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NHS U turn on trans terminology

(404 Posts)
Doodledog Sat 27-Apr-24 22:13:55

From The Telegraph:

The health service is to limit trans ideology with new constitution
Camilla Turner
The NHS is to crack down on transgender ideology in hospitals, with terms like “chestfeeding” set to be banned.

Victoria Atkins, the Health Secretary, will this week announce a series of changes to the NHS constitution which sets out patients’ rights.

Referring to “people who have ovaries” rather than “women” will also be prohibited under plans to ensure hospitals use clear language based on biological sex.

The new constitution will ban transgender women from being treated on single-sex female hospital wards to ensure women and girls receive “privacy and protection” in hospitals.

Patients will also be given the right to request that intimate care is carried out by someone of the same biological sex.

It follows concerns from patients about biological men being allowed in women’s hospital wards. NHS guidance has previously stated that trans patients could be placed in single-sex wards on the basis of the gender with which they identified.

Kemi Badenoch, the women and equalities minister, has backed calls for a public inquiry into the “pervasive influence” of transgender ideology in the NHS.

The new NHS constitution will emphasise the importance of using “sex-specific” language in the health service after references to women were expunged from advice on the menopause and diseases such as cervical and ovarian cancer.

Secretary of State for Health and Social Care Victoria Atkins
The proposed changes to be announced by Ms Atkins will be subject to an eight-week consultation.
A Government source said: “The Government has been clear that biological sex matters, and women and girls are entitled to receive the protection and privacy they need in all healthcare settings.

“Our proposed updates to the NHS constitution will give patients the right to request same-sex intimate care and accommodation to protect their safety, privacy and dignity.”

The document sets out the rights of patients and medical staff. All NHS bodies, as well private and third-sector providers which supply NHS services, are required by law to take it into account when making decisions. The changes proposed this week will be subject to an eight-week consultation.

The updated constitution will state that placing transgender patients in single-room accommodation does not contravene equality laws as long as it is for an appropriate reason, such as respecting a patient’s wish to be in a single-sex ward.

Maya Forstater, chief executive of the campaign group Sex Matters, said the changes represent a “major step” towards reversing NHS England’s “capitulation to the demands of gender extremists, which has damaged policies and practices, created widespread confusion and harmed patient care”.

She added: “These much-needed changes to the NHS constitution will help secure essential sex-based rights in healthcare across England.

“Clear language, single-sex wards and access to intimate care provided by a health professional of the same sex are crucial to the wellbeing and safety of female patients. They should never have been compromised.”

Finally - some common sense.

Doodledog Wed 01-May-24 21:21:20

It really doesn't bother me whether someone looks like a man or a woman. It rarely matters. It is only when women are vulnerable that we need to know that we are in single sex company, unless there are religious or cultural reasons why a woman shouldn't be touched intimately by a man unless there is danger to life if she is not.

As I'm not obsessive about it all, I don't go around 'noticing' who looks male and who looks traditionally feminine - I don't care. I do care about vulnerable women, and about language. I care about getting statistics right for sociological reasons. I care about women having rights to things like awards that remain open to women only.

I certainly don't go around with my eyes closed though grin. What a strange idea.

Glorianny Wed 01-May-24 21:12:26

Perhaps I just notice more people whose sex is indeterminable. It's much easier to say you can tell than to admit there is a wide variety in appearance which makes things difficult. Close your eyes and pretend they aren't there and sex is easy to spot.

Galaxy Wed 01-May-24 20:47:15

I know I seem to have a skill you dont have, I dont know what to say. I cant knit sew or do any crafts if that's any help.

Iam64 Wed 01-May-24 20:33:17

Here we go again. The magical impossibi,it’s of spotting women who lack a particularly feminine appearance
Goodness knows how we’ve all staggered into our seventies with suc limited abilities

Glorianny Wed 01-May-24 20:30:56

Galaxy

I actually think it's quite abusive to ask staff to participate in a belief system they may not believe in. If I was asked to say Hail Mary when I was working with a religious service user I would feel the same. This doesnt mean I am anti religious people, its means I don't share that belief. When I use a pronoun I am referring to someones sex, I think gender is an oppressive set of values decided by society.

