Estimates suggest there are between 200,000 and 500,000 members of the UK transgender population, but only 5,000 of these certificates have ever been issued.
Nevertheless, Oxleas NHS Foundation Trust said it would class someone as transgender “without ever going to see a doctor”.
A spokesman for NHS Improvement said: “As the guidance on mixed sex accommodation makes clear, decisions should be made in the best interests of all patients and based on the circumstances presented to NHS staff.”
A Stonewall spokesman said: “Everyone accessing healthcare services should be treated with respect, including trans people, who currently face huge levels of abuse in all areas of their lives.
“It’s important NHS trusts are working to ensure trans patients are treated equally because our research shows two in five trans people (37 per cent) avoid treatment for fear of discrimination.”
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