Toilets and changing rooms must be used on basis of biological sex, guidance confirms

• Biological sex must be the basis for toilet and changing room access in public spaces, following recent Supreme Court guidance with implications for healthcare facility policies
• The ruling clarifies legal expectations around sex-segregated facilities, potentially affecting staff protocols and patient experience in clinical settings
• Doctors should ensure their organisations have reviewed policies for toilets, changing facilities, and related spaces to align with this legal framework

The guidance was published on Thursday following the landmark Supreme Court ruling last year.

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