I still don't know how you are aware of anyone's sex. I've just been on holiday.When I was people watching I started trying to spot women who were not particularly feminine in appearance There were many. I think they were women but I really don't know for certain.

Iam64 Wed 01-May-24 20:30:31

Are men referred to as ‘penis haters’. Good question Dickens - answer, of course they aren’t.
As for Diversity Forms - they’re required for every child involved in Family Court proceedings. Hence the question on the 6 week old - birth sex, gender identity.
I’m cross

Mollygo Wed 01-May-24 19:56:13

Galaxy

I actually think it's quite abusive to ask staff to participate in a belief system they may not believe in. If I was asked to say Hail Mary when I was working with a religious service user I would feel the same. This doesnt mean I am anti religious people, its means I don't share that belief. When I use a pronoun I am referring to someones sex, I think gender is an oppressive set of values decided by society.

Yes indeed.

Galaxy Wed 01-May-24 19:54:50

I actually think it's quite abusive to ask staff to participate in a belief system they may not believe in. If I was asked to say Hail Mary when I was working with a religious service user I would feel the same. This doesnt mean I am anti religious people, its means I don't share that belief. When I use a pronoun I am referring to someones sex, I think gender is an oppressive set of values decided by society.

Dickens Wed 01-May-24 19:47:04

Transmen do not want to be recorded as women or to be addressed as such.

Women do not want to be recorded as chest-feeders or cervix-havers - it undermines their status as women.

I have seen placards among gatherings of the trans-community with inscriptions and slogans like, trans lives matter, trans forever, trans people belong, trans rights are human rights, etc.

The trans community is a legitimate fraternity of people who want to identify differently to their natal sex, neutrally, or even as both at different periods.

So what the heck is wrong with transwomen, transmen or gender neutral as the general descriptive in medical literature?... women and transmen, or even women and transwomen if the subject matter is appropriate, and women and gender-neutral? No one is being named and the personal preference can be accommodated once the would-be patient is entered into the computer / system.

How you identify is personal, it is how one feels, it is not a biological status.

Are men referred to as penis-havers?

A NHS guide on matters relating to various body parts - testicles, penis, and... "becoming a dad" - these are all labelled under Men's Health. No tricky twisting of the terminology there.

It's women, once again, being expected to accommodate a handful of men who are not content to simply express themselves, but who want to dilute women to the point that they no longer have legitimacy as a biological sex.

Hence all the nonsense about same-gender attraction used as a verbal weapon to berate those who are same-sex attracted - because it re-enforces the fact that, for example, lesbians are generally not attracted to transwomen because they are men. And the only way men can get round this is to attempt to change the language, because they cannot change the fact.

Doodledog Wed 01-May-24 19:21:04

As we keep saying though, there is no problem with that at all. The problem comes when leaflets or posters refer to cervix-havers, or chest-feeders, and the terms are applied to everyone.

Negotiating a name with a patient is easy - I like it when I am asked, as I rarely use my given name, but prefer a shorter version. I would not, however, be comfortable with ‘cisgender’, or to be addressed by reference to my biological parts. That should never be the default, which is what the TRAs ignore when women say so. Heaven forfend that we are taken into consideration by those claiming to want to join our ranks.

Wyllow3 Wed 01-May-24 18:44:28

I agree with limiting the extent of these terms.

But if you actually work in the NHS you do need to know the complexities of trans medical possibilities or you cant help people. The language used on notes needs to be adequate to the task.

It is proper etiquette to ask a patient what you would like to be addressed as. First names work well for me but "Mrs or Ms X are more comfortable for some patients.

