This is an HTML version of an attachment to the Freedom of Information request 'Protocols and policies regarding the care of transgender people'.


 
 
 
Care of Transgender Patients 
 
Unique Identifier: 
CORP/GUID/308 
Version Number: 

Type of Update / Status:  Ratified with Minor / No Technical Changes 
Divisional and 
HR         
Department: 
Equality and Diversity 
Author / Originator and 
Tina Daniels 
Job Title: 
Equality and Diversity Lead 
Replaces: 
CORP/GUID/308 V3.1 Care of Transgender Patients 
Description of 
Review of document and updated where required 
amendments: 
Approved by: 
Lesley Smith-Payne, Head of Workforce Health & Wellbeing 
Approved Date: 
05/08/2020 
Issue Date: 
05/08/2020 
Review Date from Date 
1 Year 
2 Years 
3 Years 
4 Years 
5 Years 
of Approval: 
☐ 
☐ 
☒ 
☐ 
☐ 
 
 
05/08/2023 
 
 
 
Version Control Sheet 
This must be completed and form part of the document appendices each time the 
document is updated and approved 
Date 
dd/mm/yy  Version 
Author 
Reason for changes 
05/08/20 

Tina Daniels 
Periodic review 
 Consultation / Acknowledgements with Stakeholders 
Name 
Designation 
Date Response 
Received 
Staff ED&I 
Staff ED&I Meeting 
January 2020 
Ambassadors 
Trust Committee 
Equality Diversity and inclusions 
February 2020 
Implementation Committee 
Staff Side 
JNCC 
 
Lewis Turner 
Lancashire LGBT 
 
Anthony West 
Horizon Blackpool  
 

link to page 1 link to page 1 link to page 3 link to page 3 link to page 3 link to page 5 link to page 5 link to page 6 link to page 8 link to page 10 CONTENTS 
Version Control Sheet .......................................................................................................... 1 
 
Consultation / Acknowledgements with Stakeholders .......................................................... 1 

Introduction / Purpose ................................................................................................. 3 

General Principles / Target Audience .......................................................................... 3 

Definitions and Abbreviations ...................................................................................... 3 

Responsibilities (Ownership and Accountability) ......................................................... 5 

Guidelines ................................................................................................................... 5 
5.2  Care and Treatment ................................................................................................ 6 

References and Associated Documents ..................................................................... 8 
Appendix 1: Equality Impact Assessment Form ................................................................. 10 
 
 
 
 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 2 of 11 

1  Introduction / Purpose 
 
• 
To give clear and relevant guidelines to ensure safe and appropriate care is given to 
trans people who are patients in hospital. 
• 
To ensure that statutory and locally produced guidelines regarding people whose 
status is transgender are adhered to. 
• 
To ensure that any necessary advice / information is made available to the patient. 
• 
The Trust is committed to creating an environment where the gender identity of a/any 
trans person is respected and afforded dignity and equal rights. 
 
2  General Principles / Target Audience 
 
The guidelines apply to all persons working within Blackpool Teaching Hospitals NHS 
Foundation Trust involved in the care and treatment of transgender patients within the 
hospital setting. 
 
3  Definitions and Abbreviations 
 
Bi-gendered 
One who has a significant gender identity that encompasses both 
genders male and female Some may feel that one side or the 
other is stronger, but both sides are there. 
Cross-dresser 
A term for people who dress in clothing traditionally or 
stereotypically worn by the other sex, but who generally have no 
intent to live full-time as the other gender. The older term 
“transvestite” is considered derogatory by many. 
Drag Queen 
Used to refer to male performers who dress as women for the 
purpose of entertaining others at bars, clubs, or other events. It is 
also sometimes used in a derogatory manner to refer to 
transgender women. 
Drag King 
Used to refer to female performers who dress as men for the 
purposes of entertaining others at bars, clubs, or other events. 
FTM 
A person who transitions from “female-to-male,” meaning a person 
who was assigned female at birth, but identifies and lives as a 
male. Also known as a “transgender man.” 
Gender 
Gender is expressed in terms of masculinity and femininity. It is 
largely cultural y determined and is assigned at birth based on the 
sex of the individual. It affects how people perceive themselves 
and how they expect others to behave. 
Gender Expression 
How a person represents or expresses one’s gender identity to 
others, often through behaviour, clothing, hairstyles, voice or body 
characteristics. 
Gender Identity 
An individual’s internal sense of being male, female, or something 
else. Since gender identity is internal, one’s gender identity is not 
necessarily visible to others. 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 3 of 11 

