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Hospital apologises to rape survivor for branding her request for same-sex breast-screening medic as transphobic

by Jo Wadsworth
Monday 9 Dec, 2019 at 2:33PM
A A
9
Health campaigners say rise in private surgery undermines services at Brighton hospital


The NHS trust which runs the Royal Sussex has apologised to a rape survivor for including her letter requesting a female-born medic for a breast-screening appointment as an example of transphobia.

Gay rights campaigner Clare Dimyon, 54, went to the hospital just before Christmas last year for the mammogram, and wrote a letter requesting a natal female.

In August, Brighton and Sussex University Hospitals NHS Trust published its new trans policy – and included the letter as an example of “highly discriminatory” correspondence from patients which should be referred to the hospital’s equality diversity and inclusion team.

Both her details and the fact that the letter was written in connection with an intimate procedure had been edited out.

Ms Dimyon told The Sunday Times: “We have an examination which involves clinicians handling your breasts and placing them on a mammography table in order for those pictures to be taken.

“Even on the door they say ‘gentlemen stay outside’, meaning husbands and partners, I suppose, because they recognise this is an intimate examination.”

A spokeswoman for the Royal Sussex said: “We are very sorry for any offence or upset caused by the inclusion of these letters in our equality and diversity guidance and have now removed them.

“Patient care is always our top priority and we recognise that for some patients having clinicians of the same gender is important, particularly if an intimate procedure is required.

“We always work hard to try to meet these wishes and where possible will offer the presence of a same-sex chaperone or the rescheduling of an appointment if we cannot.

“However, it is not possible to guarantee to any patient that they will only be treated by a clinician assigned to a specific gender at birth and, as an organisation that prides itself on our commitment to diversity and inclusion, nor would we wish to do so.

“It is also important that patients see the clinician most skilled to deal with their medical concern. We recognise our employees by the gender they identify as on a daily basis as it is essential that we respect the gender identity of all our staff. 

“Additionally, we have a duty to apply the same principles here as we would if a patient requested clinicians from particular backgrounds/ethnicities or any of the nine characteristics protected by law.”

The case was also raised by University of Sussex philosopher Kathleen Stock, who is part of the A Woman’s Place campaign to preserve same sex spaces for women.

She said: “It’s good that the Brighton and Sussex University Hospital Trust have taken down private patient correspondence, including from a rape survivor, though they should never had it up there in the first place.

“If a female rape survivor consents only to see a female clinician, then this is not an example of discrimination, but a reasonable thing to want in light of her history, and it’s appalling that the trust still doesn’t seem to understand this.

“They talk in their response of ‘diversity and Inclusion’ but it seems they are not interested in thinking about the particular needs of rape survivors in this case.”

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Comments 9

  1. Catherine Folkes says:
    6 years ago

    That is appalling. Of course a woman would want intimate care from another woman. Sex matters, gender is irrelevant.

    Reply
  2. Delia Morris says:
    6 years ago

    What I think is really horrible, a hospital used a patients personal correspondence to them, as a teaching tool. With a mammogram, we strip down to our waist..it actually to me feels more vulnerable than a smear procedure and it last a lot longer as a procedure. I hope all medical people remember the patient is the priority here, not current politics.

    Reply
  3. Jean Taylor says:
    6 years ago

    It’s an abuse of women’s rights if woman has to be a survivor of rape to request a female born medical woman to tend to her needs; every women suffers sexual assault and harassment in the world in one form or another and when it comes to intimate medical procedures like mammograms or Pap smear tests it’s a woman’s right to be treated by a female born woman practitioner if that’s her request and it’s up to the medical facility to meet that request without forcing a woman to have a male born medical staff member of whatever gender to do the procedure.

    Reply
  4. Pingback: Sex matters in a sexist society | Rebel Yarns
  5. Una-Jane Winfield says:
    4 years ago

    Can the hospital Trust please use consistent and CORRECT language? I will pick out the phrases which are of concern:
    – “clinicians of the same gender”: you mean sex, not “gender”
    – “a clinician assigned to a specific gender at birth”: no one is “assigned” a “gender” at birth. The sex of a baby is OBSERVED at birth. We do not toss a coin about this matter, we observe the sex.
    – “the gender they identify as on a daily basis as it is essential that we respect the gender identity of all our staff”: Why is it essential to respect a “gender identity” which only one person, the claimant, wants? What if someone wants to be “identified” as Marlon Brando? Do I have to say: “Oh yes, Mr Brando”? That is insanity. If a male person, 6ft tall, with broad shoulders and stubble, is standing in front of me, I will correctly identify this person as MALE and call HIM “HE”. To do otherwise is absurd. And to force me to call him “she” is compelled speech. With apologies, this person is still “he”.
    The Trust failed to recognise that women patients request a same-sex (female) doctor or nurse for treatment involving secondary sexual organs: “sex and sex”. The other 8 protected characteristics have no place in this equality assessment.
    However, the Trust did get one thing right:
    “same-sex chaperone”: Yes.
    So why don’t they talk about same sex doctors and nurses for intimate care? Women WILL demand them if they need them, and refuse to be fobbed off with the word “gender”. SEX is not “gender” – which is a self-description and impossible to define.

    –

    Reply
  6. Chaz. says:
    4 years ago

    It appears that the braindead wokesters in Brighton and Sussex University Hospitals NHS Trust are emulating their masters in the council.
    Dear lord the embarrassment they cause to their selves as they tie themselves in their own knots.
    Quite shamelessly pathetic and no end to it sadly.

    Reply
  7. Beck Laxton says:
    4 years ago

    Thank you, Una-Jane, for highlighting the problematic language here. It’s very disconcerting to see this coming from health professionals. And of great concern to see staff preferences trumping patient trauma.

    Reply
  8. Clare B Dimyon MBE [LGBt] says:
    3 years ago

    The real issue is that 1-in 5 of the female population have been subjected to rape but most won’t feel able to raise it and will either suffer the psychological detriment by not feeling safe or just not go. Not go while listening to the campaigns wagging their finger at them to go, wanting to go but not being able to express their need in relation to it. The point is no rape survivor should have to disclose, should ever be in this position.

    Currently the NHS (including GP surgeries) makes ZERO provision for rape survivors (or victims) and refuses to use a trauma informed approach which means women go without cervical and breast cancer screening. In fact, the standard method of taking a cervical sample (they are no longer a “smear”) ie flat on your back, seems to be for the ease of the doctor or nurse taking the sample and not for the female patient subjected to it. In fact it is the classic rape position.

    If you want a less exposing method just ask your surgery for #LeftLateral (for right-handed clinicians) or #RightLateral (for right-handed clinicians). Far less exposing, far less embarrassing and for women who have been subjected to rape.

    Reply
  9. Frances says:
    2 years ago

    There’s a provision under equality laws that allows for recruitment and retention of staff of the same gender; it has to be where there’s a justifiable occupational need. For example; a rape crisis centre, a women’s refuge.
    In this situation, it might have possible to say female staff only due to the intimate nature of the work and also because she’s a rape survivor.
    There’s also been another another case where a hospital has refused life saving surgery to a rape survivor unless she agrees to have care from men,women and transgender. She was essentially labelled sexist,discrimatory by the hospital director. She is being held to ramsom; if she wants to live, she has to re-traumatize herself and put her life in the hands of the gender who violated her in the worst way possible.

    Reply

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