Gender reassignment - administration processes and procedures

L-M Nelson made this Freedom of Information request to Sussex Community NHS Foundation Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Dear Sussex Community NHS Trust,

What documentation is provided to be completed by service users who begin, are undergoing, or have completed (including having been assigned a new NHS number) gender reassignment in order to change their details held by the trust?

What systems are in place in relation to handling patient records, both electronic and hard copy, for service users held in a previous and current identity? Including alert systems, quarantining, linking of records, data security, data accuracy, etc.

What systems and policies are in place in relation to services users, new and existing, who refuse to disclose their previous medical history in relation to previous identities and gender reassignment?

What systems and policies are in place regarding service users who obtain a gender recognition certificate?

What systems, reviews and oversights are in place to ensure the trust is reviewing and updating its policies and practices in relation to service users who are or have undergone gender reassignment, those who obtain a gender recognition certificate, and for complying with changes in legal requirements and regulations in relation to gender reassignment?

Yours faithfully,

L-M Nelson (Miss)

freedomofinformation (SUSSEX COMMUNITY NHS FOUNDATION TRUST), Sussex Community NHS Foundation Trust

Dear Miss Nelson,
 
We have received your email dated 05^th February 2020 requesting
information under the Freedom of Information Act 2000.
 
Your request is being dealt with and you will be responded to within
twenty full working days of receipt.
 
Please remember to quote the reference number above in any future
communications.
 
Yours sincerely,
 
Freedom of Information Lead
Sussex Community NHS Foundation Trust
 

show quoted sections

freedomofinformation (SUSSEX COMMUNITY NHS FOUNDATION TRUST), Sussex Community NHS Foundation Trust

4 Attachments

Dear Miss
Nelson,                                                                       

 

Please find the below in response to your Freedom of Information request
dated 05^th February 2020.

What documentation is provided to be completed by service users who begin,
are undergoing, or have completed (including having been assigned a new
NHS number) gender reassignment in order to change their details held by
the trust? There is no documentation for the patient to complete; either
we would ask for a referral from the GP with the new details, or ask the
patient to provide their details so we can electronically search the SPINE
for the record to register the patient in SCFT care.  When a patient
changes gender, to change their details on their electronic patient record
they will be advised to contact their GP surgery, who will request a new
NHS number for them, to create a new record.  Once the new record has been
created in the GP system, Sussex Community Foundation Trust (SCFT)
services will be able to access this via the SPINE to register the new
patient record as being a patient receiving care from SCFT. 

 

What systems are in place in relation to handling patient records, both
electronic and hard copy, for service users held in a previous and current
identity? Including alert systems, quarantining, linking of records, data
security, data accuracy, etc. Please see section 7.12 of our attached
Health Record Keeping Policy. This policy is the Trust’s primary source of
guidance for the management of health information and relates to both
electronic and physical records.  Additionally, please see section 5 of
our attached Standard Operating Procedure for SystmOne (the Trust’s
primary electronic patient record system). Section 5 outlines what our
staff will see when they search for an NHS number that has been made
invalid by the National Back Office.

 

What systems and policies are in place in relation to services users, new
and existing, who refuse to disclose their previous medical history in
relation to previous identities and gender reassignment? Treatment will be
provided using the information available from clinical assessment. 
Patients may not wish to disclose a previous identity / previous medical
history and this may not be relevant for the treatment which they require
from the service. Please also see section 3.1 of the attached Supporting
Trans People Guidelines.

 

What systems and policies are in place regarding service users who obtain
a gender recognition certificate? Please see the attached documents:
Supporting Trans People Guidelines, Standard Operating Procedure for
SystmOne, and Health Record Keeping Policy

 

What systems, reviews and oversights are in place to ensure the trust is
reviewing and updating its policies and practices in relation to service
users who are or have undergone gender reassignment, those who obtain a
gender recognition certificate, and for complying with changes in legal
requirements and regulations in relation to gender reassignment?
The attached Management of Policies, Procedures & Guidelines Policy sets
out the expectations that the policy authors ensure that there is no form
of discrimination within a policy or procedural document, including on the
basis of gender reassignment and for Trans people.

All Policies have an Equality and Human Rights Analysis carried out before
approval and publication - this process will assess the content and ensure
they are inclusive in terms of gender identity. This is part of the
ratification process; policies are then presented to the internal subject
groups (e.g. Terms and Conditions Group or the Medicines Management group
etc) before then proceeding to committee (e.g. the Joint Consultation &
Negotiation Committee) where ratification may then occur.

The Trust also has an LGBT+ Network which is included within the
consultation governance for policies.

 

For information only: The cost to the NHS equated to responding to this
request is £68.75

 

Yours sincerely,

Freedom of Information Lead
Sussex Community NHS Foundation Trust

Brighton General Hospital | Elm Grove | Brighton | BN2 3EW

If you are dissatisfied with the outcome of your enquiry, you have the
right to appeal. Please contact the Information Governance Lead, Sussex
Community NHS Trust, Brighton General Hospital, Elm Grove, Brighton BN2
3EW. Please remember to quote the reference number above in any future
communications.

If you are still not satisfied with the outcome, you can write to:  The
Information Commissioner, Wycliffe House, Water Lane, Wilmslow, Cheshire
SK9 5AF - Telephone: 01625 545700.

 

show quoted sections