Gender Non-conforming   
A term for individuals whose gender expression is different from 
societal expectations related to gender. 
Genderqueer  
A term used by some individuals who identify as neither entirely 
male nor entirely female. 
Gender Reassignment Surgery   
Surgical procedures that change one’s body to better reflect a 
person’s gender identity. This may include different procedures, 
including those sometimes also referred to as “top surgery” (breast 
augmentation or removal) or “bottom surgery” (altering genitals). 
Contrary to popular belief, there is not one surgery; in fact there 
are many different surgeries. These surgeries are medically 
necessary for some people, however not all people want, need, or 
can have surgery as part of their transition. “Sex change surgery” 
is considered a derogatory term by many. 
GRC 
Gender Recognition Certificate 
Intersex 
A term used for people who are born with a reproductive or sexual 
anatomy and/or chromosome pattern that does not seem to fit 
typical definitions of male or female. Intersex conditions are also 
known as differences of sex development (DSD). 
MTF 
A person who transitions from “male-to-female,” meaning a person 
who was assigned male at birth, but identifies and lives as a 
female. Also known as a “transgender woman.” 
Physical Sex 
To what sex do the organs of the body match, i.e. male or female. 
Birth with ambiguous genitalia occurs in roughly 1:2000 live births 
(see Intersex Person) 
Queer 
A term used to refer to lesbian, gay, bisexual and, often also 
transgender, people. Some use queer as an alternative to “gay” in 
an effort to be more inclusive. Depending on the user, the term 
has either a derogatory or an affirming connotation, as many have 
sought to reclaim the term that was once widely used in a negative 
way. 
Sexual Orientation 
A term describing a person’s attraction to members of the same 
sex and/or a different sex, usually defined as lesbian, gay, 
bisexual, heterosexual, or asexual. 
Transgender 
A term for people whose gender identity, expression or behaviour 
is different from those typically associated with their assigned sex 
at birth. Transgender is a broad term and is good for non-
transgender people to use. “Trans” is shorthand for “transgender.” 
(Note: Transgender is correctly used as an adjective, not a noun, 
thus “transgender people” is appropriate but “transgenders” is 
often viewed as disrespectful.) 
Transgender Man 
A term for a transgender individual who currently identifies as a 
man (see also “FTM”). 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 4 of 11 

Transgender Woman  A term for a transgender individual who currently identifies as a 
woman (see also “MTF”). 
Transition 
The time when a person begins to living as the gender with which 
they identify rather than the gender they were assigned at birth, 
which often includes changing one’s first name and dressing and 
grooming differently. Transitioning may or may not also include 
medical and legal aspects, including taking hormones, having 
surgery, or changing identity documents (e.g. driver’s license, 
Social Security record) to reflect one’s gender identity. Medical 
and legal steps are often difficult for people to afford. 
Transsexual 
Transsexual: An older term for people whose gender identity is 
different from their assigned sex at birth who seeks to transition 
from male to female or female to male. Many do not prefer this 
term because it is thought to sound overly clinical. 
Two-Spirit 
A contemporary term that refers to the historical and current First 
Nations people whose individuals spirits were a blend of male and 
female spirits. This term has been reclaimed by some in Native 
American LGBT communities in order to honour their heritage and 
provides an alternative to the Western labels of gay, lesbian, 
bisexual, or transgender. 
 
4  Responsibilities (Ownership and Accountability) 
 
It is imperative that all staff act appropriately and are responsible for the confidentiality of 
the patient. The Act imposes new responsibilities to maintain client confidentiality.  Section 
22 of the Gender Recognition Act 2004 (Crown, 2004) makes it a criminal act for any 
individual who has obtained information in an official capacity to divulge to another that a 
person has a GRC, or is applying for a GRC, or do anything that would cause such a 
disclosure.  This includes social and health care agencies, or a prospective agency. 
 