It needs to be recorded on a patients notes if they are transgender and personally if I were a nurse and asked by an ill patient to be called "her" gender wise whatever she/he looks like I say go with it, it's not the time to start on gender theory arguments. Or someone who you know is male asks to be called by a female name.

Mollygo Wed 01-May-24 18:29:19

Male or female avoids the need for cervix-havers or people with ovaries or any other terms that deliberately avoid using the correct, truthful biological terms male or female.
Computers are not sentient beings. They repeat the “truth” that is put into them. If you put a lie into a computer, that’s what it will reproduce.

Rosie51 Wed 01-May-24 17:25:30

Glorianny

Rosie51

Should health care ever be rationed to those who use certain language? No of course not, but how do you propose that the health system which is under enormous pressure, differentiates between a man with the male sex marker, and a transman ie a female with the male sex marker? Aren't all of these screening invites computer generated? Does the computer have some magical insight that tells it someone is "really" the opposite sex?

You don't have to. You use inclusive language which covers all options. So the invites to screening would be woman, non binary with cervix and man with cervix. The computer would understand
By the way things will get more complicated uterus transplants are being considered for transwomen.

The computer would understand Central computer invites know the age and sex of the invitees. The sex category is decided by the sex recorded on their medical record. If that is the wrong biological sex I fail to see how the computer will know that John Smith sex marker M, has a cervix. Or are you proposing that central screening computers have full access to everyone's medical records? Now a doctor has not only to change the sex marker, they must ensure the medical record says John has a cervix. I'm not at all convinced my doctor has it recorded anywhere that I have a cervix, I think it's a given because I'm female and have not undergone a full hysterectomy.
Uterus transplants may be an aspiration for some transwomen, but realistically if they ever happen how many do you expect? Where are these uteruses (or is that uteri?) to come from? Given these males would be on anti-rejection drugs and monitoring for the duration I don't imagine they'd be needing computer generated invites for cervical screening.

Doodledog Wed 01-May-24 17:24:08

What would the status of women be if men didn't need us for childbearing?

Glorianny Wed 01-May-24 17:23:42

Doodledog

*It is awful when people dismiss valuable information purely on personal bias.*

😂😂😂

Why are you getting so exercised if the computer is going to be able to identify women who need smears regardless of how they 'identify'?

Referring to “people who have ovaries” rather than “women” will also be prohibited under plans to ensure hospitals use clear language based on biological sex.

Sorry how will a computer be programmed if language is restricted. If "people with ovaries" is banned will non-binary or man with cervix be acceptable?

Mollygo Wed 01-May-24 17:21:22

🤣🤣🤣You don't have to. You use inclusive language which covers all options.^ Your
But what if females don’t want to be referred to by inclusive terms? Are you saying they must be?
So the invites to screening would be woman, non binary with cervix and man with cervix.
The computer would understand.
A Computer is not a sentient being.
Remember GIGO?
By the way things will get more complicated uterus transplants are being considered for transwomen.
Yes they will be more complicated. They’ll still be male and they’ll need medication for the transplant which could affect any child growing in that uterus. Not that they’ll care about that, as long as they can pretend.

Doodledog Wed 01-May-24 17:13:49

It is awful when people dismiss valuable information purely on personal bias.

😂😂😂

Why are you getting so exercised if the computer is going to be able to identify women who need smears regardless of how they 'identify'?

Mollygo Wed 01-May-24 17:12:02

Glorianny
Should health care ever be rationed to those who use certain language?
No
But that has certainly been tried by a group trying to make people be identified by body parts associated their birth sex, which caused unnecessary problems for those who had needed medical treatment resulting in removal of those parts. A woman (AHF) is a female whether or not she has had a full hysterectomy or needed surgery for breast cancer.
Being a cervix-haver automatically stops if you lose your cervix, meaning the appellation is no longer appropriate. Being female is permanent, with or without a cervix.

Referring to males as cervix-lackers would be equally inappropriate, though true, but would condemn females who have needed a hysterectomy to the same title.

