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TransActual

@transactualuk.bsky.social
12K followers 294 following 1.9K posts

Advocating, informing and empowering. By trans people, for trans people. www.transactual.org.uk Info: info@transactual.org.uk Press: press@transactual.org.uk Social media policy: transactual.org.uk/socials

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TransActual @transactualuk.bsky.social · 5h
Apologies - we have now been informed that the Zoteria app is no longer in operation. Galop are still very much around, so please do reach out to them for support.
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TransActual @transactualuk.bsky.social · 8h
The NHS already has recruitment & retention issues & this guidance will do little to attract or retain trans staff that are vital to providing healthcare services, & are part of the diverse workforce that NHSE claims to value. Read more, including about workplace rights, at www.transactual.org.uk
The NHS already has recruitment and retention issues and this guidance will do little to attract or retain trans staff that are vital to providing healthcare services, and are part of the diverse workforce that NHSE claims to value. These NHS policies are draconian, unnecessary and deeply harmful to trans staff and to our struggling National Health Service.

Read more at www.transactual.org.uk
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TransActual @transactualuk.bsky.social · 8h
will require cuts to services. Patients will suffer, as trans healthcare workers will have to take longer breaks to access the limited facilities they are now allowed to use.
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TransActual @transactualuk.bsky.social · 8h
Trusts & ICBs will carry high litigation risks, both from trans staff protecting their right to a safe working environment & from staff who want to see the exclusion of their colleagues strictly enforced. They may also face significant bills for building works, which without additional investment,
Trusts and ICBs will carry high litigation risks, both from trans staff protecting their right to a safe working environment and from staff who want to see the exclusion of their colleagues strictly enforced. They may also face significant bills for building works, which without additional investment, will require cuts to services.
And patients will suffer, as trans healthcare workers will have to take longer breaks to access the limited facilities they are now allowed to use.
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TransActual @transactualuk.bsky.social · 8h
The 2025 NHS Staff Survey found that a quarter of trans staff working in the NHS had experienced harassment, bullying or abuse from colleagues in the past year.
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TransActual @transactualuk.bsky.social · 8h
The impact of this policy will fall on trans workers, who will be at risk of being ‘outed’ to their peers. Trans people have good reason to wish to keep their trans status private at work.
The impact of this policy will fall on trans workers, who will be at risk of being ‘outed’ to their peers. Trans people have good reason to wish to keep their trans status private at work. Indeed, the 2025 NHS Staff Survey found that a quarter of trans staff working in the NHS had experienced harassment, bullying or abuse from colleagues in the past year.
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TransActual @transactualuk.bsky.social · 8h
but without additional funding attached. In the cash strapped NHS, it seems likely many healthcare settings will not be able to provide the facilities trans staff now need.  Once again, employers are being given impossible instructions & trans people will pay the price.
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TransActual @transactualuk.bsky.social · 8h
The new guidance makes it clear that suitable facilities should be available for trans staff & does not suggest that trans men should use women’s facilities or trans women should use men’s facilities. Instead, trusts and ICBs are encouraged to audit their premises and consider building works,
The new guidance makes it clear that suitable facilities should be available for trans staff and does not suggest that trans men should use women’s facilities or trans women should use men’s facilities. Instead, trusts and ICBs are encouraged to audit their premises and consider building works, but without additional funding attached. In the cash strapped NHS, it seems likely many healthcare settings will not be able to provide the facilities trans staff now need. Once again, employers are being given impossible instructions and trans people will pay the price.
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TransActual @transactualuk.bsky.social · 8h
The guidance tells NHS Trusts & ICBs not to wait for the EHRC Code of Practice for Workplaces, & instead to implement the ‘principles’ in the Code of Practice for Services, Public functions & Associations. The NHS - the UK’s largest employer - is now becoming an unsafe workplace for trans staff.
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TransActual @transactualuk.bsky.social · 8h
Joint statement with @transsolidarity.bsky.social on NHS England’s new guidance on staff use of facilities: Yesterday NHS England published new guidance on NHS staff facilities which bars trans staff from single-sex toilets, changing rooms and shower rooms that align with their lived gender.
The NHS is now becoming an unsafe workplace for trans staff. Yesterday NHS England published new guidance on NHS staff facilities which bars trans staff from single-sex toilets, changing rooms and shower rooms that align with their lived gender. The guidance tells NHS Trusts and ICBs not to wait for the EHRC Code of Practice for Workplaces, and instead to implement the ‘principles’ in the Code of Practice for Services, Public functions and Associations. The NHS - the UK’s largest employer - is now becoming an unsafe workplace for trans staff.The NHS already has recruitment and retention issues and this guidance will do little to attract or retain trans staff that are vital to providing healthcare services, and are part of the diverse workforce that NHSE claims to value. These NHS policies are draconian, unnecessary and deeply harmful to trans staff and to our struggling National Health Service.
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TransActual @transactualuk.bsky.social · 15/10/2026
Joint statement with @transsolidarity.bsky.social
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TransActual @transactualuk.bsky.social · 15/10/2026
NHS England also published guidance around facilities for staff - we will review both documents in depth and publish detailed analysis soon.
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TransActual @transactualuk.bsky.social · 15/10/2026
Please do not delay seeking the healthcare you need.
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TransActual @transactualuk.bsky.social · 15/10/2026
For the trans people reading this: you are entitled to the same standards of NHS care as any other patient. Talk to your doctor and/or nurse about any fears you have around hospital admission, and how the right decision about your ward placement will result in better health outcomes for you.
For the trans people reading this: you are entitled to the same standards of NHS care as any other patient. Talk to your doctor and/or nurse about any fears you have around hospital admission, and how the right decision about your ward placement will result in better health outcomes for you. Please do not delay seeking the healthcare you need. Read more at
www.transactual.org.uk
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TransActual @transactualuk.bsky.social · 15/10/2026
We urge NHS trusts and ICBs to ensure that any changes to local policy and practice centre patient needs and clinical standards first and foremost. Remember your constitutional duty to each and every NHS patient, your commitment to inclusion, and your values.
