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

New NHS England guidance says transgender patients should be cared for in single-sex hospital wards or bays aligned with their biological sex. Where that is not clinically appropriate, alternatives must protect everyone’s dignity and safety, including gender-neutral spaces. Staff facilities should also be used according to biological sex, and NHS trusts are urged to provide enough alternatives such as single-occupancy or gender-neutral toilets. The guidance follows the UK Supreme Court’s April 2025 ruling and allows case-by-case decisions, with clinical need taking priority in emergency settings.