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Feminism: Sex and gender discussions

NHS Policy Audit - working party

1000 replies

KnottyAuty · 10/03/2025 13:02

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 protected characteristics please join here 😊

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FarriersGirl · 25/03/2025 12:00

I'll try and pick a few off the London list this week.

KnottyAuty · 25/03/2025 13:02

FarriersGirl · 25/03/2025 12:00

I'll try and pick a few off the London list this week.

Lovely - thanks - Post them on here before you start so there's no doubling up/wasted efforts. Thank you!

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SternlyMatthews · 25/03/2025 14:27

KnottyAuty · 25/03/2025 11:30

Thanks @umbel
You are rattling through your list - amazing work!

If anyone fancies tackling other ones from the list, we could tackle regional areas in turn if that is more digestible?

Greater London List:

Barking, Havering and Redbridge University Hospitals NHS Trust
Barnet Enfield and Haringey Mental Health NHS Trust
Barts Health NHS Trust
Central and North West London NHS Foundation Trust
Central London Community Healthcare NHS Trust
Chelsea and Westminster Hospital NHS Foundation Trust
Great Ormond Street Hospital For Children NHS Foundation Trust
Guy’s and St Thomas’ NHS Foundation Trust
Homerton Healthcare NHS Foundation Trust
Hounslow and Richmond Community Healthcare NHS Trust
Imperial College Healthcare NHS Trust
King’s College Hospital NHS Foundation Trust
Kingston and Richmond NHS Foundation Trust (formerly Kingston Hospital NHS Foundation Trust)
London Ambulance Service NHS Trust
London North West University Healthcare NHS Trust
North East London NHS Foundation Trust
North London NHS Foundation Trust (formerly Camden and Islington NHS Foundation Trust)
Royal Brompton and Harefield NHS Foundation Trust
Royal Free London NHS Foundation Trust
Royal National Orthopaedic Hospital NHS Trust
South London and Maudsley NHS Foundation Trust
South West London and St George’s Mental Health NHS Trust
Tavistock and Portman NHS Foundation Trust
The Hillingdon Hospitals NHS Foundation Trust
The Royal Marsden NHS Foundation Trust
University College London Hospitals NHS Foundation Trust
West London NHS Trust
Whittington Health NHS Trust

Anyone fancy picking off one or two of these?
I suggest we go slow and steady as the Scottish study was a bit intense..

It may be worth considering St Helier with the London list (Surrey / London overlap) as thats where Jennifer Melle is (disciplined after referring to urinary tract patient as Mr, who then kicked off, racist abuse).

https://www.nhs.uk/services/acute-trust/epsom-and-st-helier-university-hospitals-nhs-trust/RVR/hospitals-and-clinics

Hospitals and clinics - Epsom and St Helier University Hospitals NHS Trust - NHS

Official information from NHS about Epsom and St Helier University Hospitals NHS Trust including contact details, directions, opening hours and service/treatment details

https://www.nhs.uk/services/acute-trust/epsom-and-st-helier-university-hospitals-nhs-trust/RVR/hospitals-and-clinics

withthegreatestrespect · 25/03/2025 15:24

KnottyAuty · 22/03/2025 09:00

Thanks all! Very helpful - these ones were missing from the NHS website scrapes - but fortunately MBM gives the names of the policies.

The Glasgow one is a total shocker!
It is a 2021 policy but this review document is from 2023 which is after the updated EHRC guidance came out and I think it makes completely false claims

https://www.nhsggc.scot/downloads/gender-reassignment-policy-review-2021/

pp5 Where in-patient accommodation remains configured by sex (female/male only wards), patients with the protected characteristic of gender reassignment will be offered services in line with current guidance from the Equality and Human Rights Commission that uses an example stating –

‘An organisation which is providing separate sex services or single-sex services should treat a transsexual person according to the gender they identify with (as opposed to the physical sex they were born with). The service provider can only exclude a transsexual person or provide them with a different service if they can objectively justify doing so.

