Latest news with #UniversityHospitalsSussex


Telegraph
2 days ago
- Health
- Telegraph
Give trans staff extra breaks to adjust underwear, NHS LGBT group suggested
An LGBTQ+ group within an NHS hospital trust drew up plans to give trans staff extra breaks if they wore chest binders or had to tuck their genitals away. In draft guidance seen by The Telegraph, an LGBTQ+ staff network within the University Hospitals Sussex NHS Trust (UH Sussex) said trans colleagues 'may require extra scheduled breaks in their shift in order to have breaks from binding and tucking'. However, the trust said the new proposals, which also said women-only spaces should include trans women, had been dropped in February and would not be pursued following the Supreme Court ruling last month. Judges ruled that the Equality Act referred to biological women and biological sex, rather than those choosing to identify as a woman. But critics said the draft guidance raised concerns about the time spent by NHS staff on working up and consulting on these types of policies. The NHS has no specific advice for trans people who wear chest binders or tuck their genitals, but the actions are considered controversial by some because of the harm they can cause. Chest binding is when a woman wears an item of clothing to compress their breasts to look more like a man, while the 'tuck' involves pushing the testes and penis back between the legs to appear more female. Both can cause infections, inflammation and other health problems, doctors have warned, which in some cases can be irreversible or lead to infertility in biological males. The proposed guidance said: It is understood that employees in the UH Sussex LGBTQ+ staff network had written the 15-page document last year and sent it to other groups for consultation. One former employee at the trust said: 'If we're going to make allowances for people who have to use the toilets to change and do this, that and the other, should we not be making allowances for women with heavy periods, or people who have to pray three times a day? Why are we making allowances for one group of staff over everyone else?' Dr Alice Hodkinson, a co-founder of Biology in Medicine, a doctors' campaign group, said people binding or tucking were 'risking medical and psychological harm'. She said tucking male genitals 'between the buttocks can cause pain, inflammation, fertility problems and testicular torsion', while 'binding can cause chest and spine deformities, cysts, infections and difficulties breathing'. Dr Hodkinson added that testicular torsion 'is a surgical emergency requiring an immediate operation to preserve fertility and sexual function', saying: 'The UK National FGM Centre considers breast flattening to be a form of child abuse.' 'Disgraceful coming from a healthcare body' Helen Joyce, the director of advocacy at Sex Matters, a human rights charity, said the proposals for 'employees who are self-harming in pursuit of the impossible goal of sex change should never have made it onto paper, even as a draft'. She added: 'Tucking genitals and binding breasts are culturally motivated actions that cause permanent physical damage, just like breast ironing and the use of neck coils. The only difference is that self-harm in the name of trans identity is high status and fashionable. 'This blatant attempt to normalise such a harmful practice is particularly disgraceful coming from a healthcare body. It is a relief to know that NHS Sussex won't be taking it forward.' The draft guidance also told staff they should try and understand the impact of cross-sex hormones on any trans colleagues and their mood. 'It is also helpful to gain an understanding of if there are certain times that are better or worse for their mood and wellbeing e.g. when someone is prescribed testosterone, energy levels and mood can be lower towards the end of a medication cycle, and can vary greatly on the type of preparation,' it said. 'Feminising hormones can require a lot more consultation to achieve an appropriate dosage, and may similarly impact mood and energy levels.' UH Sussex said it had never had a policy on this and that this draft had been rejected in February, after being reviewed by management. A spokesman for the trust said: 'This draft paper is not trust policy or guidance, it never has been, and never will be. 'A colleague submitted it to a manager in February, for consideration, but it was not accepted.'


