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Feminism: Sex and gender discussions

NHS England drops single-sex wards rules and ALL quality of care sanctions

17 replies

Bosky · 29/01/2022 09:33

NHS England slammed for relaxing single-sex hospital rules after fines for breaches were quietly dropped

“Permanently downgrading services for patients is not just unacceptable but, if it is snuck through in a quiet contractual change without even asking patients what they think, utterly outrageous.”

By Harriet Clugston
Friday, 28th January

Campaigners have accused the NHS of relaxing rules banning mixed-sex hospital wards by the back door, after financial penalties for non-compliance were quietly dropped from care contracts.

A flat rate £250-per-rule-break fine was previously enshrined in the NHS Standard Contract, used when commissioning care for patients in England, meaning hospitals could face steep penalties for consistent flouting of single-sex ward rules.

But the sanctions were quietly dropped from the contracts in a rewrite by NHS England last April – with one charity claiming patients were not asked for their views first.

All other financial sanctions designed to ensure adherence to quality of care measures were also dropped, including on long waits for cancer treatment or failure to check up on patients discharged from mental health facilities.

Mixed-sex wards were banned in England in 2010. There are similar rules in other UK nations.

But the Nuffield Trust, a health think tank, said rule breaches were “unfortunately very common” in the NHS before Covid – a symptom of “hospitals running close to capacity” – and had likely worsened during the pandemic.

Continued at:

www.nationalworld.com/health/nhs-england-slammed-for-relaxing-single-sex-hospital-rules-after-fines-for-breaches-were-quietly-dropped-3545517

Hospitals in England broke single-sex hospital ward rules thousands of times in November

Rule breaking was at a record high for November in England, as the NHS is criticised for scrapping fines for hospitals that fail to maintain single-sex sleeping accommodation.

By Harriet Clugston
Friday, 28th January

NHS rules banning mixed-sex hospital wards were broken more times last November than at any point on record for that month in England.

Hospital trusts fell foul of the rules for ensuring single-sex provision 2,586 times in November, the highest number recorded for that month since records began in 2011.

This was before Omicron’s arrival in the UK led to a rise in the number of Covid patients.

In November 2019, there were 1,968 breaches.

NHS England’s usual monthly report on rule breaches recorded by hospital trusts across the country was paused during Covid, but recently resumed.

A rule breach, otherwise known as ‘unjustified mixing’, is recorded each time a patient is placed in sleeping accommodation with a member of the opposite sex where it cannot be justified by clinical need – for instance if they need to be admitted to critical care.

Sleeping accommodation includes any area where patients are admitted and cared for on beds or trolleys, even if they do not stay overnight.

Mixed-sex wards were banned in England in 2010. There are similar rules in other UK nations, but data on breaches is not proactively published.

Continued at:

www.nationalworld.com/health/hospitals-in-england-broke-single-sex-hospital-ward-rules-thousands-of-times-in-november-3546068

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So the NHS is not even pretending to have single-sex wards now? The dropping of all sanctions on quality of care breaches is frankly horrifying!

OP posts:
VelvetChairGirl · 29/01/2022 09:42
Angry
nothingcomestonothing · 29/01/2022 09:44

We never had single sex wards anyway - the public were (and still are) told we have, but what we have are single 'gender' wards. This was made explicit when the rules first came in, Health Secrets at the time Andrew Lansley said tell the public its single sex so as not to confuse them, someone cleverer than me will no doubt have the receipts. Weve been lied to about single sex wards for years.

highame · 29/01/2022 09:49

What's more, the Tory party have been hoodwinking us too with Matt Hancock saying he was looking at this and the same with Sajid Javid. When are these people going to realise that we have votes and we pay taxes.

PatriotCanes · 29/01/2022 09:54

Six months ago my MIL was on end of life care on a side ward in hospital. In immense pain, confused but finally allowed multiple visitors for the first time in weeks. Then a man was wheeled into the side ward and - because it was now mixed sex - MIL needed to be moved back onto the main ward and her visitors sent home. Which was best all round because as soon as she could see that man MIL became agitated and upset and didn't want him there. She was a survivor of CSA and she was vulnerable and didn't want him there. I don't know how long she was agitated for, and it's a horrible last memory to have, and I hate the fact the NHS were so short staffed they had to have a man on a female ward at all, and I hate the fact that's the last time I saw her.

This really isn't some theoretical bollocks to me.

MsGoodenough · 29/01/2022 09:54

No major party advocates enforcing single sex wards though, so are votes are pretty useless in this regard.

Bosky · 29/01/2022 10:55

@nothingcomestonothing

We never had single sex wards anyway - the public were (and still are) told we have, but what we have are single 'gender' wards. This was made explicit when the rules first came in, Health Secrets at the time Andrew Lansley said tell the public its single sex so as not to confuse them, someone cleverer than me will no doubt have the receipts. Weve been lied to about single sex wards for years.
Yes, that's why I said, "So the NHS is not even pretending to have single-sex wards now?"

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
Part 2: Your Medical Record and your Ladybrain
medium.com/@anneharperwright/sex-gender-the-nhs-bb86b0c3ebb

Yet as recently as Oct 2021, with regard to the "pretend single-sex system":

NHS hospitals will be given guidance on preserving single sex wards
Businesses will also be offered reassurance on the legality of keeping male and female lavatories, amid pressure from pro-trans activists

The Telegraph

Archived:
<a class="break-all" href="https://web.archive.org/web/20211016221759/www.telegraph.co.uk/politics/2021/10/16/nhs-hospitals-will-given-guidance-keeping-single-sex-wards-equalities/" rel="nofollow" target="_blank">web.archive.org/web/20211016221759/www.telegraph.co.uk/politics/2021/10/16/nhs-hospitals-will-given-guidance-keeping-single-sex-wards-equalities/

There are several earlier Mumsnet threads about the "pretend" single-sex system which is/was really "single-gender".

