The NHS has for years classified patients by self-declared "gender" in the first instance, the default being "female".
Yes, "F" = "female gender", not "female sex". More stealthy overwriting of "sex" with "gender".
This is explained by Anne Harper-Wright:
Sex, Gender & the NHS Part 1: The “Single-Sex Hospital Wards” that have always been a lie
medium.com/@anneharperwright/sex-gender-the-nhs-1e8f4e6363a6
Sex, Gender & the NHS Part 2: Your Medical Record and your Ladybrain
medium.com/@anneharperwright/sex-gender-the-nhs-bb86b0c3ebb
NHS Policy on “sex = gender” started under the Labour Government in 2008 due to Christine Burns’s influence and continued under the Conservative-Lib Dem Coalition after the May 2010 election.
<a class="break-all" href="https://webarchive.nationalarchives.gov.uk/ukgwa/20130123195237/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_089941" rel="nofollow" target="_blank">webarchive.nationalarchives.gov.uk/ukgwa/20130123195237/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_089941
Eliminating Mixed Sex Accommodation
May 2009
webarchive.nationalarchives.gov.uk/ukgwa/20130104221201/http:/www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_098893.pdf
Sex and Current Gender Input and Display
User Interface Design Guidance
Prepared for
NHS Connecting for Health
Thursday, 25 June 2009
Version 4.0.0.0 Baseline
Prepared by
Clinical Application and Patient Safety Project
NHS CUI Programme Team
This document explains clearly why it is important for Patient Safety to always record birth sex. "Current gender" is also recorded.
1.1 Customer Need
This section explains why the guidance has been created.
The NHS categorises a person's gender in two ways:
- Person Gender Current. Or ‘Current Gender’, which refers to a patient's current gender classification.
- Person Gender at Registration. Or ‘Sex’, which refers to the record of a patient's gender classification at the point of birth registration.
Note
For brevity and clarity, this document uses the term Sex in place of Person Gender at Registration and Current Gender in place of Person Gender Current.
NHS applications input and display a patient's current gender or sex in various contexts. Users may confuse the terms current gender and sex, or assume that they are synonymous. Therefore, it is essential that all NHS applications display and explain current gender and sex terminology and values in a clear and consistent manner.
This document details the recommendations for entering and displaying current gender and sex in NHS applications. NHS clinical applications should use the Current Gender and Sex format to
enhance readability, ensure consistency and to cover all possible variants of Current Gender and Sex. This recommendation provides the best display format because it decreases ambiguity
through the clear presentation of data values, and intuitive, concise labelling of patient Current Gender and Sex. Additionally, this recommendation enables NHS clinical applications to display a predefined, restricted set of unknown or unspecified Current Gender and Sex values.
Figure 1 shows examples of how an NHS application might display Current Gender and Sex values.
The aims of this guidance are to:
- Ensure patients are correctly identified and matched with their patient record by displaying data items consistently
- Allow the status of the patient to be entered and displayed in a legally compliant and patient-sensitive manner
Potential consequences of not adhering to these standards include:
- The patient is given the wrong treatment as a result of a failure to identify the patient correctly.
- The patient is given the wrong treatment as a result of a failure to match the patient correctly with their artefacts (samples, letters, specimens, X-rays, and so on).
- The patient is given the wrong treatment as a result of a failure in communication between staff, or staff not performing or checking procedures correctly.
<a class="break-all" href="https://webarchive.nationalarchives.gov.uk/ukgwa/20150107153859/www.isb.nhs.uk/use/baselines/sexdesign.pdf" rel="nofollow" target="_blank">webarchive.nationalarchives.gov.uk/ukgwa/20150107153859/www.isb.nhs.uk/use/baselines/sexdesign.pdf
Despite this, we now have the dangerous situation where the only "sex" code using in the NHS coding system is for Wards, not patients.
This is due to lobbying from trans advocacy organisations and also explains how the "single sex" wards promised in 2009 were actually "single gender".
The "sex" code for Wards was matched with the "Current Gender" code for patients, not the code for "Person Gender at Registration. Or ‘Sex’, which refers to the record of a patient's gender classification at the point of birth registration".