新指南称，跨性别患者应接受与其生物性别相符的单性别病房或病区的护理。
New guidance says trans patients should be cared for on single-sex hospital wards or bays that align with their biological sex.
据《卫报》记者Alison Holt和James Melley报道，根据英格兰国家医疗服务体系（NHSE）的新指南，跨性别患者应接受与其生物性别相符的单性别病房或病区的护理，而不是根据其性别认同。
By Alison Holt , James Melley Trans patients should be cared for on single-sex hospital wards or bays that align with their biological sex rather than their gender identity, according to new NHS England (NHSE) guidance.
该指南指出，如果这样做在临床上“不合适”，则应作出其他安排。
It says when this is not "clinically appropriate" then alternative arrangements should be made.
但该指南也表示，决定可能需要根据具体情况逐案作出，必须确保临床需求得到满足，并且要维护跨性别患者及其他患者的尊严和安全。
But the guidance also says decisions may have to be made on a case-by-case basis and must ensure clinical needs are met, and that the dignity and safety of the trans patient and of other patients are maintained.
此前的NHSE指南曾建议，患者和工作人员可根据其性别认同安排住在病房或使用设施。
Previous NHSE guidance suggested patients and staff could be accommodated on wards or use facilities based on their gender identity.
这意味着，跨性别女性——即生物学上为男性但自我认同为女性的人——可以选择住在女性病房；而跨性别男性——即生物学上为女性但自我认同为男性的人——可以选择住在男性病房。
That meant that a trans woman – a biological male who identifies as a woman – could have chosen to be on a women's ward, or a trans man – a biological female who identifies as a man – could have opted for a men's ward.
该指南在2025年4月英国最高法院裁决后被撤回。法院认为，根据平等法律，“性”一词指的是生物性别，“女性”指的是生物学上的女性。判决指出，要使一个空间或服务成为单性别空间，则应仅允许具有相同生物性别的人使用。
That guidance was withdrawn following the Supreme Court ruling in April 2025 that under equality law the term "sex" means biological sex and "woman" refers to a biological woman. The judgment said for a space or service to be single sex it should only allow those of the same biological sex to use it.
此外，在周四发布的新指南中，NHSE强调，为避免对跨性别者造成歧视，应为其提供性别中性空间。
Also under the new guidance issued on Thursday, NHSE emphasised that in order to avoid discriminating against trans people they should be offered gender neutral spaces.
该指南还明确指出，在某些情况下，临床需求是首要考虑因素，包括急诊科和紧急护理环境。
It also makes clear that there are circumstances where clinical need is the overriding priority, including on emergency units and urgent care settings.
除了患者文件外，NHS还为医疗信托机构发布了关于如何组织更衣室、厕所及其他单性别员工设施的建议。
In addition to the patient document, the NHS has published advice for trusts on how to organise changing rooms, toilets and other single-sex facilities for staff.
同样，该指南表示，这些设施应根据人的生物性别而非性别认同来使用。
Again, it says they should be used by people based on their biological sex, not their gender identity.
该文件鼓励国家医疗服务体系（NHS）信托机构进行审计，以确保他们提供足够的单一性别设施替代方案，例如性别中立或单人使用的厕所。医院面临的压力意味着许多医院已经难以维持病房的单一性别。
The document encourages NHS trusts to carry out an audit to ensure they are offering enough alternatives to single-sex facilities, for instance, gender neutral or single occupancy toilets. Pressures on hospitals mean many have already struggled to keep wards single sex.
国家医疗服务体系英格兰（NHSE）的数据显示，自2021年以来，违反之前混合性别住宿指南的事件数量一直在逐年增加——即将异性人员安置在单一性别病房。
NHSE data shows that the number of breaches of the previous mixed-sex accommodation guidance has been growing every year since 2021- where members of the opposite sex were placed on a single-sex ward.
2026年8月的最新数据显示，违规次数达到5,520次，而2025年6月为3,853次。
The most recent figure for August 2026 shows there were 5,520 breaches, compared to 3,853 in June 2025.
