Inclusive urological practice: transgender populations

The Nursing and Midwifery Council (NMC) Code (2018) emphasises the fundamental requirement for nurses to deliver compassionate, non-discriminatory care to all individuals, regardless of their background or identity. This expectation extends to the care of transgender individuals, reinforcing the professional obligation to uphold standards that prioritise dignity, respect and equality. Nurses must recognise the unique healthcare needs of transgender people, challenging discriminatory attitudes and ensuring that their practice is inclusive and person-centred. By doing so, nurses contribute to creating safe, supportive healthcare environments where every individual feels valued and respected, in alignment with the NMC's Code and broader principles of human rights and social justice.

The Supreme Court ruling that a woman is defined by biological sex under the Equality Act 2010, will have implications for gender-related policies and practices across health and care sectors. This ruling may be a source of uncertainty and concern for some patients and also for some employees. The NHS is reviewing guidance on same-sex accommodation and, as part of this process, it will have to take into account all relevant legislation. The NHS may potentially offer private rooms to transgender patients, balancing respect for gender identity with legal definitions of sex. The Equality and Human Rights Commission (EHRC), following the UK Supreme Court judgment in For Women Scotland Ltd (Appellant) v The Scottish Ministers (Respondent) [2025], is working to update its statutory and non-statutory guidance. It has produced an interim update on the practical implications of the judgment (EHRC, 2025).