Under Section 22 of the GRA trans people have privacy rights.  Anyone who acquires 
knowledge in their professional capacity, of a trans person’s history, and knows or is able 
to surmise that the person has a new birth certificate, can be prosecuted and fined up to 
£5,000 and/or be jailed for up to 6 months, if they pass that information onto a third party 
without the trans persons consent. However, a trans person does not need a GRC for their 
confidentiality to be breached in this way. 
 
5  Guidelines 
 
6.1 The Law 
 
The Gender Recognition Act 2004 (GRA), now part of the Equality Act 2010 (Crown, 
2010), enables trans people to apply for full legal recognition in their acquired gender and 
those born in the UK can obtain a new birth certificate signifying this fact.  In order to 
qualify for a full Gender Recognition Certificate (GRC), a trans person has to show that 
 
• 
They are at least 18 years of age at the time of application, and 
• 
They have or have had a diagnosis of gender dysphoria, and 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 5 of 11 

• 
They have lived in their acquired gender role for two years; and 
• 
They intend to do so permanently for the remainder of their life. 
 
For further information see the Gender Recognition Register (Marriage and Civil 
Partnerships) Regulations 2015 (Crown, 2015). 
 
Gender recognition means that trans people all must be treated as of their acquired 
gender (sex) for all legal purposes including health and social care. 
 
Trans people have no obligation to disclose whether they have a Gender Recognition 
Certificate or not. 
 
Regardless of whether the patient has one, it is best practice to keep what you know about 
the patient confidential unless they tell you otherwise.  It is also good practice to assume 
that a trans person who has changed their name by statutory declaration or deed poll, is a 
member of their new gender for all purposes unless you are told otherwise by the 
individual.   
 
Knowledge about a trans person’s history should be on a “need to know basis” and even 
then if you have obtained the information in your official capacity, the information cannot 
be passed on, verbally or in writing, unless the patient has given you, preferably in writing, 
permission that you may tell other certain people. 
 
The Gender Recognition (Exceptions to the Offence of Disclosure) Order 2005 creates an 
exception to S.22 of the Gender Recognition Act 2004 (Crown, 2004), for healthcare 
professionals, including nurses, where the person making the disclosure has a reasonable 
belief that: 
 
• 
Either consent has been given or that consent cannot be given by that person; and 
• 
The disclosure is made to a health professional for medical purposes. 
  5.2  Care and Treatment 
 
Trans people use health services for all sorts of reasons, and not just for transgender 
specific issues.  Equal access to healthcare for all is a must, regardless of their ethnicity, 
sexual orientation, gender etc. 
 
The following are some key areas to note - 
 
• 
Be aware that many people who are transitioning or who have transitioned do not 
identify as transgender at all but as men and women. 
• 
Use the name and title (e.g. Mr, Ms, Mrs, Miss) that the person prefers.  If unsure ask 
how they would like to be addressed. 
• 
Use the correct pronoun i.e. for a trans man “he” “Mr” etc. and for a trans woman 
“she” Ms, Miss or Mrs.  
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 6 of 11 

