon Healthcare NHS Foundation Trust so I am ready for the next one 😀

teawamutu · 05/07/2025 13:24

@FarriersGirl just submitted Salisbury. I can take another if there are any unassigned.

Ereshkigalangcleg · 05/07/2025 12:53

SeaStoat · 30/06/2025 17:44

The Rainbow Badge scheme is Stonewall Law by the back door, without proper scrutiny. It gets no evaluation, and ends with unlawful and discriminatory policy recommendations, which include removing sex based language and encouraging men breast feeding. The feedback is given to an NHS trust in a meeting with a senior exec and gets adopted without critical thinking.

Staff are asked to sign up to a pledge. They think they are being kind. They do not understand the impact.

Here's how one trust describes it:
"Our teammates who wear a pride badge or lanyard have pledged that:

  • you can talk to me freely about difficulties you are facing and I will do my very best to find support for you
  • our organisation is a place of inclusion where we respect and celebrate LGBTQI+ patients and staff
  • I will challenge discrimination towards LGBTQI+ people in our organisation."

Rainbow badges also use survey results (small numbers of self selected staff) to make assertions about discrimination etc. It's rotten.

Another woman and I separately FOId most Engllish trusts on Rainbow Badges, and got the recommendation reports for many trusts on www.whatdotheyknow.com We weren't coordinating so may have missed some trusts. So you may find Rainbow Badge requests for your local trusts or the trusts you are analysing now. If you want any trusts we missed FOId on this, DM me.

Raibow Badges was funded by NHS England, and promoted strongly by Stonewall, the LGBT Foundation, NHS funders and Dr Michael Brady, National Advisor for LGBT Health, NHS England and NHS Improvement. Brady said in 2021:
‘The NHS Rainbow Badge has been one of the most successful and widespread initiatives in raising LGBT awareness across the NHS. The badges have received an enormous amount of interest, including participation from over 90% of NHS trusts within just 18 months of the project launching. This is largely thanks to the visionary work of Dr Mike Farquhar and colleagues at Guy’s and St. Thomas’ NHS Foundation Trust. I am delighted that we’re able to build on this success by investing in Phase 2 of the project, to support delivery of wider objectives to improve the care and reduce inequalities for LGBT patients, as well as improving experience for LGBT staff. I am really pleased that this new partnership between the LGBT Foundation, Stonewall, LGBT Consortium, Brighton & Hove LGBT Switchboard and GLADD, all of whom have many years’ experience in this field, are taking this work forward.’

Some trusts are introducing similar badge schemes on race. DM me if you want info on this. This is the hierachy of the alphabetti and race over the disabled, the old, people with religious beliefs and women etc, encouraged by senior NHS leaders and funders.

The Rainbow Badges scheme is being extended into GP & dental practices,pharmacists & optometrists via Pride in Practice. It's backed and peomoted by some local authroties and integrated care boards (ICBs - successors to the clinical commissioning groups which fund care via GP practices in England).

ICBs are also funding work by LGBTQIA+ charities without safeguarding and contrary to Cass.

sources:
https://archive.ph/woRz9
https://archive.ph/8EQsm
https://archive.ph/tj3Wp

I remember that it was going to be dropped a few years ago, did they quietly row back on it?

LadyElaine · 05/07/2025 10:23

Hello - I am also available to help - I messaged Knotty who said to put the offer up here so that I might be allocated a trust.

TwoLoonsAndASprout · 05/07/2025 08:59

Ramblingnamechanger · 05/07/2025 08:38

Fantastic work here. Thank you to all who are involved. Not much evidence so far, with honourable exceptions, of anything having changed after the SC judgement. I feel really sorry for anyone coming into contact with these zealots at work or as a patient. And the lack of awareness/ sensitivity or care for other female patients is horrific.

To be fair, I think that, on the frontlines the true zealots are few. I think that the original policies handed down were written by zealots, and occasionally there are individual zealots in individual trusts that add their own personal twist to them. However, for the most part I think they are cut and pasted together by people who assume that if the trust has a policy (that they are editing/updating) then someone, somewhere, has done the required due diligence. And/or they are people who can’t afford to lose their jobs if they speak up. The frontline staff are harmed by these policies as much as the patients, as we see from all the nursing-related tribunals.

Ramblingnamechanger · 05/07/2025 08:38

Fantastic work here. Thank you to all who are involved. Not much evidence so far, with honourable exceptions, of anything having changed after the SC judgement. I feel really sorry for anyone coming into contact with these zealots at work or as a patient. And the lack of awareness/ sensitivity or care for other female patients is horrific.

Swipe left for the next trending thread