Thank you for your request for information about the following:

Please provide the following information to me:

1) Any and all in-force policy information pertaining to registering new NHS patients with "indeterminate" sex.

2) Any and all in-force policy information pertaining to processing gender reassignment to "indeterminate" for NHS records of transgender persons.

3) Any and all in-force policy information pertaining to processing gender reassignment to "indeterminate" for NHS records of intersex persons.

4) Any and all documents referenced in information provided as response to items 1, 2, and 3 above.

5) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received since 1 January 2020, as well as any and all documents referenced in said emails.

6) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received between 1 January 2017 and 31 December 2019, as well as any and all documents referenced in said emails.

7) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received between 1 January 2014 and 31 December 2016, as well as any and all documents referenced in said emails.

8) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received between 1 January 2011 and 31 December 2013, as well as any and all documents referenced in said emails.

9) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received between 1 January 2008 and 31 December 2010, as well as any and all documents referenced in said emails.

10) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received between 1 January 2005 and 31 December 2007, as well as any and all documents referenced in said emails.

11) Any and all emails pertaining to policies relevant to the use of "indeterminate" sex on NHS records sent or received between 1 January 2004 and 31 December 2004, as well as any and all documents referenced in said emails.

Please consider smaller numbered items in my request higher priority.

Your request was received on 3 May 2023 and I am dealing with it under the terms of the Freedom of Information Act 2000.

Response

I am writing to advise you that following a search of our paper and electronic records, I have established that the information you requested is not held by the NHS Business Services Authority. This is because the NHS Data Dictionary was not authored by NHSBSA. We therefore do not hold policy information for categorising gender.

It is possible that the NHS Personal Demographics Service at NHS Digital (now part of NHS England) may hold some or all of the information you require. We only receive data from PDS once a gender has been applied and have no influence in the decision making process prior to this. They can be contacted at:

NHS England

PO Box 16738

Redditch

B97 9PT

Telephone 0300 311 22 33

Email: england.contactus@nhs.net

Web http://www.england.nhs.uk/contact-us/foi/

Data Queries

If you have any queries regarding the data provided, or if you plan on publishing the data please contact nhsbsa.foirequests@nhs.net ensuring you quote the above reference. This is important to ensure that the figures are not misunderstood or misrepresented.

If you plan on producing a press or broadcast story based upon the data please contact nhsbsa.communicationsteam@nhs.net. This is important to ensure that the figures are not misunderstood or misrepresented.

The information supplied to you continues to be protected by the Copyright, Designs and Patents Act 1988 and is subject to NHSBSA copyright. This information is licenced under the terms of the Open Government Licence detailed at: http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

Should you wish to re-use the information you must include the following statement: “NHSBSA Copyright 2023” This information is licenced under the terms of the Open Government Licence:

http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

Failure to do so is a breach of the terms of the licence.

Information you receive which is not subject to NHSBSA Copyright continues to be protected by the copyright of the person, or organisation, from which the information originated. Please obtain their permission before reproducing any third party (non NHSBSA Copyright) information.