• 
Gender neutral language - some nonbinary people prefer to be referred to using 
gender neutral language and pronouns. Some choose a gender neutral title such as 
Mx or Misc, Ze or Zir for formal communications. Others may opt for no title.  
• 
Al ow trans people access to appropriate single-sex facilities which are in line with 
their gender identity. Please note - This may raise issues from other clients / patients 
but should never result in the denial of access to these facilities by the trans person. 
• 
Be aware that some trans people may have specific personal care needs and handle 
these sensitively e.g. trans women may stil  need to shave regularly.  Trans people 
who need assistance going to the toilet or bathing require support from staff who 
understand that their body may not match their gender identity. 
• 
Trans people may need support if they face prejudice from other people using the 
service or their family. 
• 
Confidentiality around someone’s transgender status is very important.  Their wish for 
other people to know about their status may change over time, particularly if the 
person is in transition. 
• 
If a patient is seen within the hospital setting and does not disclose transsexual 
identity but following diagnostic tests or examination it becomes apparent, ensure 
that appropriate care and respect is given at all times. 
• 
When physical examinations and screening tests are offered to patients be aware 
that screening tests may be based on birth gender e.g. a trans woman wil  stil  
require prostate screening. 
• 
Discuss with the Patient possible implications of not passing on relevant gender 
information to other healthcare professionals. 
• 
Discussions should be had with the patient about the ward they are best suited to be 
placed on, depending on their treatment. For example a trans man having a 
hysterectomy may be better placed on a women’s ward in a separate private room. If 
you are unsure about the person’s dignity and respect consult them as to what they 
would like, bearing in mind that some patients may have mixed sex characteristics. 
• 
Be aware of the impact on the person and other people if there are mixed sex 
characteristics apparent and the sensitivity needed for both the person and other 
patients. 
• 
If the person is living their everyday life as a specific gender then it is those toilets 
they should use as this is considered best practice.  
• 
For every day clinical purposes if the patient is in a female role (or vice versa) in their 
everyday life then that is how they should be treated on admission. Discussions 
should be had with the patient about the ward they are best suited to be placed on. 
For example people who are not living full-time as a woman have been on women’s 
wards with no issues at all.  
• 
Do not make assumptions about the sexual orientation of a trans person. The 
expression of sexual orientation in trans people is as variable as in the wider 
population. 
 
 
 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 7 of 11 

6  References and Associated Documents 
 
BTHFT - Procedure, 2015. Guidelines for the Care of People with Learning Disabilities 
when accessing Trust services. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-GUID-
450.docx 
[Accessed 24 02 2020]. 
BTHFT - Procedure, 2016. Eliminating Mixed Sex Accommodation (EMSA). [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-PROC-
426.docx 
[Accessed 17 04 2020]. 
BTHFT - Procedure, 2016. Equality Diversity and Inclusion. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-POL-
206.docx 
[Accessed 17 04 2020]. 
BTHFT - Procedure, 2016. Religious and Cultural Beliefs. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-GUID-
027.docx 
[Accessed 22 01 2020]. 
BTHFT - Procedure, 2017. Equality Diversity and Inclusion. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-STRAT-
001.docx 
[Accessed 16 01 2020]. 
BTHFT - Procedure, 2017. Interpretation and Translation Procedure. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-PROC-
022.docx 
[Accessed 20 02 2020]. 
BTHFT - Procedure, 2018. Prevention of Bullying and Harassment Procedure. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-PROC-
208.docx 
[Accessed 20 01 2020]. 
BTHFT - Procedure, 2018. Providing and Maintaining Privacy and Dignity to Patients. 
[Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-POL-
002.docx 
[Accessed 04 03 2020]. 
BTHFT - Procedure, 2019. Data Protection. [Online]  
Available at: http://fcsp.xfyldecoast.nhs.uk/trustdocuments/Documents/CORP-POL-
064.docx 
[Accessed 30 03 2020]. 
Crown, 1997. Protection from Harassment Act 1997. [Online]  
Available at: http://www.legislation.gov.uk/ukpga/1997/40/contents 
[Accessed 17 04 2020]. 
Crown, 1998. Human Rights Act 1998. [Online]  
Available at: http://www.legislation.gov.uk/ukpga/1998/42/contents 
[Accessed 13 02 2020]. 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 8 of 11 

