The NHS September 2019 'Delivering Same-Sex Accommodation' updates and replaces previous guidance on the provision and monitoring of same-sex accommodation for patients in the NHS England Estate. 

It is clearly influenced by the Government Equalities Office, which has given advice to the effect that biological sex can be ignored in favour of the self-assertion of patients. This would mean men (adult human males) being able to elect to be accommodated in the female estate. The contrary would also be possible. A further absurdity is the direction - where an unconscious patient is admitted - for staff to accommodate based on a judgement of their 'clothing'. 

Reading the relatively short document https://improvement.nhs.uk/resources/delivering-same-sex-accommodation/ is vital - it indicates the depth and scale of the abandonment of logic and basic safeguarding practice affecting the NHS (and indeed the Government Equalities Office). 

Safety and common logic are being sacrificed on the altar of a dubious ideology of 'gender identity' gaining traction, not insignificantly, in a commercial environment in which 'gender neutral' (in reality 'mixed-sex') offers superficial cost savings. 

The existing incidence of sexual assaults in NHS - psychiatric and otherwise - estate tells us this policy is a certain disaster for the most vulnerable - in almost all cases this means women and girls.