by Daniel Martin and Michael Searles, Telegraph
Hospitals must segregate wards and lavatories by biological sex, says guidance 18 months after Supreme Court ruling
Trans women will finally be banned from female wards in hospitals under new NHS guidance.
Hospitals have been told that wards, lavatories and changing rooms should be segregated by biological sex, not gender identity.
The NHS has published the guidance 18 months after the Supreme Court ruling in April 2025 that sex must be grounded in biology and not self-identification under the Equality Act 2010.
In a victory for gender-critical campaigners, NHS England has told hospitals and GP surgeries they must comply with the ruling. This means they must ensure single-sex spaces are not used by those of the opposite biological sex, even if they identify as a different gender.
It states: “Single-sex services, such as hospital accommodation, should be provided on the basis of biological sex.” It adds that “trans people … should be accommodated in line with their sex as registered at birth” or offered single rooms.
It replaces long-standing NHS guidance that states that transgender people should be able to use whichever facilities they prefer.
Read also: NHS’s trans ban comes far too late by Joan Smith, UnHerd