Crown, 2004. Gender Recognition Act 2004. [Online]  
Available at: http://www.legislation.gov.uk/ukpga/2004/7/contents 
[Accessed 17 04 2020]. 
Crown, 2005. The Gender Recognition (Disclosure of Information) (England, Wales and 
Northern Ireland) (No. 2) Order 2005. [Online]  
Available at: http://www.legislation.gov.uk/uksi/2005/916/contents/made 
[Accessed 17 04 2020]. 
Crown, 2010. Equality Act 2010. [Online]  
Available at: http://www.legislation.gov.uk/ukpga/2010/15/contents 
[Accessed 13 02 2020]. 
Crown, 2015. The Gender Recognition Register (Marriage and Civil Partnership) 
Regulations 2015. [Online]  
Available at: http://www.legislation.gov.uk/uksi/2015/50/contents/made 
[Accessed 17 04 2020]. 
Crown, 2018. Data protection. [Online]  
Available at: https://www.gov.uk/data-protection 
[Accessed 15 01 2020]. 
Department of Health and Social Care, 2015. The NHS Constitution for England. [Online]  
Available at: https://www.gov.uk/government/publications/the-nhs-constitution-for-
england/the-nhs-constitution-for-england 
[Accessed 20 01 2020]. 
Dr Julie Fish (De Montfort University) , 2007. Reducing health inequalities for lesbian, gay, 
bisexual and trans people - briefings for health and social care staff. [Online]  
Available at: 
https://webarchive.nationalarchives.gov.uk/20130123192422/http://www.dh.gov.uk/en/Publ
icationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078347 
[Accessed 17 04 2020]. 
Gender Trust, n.d. [Online]  
Available at: http://www.gendertrust.org.uk/ 
[Accessed 17 04 2020]. 
Lesbian, Gay, Bisexual, Transgender, Queer Plus (LDBTQ+) Resource Centre, n.d. 
Gender Pronouns. [Online]  
Available at: https://uwm.edu/lgbtrc/support/gender-pronouns/ 
[Accessed 17 04 2020]. 
Parliament, 2016. Transgender Equality Inquiry. [Online]  
Available at: https://www.parliament.uk/business/committees/committees-a-z/commons-
select/women-and-equalities-committee/inquiries/parliament-2015/transgender-equality/ 
[Accessed 17 04 2020]. 
The NHS Staff Council, 2014. Guidance relating to disability for the NHS. [Online]  
Available at: https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-
reward/Guidance-relating-to-disability-28-Jan.pdf 
[Accessed 17 04 2020]. 
 
 
 
 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 9 of 11 

Appendix 1: Equality Impact Assessment Form 
Department 
HR & OD 
Service or Policy  Policy 
Date Completed: 
11 November 2016 
GROUPS TO BE CONSIDERED 
Deprived communities, homeless, substance misusers, people who have a disability, learning disability, older people, children and families, young 
people, Lesbian Gay Bi-sexual or Transgender, minority ethnic communities, Gypsy/Roma/Travellers, women/men, parents, carers, staff, wider 
community, offenders. 
EQUALITY PROTECTED CHARACTERISTICS TO BE CONSIDERED 
Age, gender, disability, race, sexual orientation, gender identity (or reassignment), religion and belief, carers, Human Rights and social economic / 
deprivation. QUESTION 
RESPONSE 
IMPACT 
Issue 
Action 
Positive 
Negative 
What is the service, leaflet or policy 
To develop better understanding of 
Promote the procedure 
Improved 
 
development? 
our staff about caring for  the Trans 
across all departments 
understanding by 
What are its aims, who are the target 
community living on the Fylde Coast. 
within the hospital. 
staff on care for 
audience? 
Its aim is to promote equal access to 
transgender 
services. 
patients. 
Does the service, leaflet or policy/ 
N/A 
N/A 
N/A 
N/A 
development impact on community 
safety 
• 
Crime 
• 
Community cohesion 
Is there any evidence that groups who 
There is no evidence at this time as 
Consultation with Trans 
Positive feedback 
 
should benefit do not? i.e. equal 
collating data on transgender people 
groups on the Fylde Coast.  from the trans 
opportunity monitoring of service users  is difficult, many are fearful of 
 
community on the 
and/or staff. If none/insufficient local or  disclosing this information. 
Fylde Coast. 
national data available consider what 
We wil  need to consult with this group 
information you need. 
of people to ensure there is no 
negative impact. 
Does the service, leaflet or 
There should not be any negative or 
Monitor for any negative or  Improved patient 
 
