The Midlands Partnership University NHS Foundation Trust (MPFT) is maintaining its current approach to single-sex facilities despite recent legal shifts. This decision follows a Supreme Court ruling clarifying that equality law refers to biological sex rather than gender identity.

Advertisement

The EHRC mandate vs. MPFT’s gender-identity policy

The Equality and Human Rights Commission (EHRC) has issued a new code of practice that reinforces the Supreme Court's landmark judgment. According to the report, this guidance dictates that organizations must provide single-sex spaces based on biological sex to avoid potential discrimination. The EHRC warns that providing only mixed-sex facilities could result in direct or indirect discrimination against women or lead to unlawful harassment.

Despite these instructions, the MPFT has informed its staff that its existing policies will remain in place. The Trust's current "Trans Inclusion and Single Sex Accommodation" policies allow patients and staff to access facilities, such as toilets and changing rooms, based on their gender identity. The Trust stated it is currently awaiting further guidance from NHS England before making any immediate changes.

A massive footprint: 1.7 million people and 10,500 staff

MPFT's operational reach is significant, serving 1.7 million people across a geographic area of 2,400 square miles. The Trust employs over 10,500 staff and manages various sites, including Haywood Hospital and Leek Moorlands Hospital. Because the Trust provides nationwide services, its decision to maintain gender-identity-based access has implications far beyond its local catchment area.

The Trust has signaled that it intends to address the new legal landscape through a "structured implementation programme." However, recent freedom of information responses indiate that the Trust's internal guidance remains unchanged, despite previous agreements to examine the lawfulness of its current policies.

Female staff report intimidation following leadership emails

Internal tensions are rising among female employees following an email sent by the Trust's leadership. As reported by the *Telegraph*, some women woring at the Trust expressed feeling intimidated after leaders reassured transgender staff that the organization stands by them. These staff members noted that the email failed to mention women or those who advocate for sex-based rights.

Terry Stock, a public governor at MPFT,has criticized the organization's stance, accusing the Trust of being "ideologically captured." Stock argued that the current policy shows a complete disregard for the privacy, dignity, and safety of women. Some employees have reported feeling unable to safely raise these concerns because the communication was signed by the Trust's highest-ranking officials.

The £50 million trend of mixed-sex facility projects

This situation at MPFT mirrors a broader trend seen in other sectors of public life . The report notes that at least three local councils are moving forward with approximately £50 million worth of leisure center projects that utilize mixed-sex changing rooms. This suggests that the Supreme Court's ruling on biological sex is facing widespread resistance from various public institutions.

Will NHS England override MPFT's implementation programme?

The future of the Trust's policcy remains uncertain as several critical questions remain unanswered. It is unclear whether NHS England will issue a directive that forces the MPFT to comply with the EHRC code immediately , or if the Trust's "structured implementation" will be permitted to continue. Furthermore, it remains to be seen if the EHRC will pursue enforcement action against the Trust to ensure compliance with the law. finally, the Trust has yet to clarify how it will reconcile its inclusion policies with the legal requirement to protect single-sex spaces for biological women.