I have searched the EHRC guidance and this is what they actually say:

https://www.equalityhumanrights.com/equality/equality-act-2010/separate-and-single-sex-service-providers-guide-equality-act-sex-and

  • To establish a separate or single-sex service, you must show that you meet at least one of a number of statutory conditions (set out in this section of the guide) and that limiting the service on the basis of sex is a proportionate means of achieving a legitimate aim. For example, a legitimate aim could be for reasons of privacy, decency, to prevent trauma or to ensure health and safety. You must then be able to show that your action is a proportionate way of achieving that aim.
  • There are circumstances where a lawfully-established separate or single-sex service provider can prevent, limit or modify trans people’s access to the service.

I've been looking into this wrt Leisure Centre policies. It is confusing because the EA2010 Code of Practice for Services, public functions and associations (published Jan 2011) says:

Gender reassignment discrimination and separate and single-sex services

  • If a service provider provides single- or separate sex services for women and men, or provides services differently to women and men, they should treat transsexual people according to the gender role in which they present. However, the Act does permit the service provider to provide a different service or exclude a person from the service who is proposing to undergo, is undergoing or who has undergone gender reassignment. This will only be lawful where the exclusion is a proportionate means of achieving a legitimate aim.
Sch. 3 para 28

https://www.equalityhumanrights.com/equality/equality-act-2010/codes-practice/services-public-functions-and-associations-code-0
This is similar to the Glasgow policy you quote. I think this is the Code that is due to be revised. Sex Matters encouraged us to respond to the recent EHRC consultation on this.

The EHRC Guidance you quote is more recent (April 2022) but it would suit TRAs to stick with the Code of Practice and ignore the Guidance. IANAL and don't know what legal interplay there is between the Act, the Code and the Guidance

ArabellaScott · 25/03/2025 15:52

I'm happy to do some. I'll start with:

Barking, Havering and Redbridge University Hospitals NHS Trust
Barnet Enfield and Haringey Mental Health NHS Trust
Barts Health NHS Trust

If nobody else has?

KnottyAuty · 25/03/2025 15:53

ArabellaScott · 25/03/2025 15:52

I'm happy to do some. I'll start with:

Barking, Havering and Redbridge University Hospitals NHS Trust
Barnet Enfield and Haringey Mental Health NHS Trust
Barts Health NHS Trust

If nobody else has?

Perfect - no one’s claimed those yet

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ArabellaScott · 25/03/2025 15:55

Great. Now please tell me what to do - crap sleep last night as woken by children and dogs at various times, so a bit more befuddled than usual!

ArabellaScott · 25/03/2025 15:56

Is it this list?

Contact Details:
Name of Trust
Name of Chief executive:
Postal Address:
CEO Contact Email Address:
Document Download:
Website address for DEI policy:
Website address for EqIA for Changing Room Policy:
Website address for other relevant policy:
Date web pages accessed/documents downloaded:
Basic Details of Relevant Policy
Name of Changing Room Policy Document or EqIA (or other relevant doc if specific policy or risk assessment not found):
Author:
Date of publication:
Date of next review:
Total number of pages:
Policy Audit against Equality Act 2010
Reference to protected characteristics: tick box for all 9 with terms that specifically match the EA terms
Characteristics listed which are similar to the EA terms but not the same.
Characteristics listed which bear no resemblance to the EA terms
Page number within document when characteristics first listed/defined:
Single sex changing room policy directly addressed/mentioned: y/n, cut and paste wording and give page number
Policy on trans gender changing room use - y/n, cut and paste wording and give page number

KnottyAuty · 25/03/2025 17:14

ArabellaScott · 25/03/2025 15:55

Great. Now please tell me what to do - crap sleep last night as woken by children and dogs at various times, so a bit more befuddled than usual!

It's been simplified a little bit - I will dm you the online survey link in a moment

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KnottyAuty · 25/03/2025 17:16

Ok we are up:
https://archive.is/Xjf8e

https://www.telegraph.co.uk/news/2025/03/25/bearded-trans-women-treated-female-wards-scottish-nhs/

Well done everyone

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ArabellaScott · 25/03/2025 17:30

Amazing! Massive bravo, Knotty et al.