Daily Mail
3 days ago
- Health
- Daily Mail
NHS trust suggested trans staff wearing chest binders should have 'extra breaks to cope with tucking' away their genitals
An NHS trust reportedly suggested that its transgender colleagues should be given extra breaks if they wore chest binders or needed a break from tucking their genitals away. In an draft guidance report allegedly seen by The Telegraph, University Hospitals Sussex NHS Trust said its trans staff may need extra breaks in order to have time where they are not 'binding and tucking'. If the move had been accepted it would reportedly have been a first for the health service who currently offer no advice for trans people who use the methods to appear less masculine or feminine. Both practices are said to cause infections, inflammation and have been known to cause other painful health problems such as testicular torsion. And although the trust said the proposals would not be pursued, critics said the draft plans raised concerns about potential NHS policies. An extract from the proposed 15-page guidance titled, 'Supporting transgender and non-binary staff', reportedly read: 'Please note that transgender staff who wear chest binders (an item of clothing that compresses the chest and creates a more masculine chest contour), or who tuck (a way of obscuring genitals in order to create a smoother, more feminine appearance) may require extra scheduled breaks in their shift in order to have breaks from binding and tucking. 'Binding in particular can constrict breathing. If possible, provide a private space they are able to access in order to do so. It is helpful to have a conversation with the individual to understand if there are ways of presenting they wish to engage in that may require them to have extra breaks.' The newspaper says that some of the trust's LGBTQ+ staff put the document together last year. A former employee at the trust said if made no sense to prioritise the needs of 'one group of staff over everyone else'. They added that other colleagues who suffer from heavy periods or may have to pray multiple times per day were not receiving such allowances. Helen Joyce, the director of advocacy at human rights charity Sex Matters, told the newspaper that the proposals 'should never have made it onto paper, even as a draft'. She said: 'Tucking genitals and binding breasts are culturally motivated actions that cause permanent physical damage, just like breast ironing and the use of neck coils. The only difference is that self-harm in the name of trans identity is high status and fashionable.' Ms Joyce added that the plans would have been 'disgraceful coming from a healthcare body' and that she was glad they had not been approved. A spokesman for the trust said that the proposals had been submitted by a colleague to a manager in February but that it 'was not accepted'. They told the newspaper that the draft 'is not trust policy or guidance' and that 'it never has been and never will be'.


Telegraph
3 days ago
- General
- Telegraph
Give trans staff extra breaks to adjust underwear, NHS trust suggested
An NHS hospital trust drew up plans to give trans staff extra breaks if they wore chest binders or had to tuck their genitals away. In draft guidance seen by The Telegraph, University Hospitals Sussex NHS Trust (UH Sussex) said trans colleagues 'may require extra scheduled breaks in their shift in order to have breaks from binding and tucking'. However, the trust said the new proposals, which also said women-only spaces should include trans women, had been put on hold in February and would not be pursued following the Supreme Court ruling last month. Judges ruled that the Equality Act referred to biological women and biological sex, rather than those choosing to identify as a woman. But critics said the draft guidance raised concerns about the time spent by NHS staff on working up and consulting on these types of policies. The NHS has no specific advice for trans people who wear chest binders or tuck their genitals, but the actions are considered controversial by some because of the harm they can cause. Chest binding is when a woman wears an item of clothing to compress their breasts to look more like a man, while the 'tuck' involves pushing the testes and penis back between the legs to appear more female. Both can cause infections, inflammation and other health problems, doctors have warned, which in some cases can be irreversible or lead to infertility in biological males. The proposed guidance said: It is understood that employees in the UH Sussex LGBTQ+ staff network had written the 15-page document last year and sent it to other groups for consultation. One former employee at the trust said: 'If we're going to make allowances for people who have to use the toilets to change and do this, that and the other, should we not be making allowances for women with heavy periods, or people who have to pray three times a day? Why are we making allowances for one group of staff over everyone else?' Dr Alice Hodkinson, a co-founder of Biology in Medicine, a doctors' campaign group, said people binding or tucking were 'risking medical and psychological harm'. She said tucking male genitals 'between the buttocks can cause pain, inflammation, fertility problems and testicular torsion', while 'binding can cause chest and spine deformities, cysts, infections and difficulties breathing'. Dr Hodkinson added that testicular torsion 'is a surgical emergency requiring an immediate operation to preserve fertility and sexual function', saying: 'The UK National FGM Centre considers breast flattening to be a form of child abuse.' 'Disgraceful coming from a healthcare body' Helen Joyce, the director of advocacy at Sex Matters, a human rights charity, said the proposals for 'employees who are self-harming in pursuit of the impossible goal of sex change should never have made it onto paper, even as a draft'. She added: 'Tucking genitals and binding breasts are culturally motivated actions that cause permanent physical damage, just like breast ironing and the use of neck coils. The only difference is that self-harm in the name of trans identity is high status and fashionable. 'This blatant attempt to normalise such a harmful practice is particularly disgraceful coming from a healthcare body. It is a relief to know that NHS Sussex won't be taking it forward.' The draft guidance also told staff they should try and understand the impact of cross-sex hormones on any trans colleagues and their mood. 'It is also helpful to gain an understanding of if there are certain times that are better or worse for their mood and wellbeing e.g. when someone is prescribed testosterone, energy levels and mood can be lower towards the end of a medication cycle, and can vary greatly on the type of preparation,' it said. 'Feminising hormones can require a lot more consultation to achieve an appropriate dosage, and may similarly impact mood and energy levels.' UH Sussex said it had never had a policy on this and that this draft had been put on hold in February, after being reviewed by senior leaders and had now been dropped altogether. A spokesman for the trust said: 'This draft paper is not trust policy or guidance, it never has been, and never will be. 'A colleague submitted it to a manager in February, for consideration, but it was not accepted.'