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TransActual @transactualuk.bsky.social · 15/10/2026
Forcing trans patients into the wrong wards is unnecessary and unsafe - this is a policy that places politics above patient care. It fundamentally undermines our rights as trans patients as well as the principles set out in the NHS Constitution.
Forcing trans patients into the wrong wards is unnecessary and unsafe - this is a policy that places politics above patient care. It fundamentally undermines our rights as trans patients as well as the principles set out in the NHS Constitution. We urge NHS trusts and ICBs to ensure that any changes to local policy and practice centre patient needs and clinical standards first and foremost. Remember your constitutional duty to each and every NHS patient, your commitment to inclusion, and your values.
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TransActual @transactualuk.bsky.social · 15/10/2026
it will also undermine patient/clinician relationships by turning healthcare staff into the gender police.
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TransActual @transactualuk.bsky.social · 15/10/2026
It is unclear how this guidance will be implemented in practice, but in addition to forcing vulnerable trans patients into inappropriate and unsafe spaces, it risks outing and humiliating trans patients who already tend to avoid seeking necessary medical care due our fear of medical discrimination.
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TransActual @transactualuk.bsky.social · 15/10/2026
However, trans patients can still be accommodated on wards that align with our gender on the basis of “clinical need”, and there remain many areas of hospital care that are not segregated on the basis of sex (for example intensive care, and high dependency care).
However, trans patients can still be accommodated on wards that align with our gender on the basis of “clinical need”, and there remain many areas of hospital care that are not segregated on the basis of sex (for example intensive care, and high dependency care). It is unclear how this guidance will be implemented in practice, but in addition to forcing vulnerable trans patients into inappropriate and unsafe spaces, it risks outing and humiliating trans patients who already tend to avoid seeking necessary medical care due our fear of medical discrimination. It will also undermine patient/clinician relationships by turning healthcare staff into the gender police.
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TransActual @transactualuk.bsky.social · 15/10/2026
where these are available. It also instructs hospitals to record and report any situations where this guidance is breached.
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TransActual @transactualuk.bsky.social · 15/10/2026
The new guidance instructs hospitals that wherever services or facilities (like toilets and showers) are provided on a single sex basis, they should be provided on the basis of “biological sex”, with trans patients accommodated either on wards that reflect our sex assigned at birth or in side rooms
The new guidance instructs hospitals that wherever services or facilities (like toilets and showers) are provided on a single sex basis, they should be provided on the basis of “biological sex”, with trans patients accommodated either on wards that reflect our sex assigned at birth or in side rooms where these are available. It also instructs hospitals to record and report any situations where this guidance is breached.
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TransActual @transactualuk.bsky.social · 15/10/2026
NHS England’s new ‘single sex’ hospital wards policy risks relegating trans people in England to wards that do not align with our gender, causing harm, distress and increased clinical risk for trans patients.
NHS England’s ‘single sex’ wards policy “putting politics over patient care” NHS England’s new ‘single sex’ hospital wards policy risks relegating trans people in England to wards that do not align with our gender, causing harm, distress and increased clinical risk for trans patients.
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Reposted by TransActual
ILGA-Europe @ilgaeurope.bsky.social · 15/10/2026
ILGA-Europe welcomes the Hungarian National Assembly’s vote to repeal the anti-LGBTQI provisions introduced by the 2021 propaganda law.
ilga-europe.org
Hungary repeals anti-propaganda law | ILGA-Europe
ILGA-Europe welcomes that the Hungarian National Assembly voted yesterday to repeal the anti-LGBTQI provisions introduced by the 2021 propaganda law. The new legislation is a narrow implementation of ...
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Reposted by TransActual
QueerAF @wearequeeraf.com · 15/10/2026
Our latest investigation revealed that while some NHS gender clinics record when their Trans+ patients die, others do not. Here’s what we know (and what we don’t) 👇 www.wearequeeraf.com/the-deadly-tol…
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Reposted by TransActual
Equality Network @lgbtiscotland.bsky.social · 14/10/2026
There's only a few days left until Joy for All - our accessible, LGBT+, autumn makers market! Join us this Saturday, 17th October, at Portobello Town Hall to shop stalls from local LGBTQIA+ artists, makers and community organisations, do some crafting and meet new people!
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TransActual @transactualuk.bsky.social · 11/10/2026
On National Coming Out Day we celebrate LGBTQ+ people who live their lives out and proud and those who made the coming out process easier for us. We also remember that coming out may not be safe for everyone and work for a world where all those who want to be out can be.
Image shows a progress pride flag. Text reads: National coming out day October 11
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TransActual @transactualuk.bsky.social · 10/10/2026
There has been a lot of confusion recently around trans employees’ rights at work. Here’s what you need to know! transactual.org.uk/law/workplac...
Image shows multicoloured post it notes with a basic outline of a person on each. Text reads: Your Rights 
in the Workplace. There has been a lot of confusion recently around trans employees’ rights at work.
Here’s what you need to know.
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TransActual @transactualuk.bsky.social · 10/10/2026
National Hate Crime Awareness Week is about bringing everyone together to tackle all forms prejudice and hate. If you have experienced LGBT+ hate and would like support you can contact Galop: 📞 0800 999 5428 📧 help@galop.org.uk 💻 galop.org.uk Or by using the Zoteria app
Image shows a sign with the word 'HATE' crossed out. Text reads: National Hate Crime Awareness Week Oct 10th-17th
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QueerAF @wearequeeraf.com · 10/10/2026
Forcing 'impartiality' in classrooms is a Trojan horse for bans on queer lives 👇 www.wearequeeraf.com/forcing-impa...
wearequeeraf.com
Forcing 'impartiality' in classrooms is a Trojan horse for bans on queer lives
Under the guise of ‘impartiality’, right-wing forces are increasingly focused on restricting which topics and perspectives young people have access to
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TransActual @transactualuk.bsky.social · 09/10/2026
Collecting data helps us understand the situation for trans people in the UK and work to improve it. Respond to our Trans Lives Survey 2026 transactual.org.uk/trans-lives-...
transactual.org.uk
Trans Lives Survey 2026 – TransActual
This survey is the 3rd Trans Lives survey, hosted by the non-profit organisation TransActual, and providing vital information on the experiences and views of trans people in the UK. Your answers will…
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TransActual @transactualuk.bsky.social · 09/10/2026
At its core transphobia is a rejection of trans identities or the belief that trans people should not be visible and able to participate in public life. transactual.org.uk/blog/2026/10...
Image shows a trans flag hanging down amongst leaves. Text reads: Transphobia: the data behind discrimination