ArabellaScott · 25/03/2025 17:31

https://archive.ph/Xjf8e

TwoLoonsAndASprout · 25/03/2025 17:41

We did this people - us! Thank you @KnottyAuty for kicking this off, and thank you everyone else for your stirling work.

Right, noses back to the grindstones all - we have English trusts to give the vipers’ treatment to!

FarriersGirl · 25/03/2025 17:44

Whoop Whoop
👏Well done Knotty and well done us

FarriersGirl · 25/03/2025 17:47

I'll get going on the following one's if they are outstanding

London Ambulance Service NHS Trust
London North West University Healthcare NHS Trust
North East London NHS Foundation Trust

KnottyAuty · 25/03/2025 17:56

FarriersGirl · 25/03/2025 17:47

I'll get going on the following one's if they are outstanding

London Ambulance Service NHS Trust
London North West University Healthcare NHS Trust
North East London NHS Foundation Trust

Brilliant! Those are all free if you want them.

That leaves the following for anyone who wants to help pick off the London group:

Central and North West London NHS Foundation Trust
Central London Community Healthcare NHS Trust
Chelsea and Westminster Hospital NHS Foundation Trust
Epsom and St Helier University Hospitals NHS Trust
Great Ormond Street Hospital For Children NHS Foundation Trust
Guy’s and St Thomas’ NHS Foundation Trust
Homerton Healthcare NHS Foundation Trust
Hounslow and Richmond Community Healthcare NHS Trust
Imperial College Healthcare NHS Trust
King’s College Hospital NHS Foundation Trust
Kingston and Richmond NHS Foundation Trust (formerly Kingston Hospital NHS Foundation Trust)
North London NHS Foundation Trust (formerly Camden and Islington NHS Foundation Trust)
Royal Brompton and Harefield NHS Foundation Trust
Royal Free London NHS Foundation Trust
Royal National Orthopaedic Hospital NHS Trust
South London and Maudsley NHS Foundation Trust
South West London and St George’s Mental Health NHS Trust
Tavistock and Portman NHS Foundation Trust
The Hillingdon Hospitals NHS Foundation Trust
The Royal Marsden NHS Foundation Trust

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ArabellaScott · 25/03/2025 17:58

Can I also do North London please?!

KnottyAuty · 25/03/2025 18:00

ArabellaScott · 25/03/2025 17:58

Can I also do North London please?!

sold!

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withthegreatestrespect · 25/03/2025 18:07

I can do Chelsea and Westminster Hospital NHS Foundation Trust. I'll come back for more when I see how long that one takes me!

KnottyAuty · 25/03/2025 18:36

withthegreatestrespect · 25/03/2025 18:07

I can do Chelsea and Westminster Hospital NHS Foundation Trust. I'll come back for more when I see how long that one takes me!

DM sent with the form address

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YellowRoom · 25/03/2025 19:09

Guys and St Thomas for me please if not taken

umbel · 25/03/2025 19:58

Nice work, vipers! Well don’t @KnottyAuty for rallying the troops and putting it all together. I’m interested to know what the comments are like, if anyone has a subscription and can see them?

KnottyAuty · 25/03/2025 20:03

YellowRoom · 25/03/2025 19:09

Guys and St Thomas for me please if not taken

DM sent

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TwoLoonsAndASprout · 25/03/2025 20:04

Have given in and got myself a subscription, so here’s a share token (I hope it works!):

www.telegraph.co.uk/gift/5ce25d8ba9ddc44e

TwoLoonsAndASprout · 25/03/2025 20:08

TwoLoonsAndASprout · 25/03/2025 20:04

Have given in and got myself a subscription, so here’s a share token (I hope it works!):

www.telegraph.co.uk/gift/5ce25d8ba9ddc44e

The comments are interesting - they are concentrating on the fact that this is Scottish NHS trusts and basically saying, ooo, those bonkers Scots.

So, I guess all the more pressure for us to demonstrate that this is NHS-wide!

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