However, this change is clearly of a different order.

This is a return to mixed sex wards without any pretence at all of wards being single-sex.

Perhaps I should have posted this in the other Feminism chat as discussions about the "trans issue" are actually a derailment from the fact that the NHS has abandoned the single-sex wards policy.

OP posts:
EmbarrassingHadrosaurus · 29/01/2022 11:26

Perhaps I should have posted this in the other Feminism chat as discussions about the "trans issue" are actually a derailment from the fact that the NHS has abandoned the single-sex wards policy.

Why isn't a version of this thread in AIBU? It's about single-sex wards and mixed-sex wards. I know men who are uncomfortable enough on male wards because of the behaviour of other men.

Thelnebriati · 29/01/2022 11:33

I don't think many people realise there are staff who support discharging patients who complain, even if they need medical care. Its nothing to do with inclusion or patients rights. Or healthcare.

Bosky · 29/01/2022 14:16

@EmbarrassingHadrosaurus

Perhaps I should have posted this in the other Feminism chat as discussions about the "trans issue" are actually a derailment from the fact that the NHS has abandoned the single-sex wards policy.

Why isn't a version of this thread in AIBU? It's about single-sex wards and mixed-sex wards. I know men who are uncomfortable enough on male wards because of the behaviour of other men.

Why isn't a version of this thread in AIBU? It's about single-sex wards and mixed-sex wards.

Please feel free to post it. I am not being sarky. I have not got the time to do it right now.

OP posts:
Roystonv · 29/01/2022 14:43

How is it this is not common knowledge, why has no-one reported it in the newspapers/on radio - anything?!

delurkasaurus · 29/01/2022 15:32

These types of policies seem to contain many errors. Here's one:

https://www.rdash.nhs.uk/wp-content/uploads/2021/05/Staff-Trans-Equality-Policy-v1.pdf

"The Trust is committed to go beyond it legal duties to provide protection on the grounds of gender identity and gender expression"

Why? Why "go beyond" the law and not implement the law as that is what's been through Parliament? Do these organisations think they can just bypass Parliament?

"Trans’ or ‘Transgender’ describes people whose gender identity differs from their sex assigned at birth. They are umbrella terms covering people who:
• are intending to undergo, are undergoing, or have undergone gender reassignment at any stage;
• identify as having a gender different from that which they were assigned at birth and are planning or have had medical interventions such as hormones or surgery;
• identify as having a gender different from that which they were assigned at birth, but who are not planning any medical intervention; and/or,
• An umbrella term for a person who does not identify as only male or only female, or who may identify as both’, Stonewall
These are not mutually exclusive alternatives."

So the Trust declares that you could have a “gender identity different from sex assigned at birth”, which is obviously wrong."Gender identity” is an invented term and sex is observed at birth, not dishes out ("assigned").

“Trans” is not an umbrella term for a person who “does not identify as only male or only female, or who may identify as both’”.

This is the most sinister part though:

"Role and Responsibility of Individual Employees and Co-workers
...All staff members regardless of grade or profession must:
• Adhere to and abide by this policy.
• Ensure its implementation and uphold the procedures referred to within.
• Ensure that new staff are appropriately briefed at induction on compliance with this policy.
• Challenge/report discriminatory practice or language."

Like lots of these policies and initiatives discussed on MN, this one forces staff to implement errors, but also to report anyone who points out those errors eg that “trans” is not an umbrella term for people who say they are not male or female.
The policy requires staff to comply with a made-up law, and to report those who won't break the real law.

Little wonder, then, that they said they've had "no complaints":

https://www.dailymail.co.uk/news/article-9753127/NHS-trust-tells-trans-staff-use-whichever-toilet-changing-room-shower-want.html

MissyB1 · 29/01/2022 15:38

God it’s utterly terrifying and depressing at the same time Sad

Goatsaregreat · 29/01/2022 15:45

Depressing and an indication of how powerful the influence of those individuals and organisations who promote the values of predators is.

SevenWaystoLeave · 29/01/2022 15:50

I wasn't even aware we were supposed to have mixed sex wards. I spent 5 days in hospital a few years ago recovering from a total hysterectomy after a cancer scare, I was on a mixed ward. Apparently there were male and female bays but since we were all in the same ward, it didn't really make much difference.

Fwiw I didn't actually mind it being mixed sex, I was more troubled by the lack of privacy that left me feeling very vulnerable. If anything, the women on the ward seemed to feel more entitled to stare while the nurses were helping me and to ask personal questions about what I'd had done and why.

EarthSight · 29/01/2022 16:50

How on earth are you meant to feel safe when you're at your most vulnerable, underdressed with men you don't know, who you've never even spoken to? The lack of privacy must be difficult on a single-sex ward as it is, so can't imagine sleeping in a mixed sex ward.

butnobodytoldme · 29/01/2022 20:25

The EHRC has a legal duty to enforce the law on 'protected' groups, and has (at last) stressed that women's SEX based legal rights must be protected.
The right to request a woman medical attendant, or to be safe from penis wielders in adjoining hospital beds, or to go to other women-only places, is established by law.
Sexism is not 'less equal' than racism. Sex based rights cannot be suspended, any more than race based rights can, either for some new fashion or for convenience.

Other posts express astonishment the relevant news items are not picked up.
But, but... look, run to chase bright shiny thing...show days of sport and cake baking.... it must be important 'news' if rival journalists gibber with speculation about it, so join in, then rush with them to the next new bright shiny thing.... Err, what did you say? Something about women? Or Climate Emergency? Don't be silly, cakes and sport and shiny things matter. Nothing else is worth a mention

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