>> At its core transphobia is a rejection of trans identities or the belief that trans people should not be visible and able to participate in public life.
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Reposted by TransActual
Weird Alex @jackalpants.bsky.social · 09/10/2026
Reminder that "biological sex" is not a thing that exists. It is a legal fiction in every place that refers to it. In the UK, in the equality act, it means "the sex that was written on your original birth certificate." Incidentally, it doesn't matter if that's due to a clerical error.
theguardian.com
‘We were horrified’: parents heartbroken as baby girl registered as male
Parents told Nottinghamshire registrar’s error on birth certificate cannot be changed
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TransActual @transactualuk.bsky.social · 08/10/2026
Every penny donated helps us work toward a world where our organisation no longer needs to exist. It takes two minutes to set up a monthly donation, or make a one-off contribution, to help us continue the fight for trans rights today. tinyurl.com/DonateTransA... #Trans #Transgender #Nonbinary
Text says: Support the fight for trans rights. Donate today. tinyurl.com/DonateTransActual. Illustration of a person with a plait in their hair holding up a sign with a heart in the colours of the trans flag.
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TransActual @transactualuk.bsky.social · 08/10/2026
Thanks for flagging, the link hadn't saved correctly but it's been fixed now
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TransActual @transactualuk.bsky.social · 08/10/2026
Collecting data helps us understand the situation for trans people in the UK and work to improve it. Respond to our Trans Lives Survey 2026 transactual.org.uk/trans-lives-...
transactual.org.uk
Trans Lives Survey 2026 – TransActual
This survey is the 3rd Trans Lives survey, hosted by the non-profit organisation TransActual, and providing vital information on the experiences and views of trans people in the UK. Your answers will…
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TransActual @transactualuk.bsky.social · 08/10/2026
At its core transphobia is a rejection of trans identities or the belief that trans people should not be visible and able to participate in public life. transactual.org.uk/blog/2026/10...
Image shows a trans flag hanging down amongst leaves. Text reads: Transphobia: the data behind discrimination

