Salisbury Foundation Trust


Internal Reference Number: FOI_4688

Date Request Received: 30/10/2018 15:52:50

Date Request Replied To: 02/11/2018 10:36:30

This response was sent via: By Email

Request Summary: Transgender patients

Request Category: Private Individuals

Question Number 1:
When accommodating patients who identify as transgender on wards that are segregated according to sex do you allocate them by their biological birth/sex or their preferred/expressed gender?

To be clear, if a patient/service user who identifies as a transgender woman asks to be placed on a women’s ward would you comply even if they had not taken any medical steps towards gender reassignment and retained their male genitalia or would you house them on a men’s ward ?
Answer To Question 1:
Our policy states “There are some situations which require careful consideration such as the care of people of transgender. In most situations people of transgender should be cared for in an area suitable for how they present to the hospital, although to maintain privacy and dignity people of transgender should be cared for in a side room with a designated toilet where possible”.

We do not have male or female wards and in any scenario we would need to balance the needs of the transgender patient with the needs of the other patients – hence the placement in side room wherever possible.
Question Number 2:
Do you have an official policy with regard to where transgender patients are accommodated where sex/segregation is a factor?
Answer To Question 2:
See answer to question 1.

We have Eliminating Mixed Sex Accommodation guidance and there is a section in this as outlined above on managing scenarios such as transgender patients.
Question Number 3:
How many transgender patients have you accommodated on wards according to their preferred/expressed gender rather than their biological sex for the 12 months up to the last month for which records are available?
Answer To Question 3:
We do not collect this information.
Question Number 4:
Have there been any complaints from other patients/service users where that has occurred about that policy/decision?
Answer To Question 4:
Question Number 5:
Have there been any complaints about the behaviour of patients who identify as transgender where they have been accommodated on wards in alignment with their transgender identity rather than their biological/birth sex?
Answer To Question 5:
Question Number 6:
Have there been any negative/adverse incidents involving patients who identify as transgender that have affected other patients/service users, been reported/recorded in any official/formal capacity or required action/intervention outside of normal care?
Answer To Question 6:
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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

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