Glorianny Wed 01-May-24 17:05:15

Rosie51

^Should health care ever be rationed to those who use certain language?^ No of course not, but how do you propose that the health system which is under enormous pressure, differentiates between a man with the male sex marker, and a transman ie a female with the male sex marker? Aren't all of these screening invites computer generated? Does the computer have some magical insight that tells it someone is "really" the opposite sex?

You don't have to. You use inclusive language which covers all options. So the invites to screening would be woman, non binary with cervix and man with cervix. The computer would understand
By the way things will get more complicated uterus transplants are being considered for transwomen.

Glorianny Wed 01-May-24 16:59:42

Doodledog

The text to which Glorianny linked appears to be an article about research carried out by Stonewall. That is not the same thing as a scientific article, and any research carried out by Stonewall is about as far from unbiased as it is possible to be.

The link I posted only refers to an original question raised by Stonewall. It is an account of an investigation by a number of academics and there is a link to the results. One of the questions raised which might be of benefit to all people who currently don't take up cervical screening is the opportunity to perform a self-smear test. It is awful when people dismiss valuable information purely on personal bias.

Rosie51 Wed 01-May-24 16:49:45

Should health care ever be rationed to those who use certain language? No of course not, but how do you propose that the health system which is under enormous pressure, differentiates between a man with the male sex marker, and a transman ie a female with the male sex marker? Aren't all of these screening invites computer generated? Does the computer have some magical insight that tells it someone is "really" the opposite sex?

Doodledog Wed 01-May-24 16:48:41

The text to which Glorianny linked appears to be an article about research carried out by Stonewall. That is not the same thing as a scientific article, and any research carried out by Stonewall is about as far from unbiased as it is possible to be.

Doodledog Wed 01-May-24 16:46:47

Should health care ever be rationed to those who use certain language?

Absolutely not. Which is why terms such as 'cervix-haver' are insidious. Healthcare shouldn't be rationed to those with a basic education in biology either. All English speakers will know what a woman is though - or did until to became anyone who saw advantage in becoming one. It has become clear that a lot of seemingly educated people don't know what a cervix is, and it's not a word that appears in many phrase books for ESL speakers.

Still, all of that is being resigned to the dark side of History now smile

Rosie51 Wed 01-May-24 16:38:45

I read your link Glorianny but any so called scientific based article that talks about sex assigned at birth is to be read with some scepticism . The midwife, doctor or indeed parent doesn't get to randomly assign the baby's sex, it is observed and if there is any doubt then a simple DNA test is conducted which will 100% verify the infant's sex. And as for cisgender, why are the vast majority of people to be labelled just to validate those who try to deny their sex? I totally reject that descriptor.
That aside, when people decide they want their biological sex markers altered on their medical records they must take responsibility for being included in the wrong sex category. Keep the true sex marker and the transgender status can be added as an extra detail. Then they will be called for the appropriate screenings.
Having your sex marker wrongly recorded in medical records has dangers far beyond screening programs. Many medical problems present differently in men and women, tests for certain conditions have different acceptable levels in men and women. Why would you risk your health by providing false information? We all know if we have one ounce of intelligence that you cannot change your biological sex. You can pump yourself full of the wrong sex hormones but they will not enable one cell in your body to change its sex marker.

Glorianny Wed 01-May-24 16:35:56

Smileless2012

Trans men would be called for routine checks if their medical records recorded their biological sex so perhaps this is something that needs to be addressed.

Yes, the general use of the language is to be banned but that does not mean that patients on an individual basis will not be able to be addressed in the way they prefer, as you were when you requested not to be addressed as 'mother', preferring to be addressed by your name.

Sometimes the use of a term is unacceptable. Suppose you had divorced and remarried would you be happy for. a doctor to insist you were always known by your exe's name?
Transmen do not want to be recorded as women or to be addressed as such.

The equivalent would be if NHS staff were banned from using the term Mrs and I had to be mother.

Should health care ever be rationed to those who use certain language?