性别权利慈善机构“性别重要”（Sex Matters）欢迎该指导方针，称其为“回归现实的重大转变”，但对其实施方式表示担忧。
Sex-based rights charity Sex Matters has welcomed the guidance as a "momentus shift back to reality", but is concerned about how it will be applied.
“NHS患者数据一团糟，可能有数千名自我认同为跨性别者的人被记录为相反性别，”首席执行官玛雅·福斯特特（Maya Forstater）表示。
"NHS patient data is a mess, with potentially thousands of trans-identifying people recorded as the opposite sex," CEO Maya Forstater said.
跨性别权利组织TransActual和Trans+团结联盟表示，他们担心NHS工作人员将不清楚如何安全地照顾跨性别患者。
Trans rights organisations TransActual and Trans+ Solidarity Alliance have said they are concerned NHS staff will be unclear on how to safely look after trans patients.
“该指导方针在资源紧张的医院中经不起现实考验，将导致无法操作的运营挑战，”他们表示。
"This guidance will not survive contact with reality in resource-strapped hospitals and will create unworkable operational challenges," they said.
国家医疗服务体系一直是围绕平等法律和工作场所条例解释的多起高调争论的焦点。
The NHS has been at the centre of a number of high-profile arguments over the interpretation of equality law and workplace regulations.
2026年1月，达灵顿纪念医院被认定侵犯了一群护士的尊严，这些护士曾投诉一名跨性别同事——一名生物学上的男性，但自我认同为女性——被允许使用女性更衣室。医院告诉这些护士，如果他们有异议，应去其他地方更衣。仲裁庭得出结论，该信托机构对这些护士构成了间接歧视。
In January 2026, Darlington Memorial Hospital was found to have violated the dignity of a group of nurses who complained about a transgender colleague - a biological male who identified as a woman - being allowed to use the female changing rooms. The nurses were told they should change somewhere else if they objected. The tribunal concluded that the trust had indirectly discriminated against them.
目前，这些护士正在向国家医疗服务体系索赔40万英镑，以覆盖他们的法律费用。
The nurses are currently seeking £400,000 from the NHS to cover their legal costs.
提起诉讼的护士之一、现任达灵顿护士工会主席贝瑟尼·哈奇森表示，她们欢迎英格兰国家医疗服务体系发布的“明确且必要的指导方针”，但关键在于各医疗机构能否切实予以执行。
One of the nurses who brought the action, Bethany Hutchison, who is now president of the Darlington Nurses Union, says they welcome the "clear and necessary guidance" from NHSE, but the test will be whether trusts follow it.
“达灵顿的护士们本不该为了维护自身的隐私权、尊严以及使用符合法律规定的单性别设施的权利而不得不将雇主告上法庭，”她说道。
"The Darlington nurses should never have had to take their own employer to court to secure privacy, dignity and lawful single-sex facilities," she said.
“执法工作绝不能继续依赖个别护士的勇气与个人牺牲。”2025年12月，苏格兰的一家劳资法庭裁定：由于对单性别空间相关规定的理解存在偏差，法夫郡国家医疗服务体系对护士桑迪·佩吉实施了骚扰行为。
"Enforcement cannot continue to depend on the courage and personal sacrifice of individual nurses." In December 2025, in Scotland , another employment tribunal found that a nurse, Sandie Peggie, had been harassed by NHS Fife over its interpretation of rules on single sex spaces.
佩吉曾投诉称，一名跨性别女性医生使用了女性更衣室。提出这一担忧后，她便遭到停职处理。该法庭最终驳回了她提出的其他歧视与迫害指控。目前此案正在上诉中，预计将于明年交由法院审理。
Peggie had complained about a doctor, who was a trans woman, using the female changing rooms. She was suspended after raising concerns. The tribunal dismissed her other claims of discrimination and victimisation. An appeal is under way and expected to reach the courts next year.