Trans people should use hospital spaces according to biological sex, NHS England says

HEALTH

## NHS England Issues Definitive Guidance: Single-Sex Hospital Wards to Align with Biological Sex

**London, UK** – NHS England has issued new, definitive guidance stipulating that patients, including transgender individuals, should be cared for in single-sex hospital wards or bays that align with their biological sex. This move marks a significant clarification in policy regarding patient allocation within the healthcare system.

The updated directive mandates that the allocation of beds in single-sex wards – such as those designated for men or women – must be based on a patient’s biological sex at birth, rather than their gender identity. This applies to all patients, ensuring consistency across the board for these specific environments. The guidance aims to uphold the privacy, dignity, and safety of all patients, particularly in intimate care settings where these considerations are paramount.

While acknowledging the diverse needs of all patients, the guidance provides a clear framework to address growing questions surrounding the use of single-sex facilities. It emphasizes that these spaces are designed to offer sanctuary and comfort, particularly for vulnerable individuals, and that clear boundaries are essential for maintaining public trust and patient confidence in the NHS.

NHS England has clarified that this policy primarily concerns ward allocation and single-sex bays, not other aspects of transgender healthcare, which remain committed to inclusivity and respect. The guidance underscores that individual care needs and safety will continue to be paramount, with provisions for compassionate and appropriate care always considered within the established framework.

This decisive guidance from NHS England is expected to provide clarity for healthcare providers and patients alike, standardizing practices across the service. It reflects an effort to balance the principles of inclusivity with the practical and ethical considerations surrounding single-sex spaces within healthcare.