development/ policy have a negative 
adverse impact on any geographical 
adverse impact on 
experiences for 
impact on any geographical or sub 
or sub groups of the population. 
transgender patients. 
the transgender 
group of the population? 
community. 
How does the service, leaflet or policy/  The policy raises awareness of Trust 
Promote the policy to all 
Reduces any 
 
development promote equality and 
staff about interaction/communication 
staff across the Trust. 
stereotypes or 
diversity? 
with trans people and respecting their 
biases staff may 
privacy and dignity. 
have about trans 
people by helping 
them gain 
knowledge. 
Does the service, leaflet or policy/ 
The policy development includes a 
Improve the training on 
Increased 
 
development explicitly include a 
commitment to equality and diversity 
transgender which wil  
knowledge and 
commitment to equality and diversity 
by meeting the needs of the 
impact on the knowledge 
understanding 
and meeting needs? How does it 
transgender community when 
and understanding of staff. 
should help 
demonstrate its impact? 
delivering health care. It demonstrates 
prevent 
this through raising awareness of staff 
discrimination and 
on the needs of transgender patients. 
victimisation 
towards this group 
of people. 
Does the Organisation or service 
The organisation employees are 
Further work is required 
 
 
workforce reflect the local population? 
reflective of the local population in 
clarifying socioeconomic 
Do we employ people from 
respect of BME – see WRES and 
elements. 
disadvantaged groups 
E&D Monitoring report which includes 
doctors. Work commencing on WDES 
in 2017. ONS for the Fylde coast. 
Data on trans employees is not 
collected on ESR but is on the TRAC 
recruitment system. People may not 
want to disclose they are from a 
disadvantaged background. 
Wil  the service, leaflet or policy/ 
N/A 
N/A 
N/A 
N/A 
development 
i.  Improve economic social 
conditions in 
deprived areas 
ii.  Use brown field sites 
iii.  Improve public spaces including 
creation of green spaces? 
Does the service, leaflet or policy/ 
N/A 
N/A 
N/A 
N/A 
development promote equity of lifelong 
learning? 
Does the service, leaflet or policy/ 
N/A 
N/A 
N/A 
N/A 
development encourage healthy 
lifestyles and reduce risks to health? 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 10 of 11 

Appendix 1: Equality Impact Assessment Form 
Does the service, leaflet or policy/ 
N/A 
N/A 
N/A 
N/A 
development impact on transport? 
What are the implications of this? 
Does the service, leaflet or 
N/A 
N/A 
N/A 
N/A 
policy/development impact on 
housing, housing needs, 
homelessness, or a person’s ability to 
remain at home? 
Are there any groups for whom this 
This policy should have a positive 
Identify complaints from 
 
 
policy/ service/leaflet would have an 
impact to improve the care and 
the trans community then 
impact? Is it an adverse/negative 
respect in the provision of healthcare 
liaise with trans groups in 
impact? Does it or could it (or is the 
for transgender patients. It is hoped 
the Fylde to address any 
perception that it could) exclude 
that the policy wil  reduce any 
issues which have arisen. 
disadvantaged or marginalised 
disadvantage for the trans community 
groups? 
in accessing services. 
Does the policy/development promote 
N/A 
N/A 
N/A 
N/A 
access to services and facilities for 
any group in particular? 
Does the service, leaflet or 
N/A 
N/A 
N/A 
N/A 
policy/development impact on the 
environment 
• 
During development 
•  At implementation? 
ACTION: 
Please identify if you are now required to carry out a Full Equality 
 
No 
(Please delete as appropriate) 
Analysis 
Name of Author: 
Tina Daniels 
Date Signed: 
07/04/2020 
Signature of Author: 
 
 
Name of Lead Person: 
Tina Daniels 
Date Signed: 
07/04/2020 
Signature of Lead Person: 
 
Blackpool Teaching Hospitals NHS Foundation Trust 
ID No. CORP/GUID/308 
Title: Care of Transgender Patients 
Revision No: 4 
Next Review Date: 05/08/2023 
Do you have the up to date version? See the intranet for the latest version 
Page 11 of 11 

Document Outline