Victoria Hewson: The NHS single sex accommodation policy is a dire reflection on how far gender ideology has travelled

13 Aug

Victoria Hewson is a solicitor and co-founder of Radical, a campaign for truth and freedom in the gender recognition debate. She and Rebecca Lowe, her co-founder, alternate authorship of this column on trans, sex and gender issues.

It has been heartening to see some positive developments in the sex and gender debate recently. Prominent and respected individuals like Baroness Jenkin and Nimko Ali have made considered comments questioning gender ideology.

While the inclusion of Laurel Hubbard in the women’s weightlifting competition at the Olympics was regrettable (not least for the young woman whose place at the games was taken by Hubbard) it has prompted a more informed consideration of trans participation in sports by governing bodies and in the media. 

But a quick scan of relevant stories from the past couple of weeks shows that troubling policies and lobbying are still widespread. 

The Telegraph reported that hospitals across England accommodate patients on wards on the basis of gender (including self-identified gender) rather than sex. This has led to males, including sex offenders, being treated on women-only wards 

Looking back at the origin of the legally binding commitment to single sex wards, it is clear that Andrew Lansley, the Health Secretary at the time, was unequivocal that patients would be separated based on biological sex, for reasons of privacy and dignity, as well as safety.

This seems obvious when one considers the vulnerable state of many people being treated in hospital, including the elderly and those who are in mental health wards, who often unable to leave.

The applicable NHS guidance on meeting the commitment is indeed unequivocal on single sex sleeping, bathing and toilet facilities. Until it comes to the Annex on trans patients and gender-variant children. Which undermines the entire policy by mandating that ‘Trans people should be accommodated according to their presentation: the way they dress, and the name and pronouns they currently use’ – even if they have not legally changed their name or gender and even if their transition is only temporary.

Moreover, ‘Non-binary individuals, who do not identify as being male or female, should also be asked discreetly about their preferences, and allocated to the male or female ward according to their choice.’ Transgender-identifying children are also to be accommodated in line with their gender identity, even if the parents disagree: ‘the child’s preference should prevail even if the child is not Gillick competent.’ 

The guidance claims that the NHS is required to manage wards in this way, and can only carry out risk assessments to exclude transwomen from female wards on a case by case basis. This is, of course, the preferred interpretation of the Equality Act put forward by Stonewall and other activists, and it fundamentally undermines the premise of single sex wards when any man can simply assert that they identify as a woman and must be taken at their word.

Carrying out individual risk assessments on trans patients would entail a significant burden on clinical staff and ward managers, and it is unclear what risks are to be assessed, if fears and threats to the personal dignity of fellow patients who do not wish to sleep and undergo medical and care procedures alongside members of the opposite sex are effectively excluded as a consideration. As with the case of prisons, if this is truly what the Equality Act requires, it is surely time for the law to be changed. 

We have written in this column before about the disproportionate influence that LGBT charity Stonewall seems to exert, in both public and private sectors. The deference to its legal advice and guidance was criticised by barrister Akua Reindorf in her report to the University of Essex on the ‘no platforming’ of certain speakers at the university.

A number of organisations have subsequently distanced themselves from the charity. Now research by the Taxpayers’ Alliance has revealed that over just a three year period, Stonewall received at least £3,105,877 from 327 public sector organisations for its Diversity Champions scheme, conferences, events and training programmes. This included almost half a million pounds from the NHS.

The TPA has rightly noted that Stonewall’s privileged (and well-funded) position has allowed it to lobby and campaign at the taxpayers’ expense. The TPA has called for this taxpayer-funded lobbying to come to an end so that public money is not being used to distort political decision making and to advance policy positions which many taxpayers may seriously disagree with. 

The vision of gender identity activists has been allowed to infiltrate public life for a generation, either because politicians and activists did not understand the implications of phasing out references to ‘sex’ to replace them with ‘gender’, or because they thought it was the right thing to do to support transgender people. In either case, the practical consequences for women and girls and for fairness and accountability in public services have not been properly considered.

Unwinding these consequences seems likely to be the work of a generation too, and greater transparency about the relevant policies in bodies like the NHS and the pernicious influence of Stonewall is essential for that purpose. We await with interest the outcome of current Health Secretary Sajid Javid’s review of the NHS single sex accommodation policy.