New NHS England guidelines require trans patients to use wards based on biological sex

Updated NHS England guidelines bar trans patients and staff from using wards, bathrooms and changing rooms that match their gender identity, requiring facilities to be used on the basis of biological sex. The guidance, published 18 months after the April 2025 Supreme Court ruling on the Equality Act 2010, says trans people should be accommodated in line with their sex registered at birth or offered single rooms, with decisions made case by case and clinical need sometimes overriding.