NHS board says objecting to trans women in female-only wards is the same as racism

Staff are told to respond to the patient by saying: “The ward is indeed female only and that there are no men present”.
Staff are told to respond to the patient by saying: “The ward is indeed female only and that there are no men present”.
Peter Byrne
George McMillan

By George McMillan


Published: 13/12/2022

- 18:03

Updated: 14/02/2023

- 10:27

The policy suggests that female patients complaining about sharing a ward with trans women may have to be 'removed'

An NHS policy has been accused of being “offensive” for saying hospital patients who are concerned about trans women being treated in female-only wards is like racism.

The “Supporting Trans Service Users” policy put forward by NHS Ayrshire and Arran suggests that female patients complaining about sharing a ward with trans women may have to be “removed”.


The document puts forward a real-life scenario in which a female patient “explains she didn’t expect to be sharing the ward with a man and points to the bed opposite”.

File photo dated 05/07/18 of a ward at Manchester University NHS Foundation Trust. A child in the borders waited more than three years to begin mental health treatment, data shows. The child, who received treatment in the 2021-22 financial year, waited 1,185 days, according to a freedom of information request response to the Scottish Lib Dems. Issue date: Saturday November 19, 2022.
The policy suggests that female patients complaining about sharing a ward with trans women may have to be 'removed'
Peter Byrne

Staff are told to respond to the patient by saying: “The ward is indeed female only and that there are no men present”.

The policy goes further by comparing the scenario to racism, it says: “General appreciation of trans issues is low within our communities and often this is used as a rationale for behaviour that is essentially transphobic.

“If a white woman complained to a nurse about sharing a ward with a black patient or a heterosexual male complained about being in a ward with a gay man, we would expect our staff to act in a manor that deals with the expressed behaviour immediately.”

Think-tank MBM responded to the policy, saying: “The Equality Act specifically allows for the recognition of sex in the provision of services.

EMBARGOED TO 0001 TUESDAY NOVEMBER 15 File photo dated 03/10/14 of a hospital ward. Fewer than half of NHS trusts will meet key recovery targets on waiting lists and cancer as services buckle under pressure, according to a new report. A poll of health trust leaders for NHS Providers found nearly half (46%) strongly agreed or agreed they were on track to meet elective recovery and cancer targets by the end of the financial year. Issue date: Tuesday November 15, 2022.
An NHS policy has been accused of being “offensive” for saying hospital patients who are concerned about trans women being treated in female-only wards is like racism.
Peter Byrne

“In the context of hospital accommodation, sex is relevant to patient privacy, dignity, modesty, and safety.

"The equivalence between a female patient expressing unease at the presence of another male patient on a nominally single-sex ward and racism is not only offensive, but fails to understand the law.”

NHS Ayrshire and Arran responded by saying the policy was “under review”.

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