The HSJ is indeed well read and well regarded.
I do find it extraordinary that most policies on single sex wards in the NHS have just thrown in a whole huge paragraph saying that anyone who identifies as a woman, even if they have a great big beard called John, can go into the women’s ward. This is without any proper consultation on the consequences. Sleeping overnight, changing, undressing, recovering or being ill are hugely vulnerable things for most people to go through. A man who say, is a serial sex offender could just say he’d like to go into the women’s ward and he will be able to. None of this has been thought through.
There are mixed wards and spaces but they have more protection and privacy in place - so hospitals often already have this option for those who’d like a third space.
Also, single sex wards are not just a preference. I think that this is where things have gone so wrong. If they were just a preference, with no real need on safety, privacy and dignity - then there wouldn’t be a problem. However when hospitals did bring in more mixed wards over the last half of the century - problems did arise and patients became distressed. Sexual harassment was higher in mixed wards also (there is evidence for this)
The NHS is built on medicine which is ‘first do no harm’. I think that there needs to be a professional review and at the very least a roll back and revert to policies on biological sex - then all relevant parties and evidence can be discussed properly until a solution can be found.