>> At its core transphobia is a rejection of trans identities or the belief that trans people should not be visible and able to participate in public life.
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TransActual @transactualuk.bsky.social · 08/10/2026
Thanks. We'll post about future campaigns on our social media and our volunteer page will be open again in future.
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TransActual @transactualuk.bsky.social · 08/10/2026
We’re sorry to hear that. If you haven’t yet please consider filling out our Trans Lives Survey: form.typeform.com/to/BRppksJ3
form.typeform.com
Trans Lives Survey 2026
A survey on the experiences and views of trans people in the UK.
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Reposted by TransActual
QueerAF @wearequeeraf.com · 08/10/2026
What our oceans can teach us about natural gender and sex variations 👇 www.wearequeeraf.com/what-our-oce...
wearequeeraf.com
What our oceans can teach us about natural gender and sex variations
In an unpredictable world, fluidity and adaptability are signs of strength, not weaknesses
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TransActual @transactualuk.bsky.social · 07/10/2026
Over 4,000 people have already responded! Can you help us reach more people than ever before? Respond to our Trans Lives Survey today, and share on your social media, so we can get a full picture of the experiences and views of trans people in the UK. form.typeform.com/to/BRppksJ3
A pink and blue graphic with a black and white cartoon of some people on the bottom. 

Text reads: Over 4,000 people have already responded! Can you help us reach more people than ever before?

TRANS LIVES SURVEY

2026

We want to hear about your experiences as a trans person living in the UK.

It's quick, anonymous, and will help us campaign for our community!
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TransActual @transactualuk.bsky.social · 07/10/2026
The EHRC's new Code of Practice is now in effect. Here's what you need to know! transactual.org.uk/know-your-ri... #TransRights #Trans #TransResources
Image of hands waving Trans flags. 

Text reads: Know Your Rights! The EHRC's new code of practice is now in effect. Here's what you need to know.
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TransActual @transactualuk.bsky.social · 06/10/2026
transactual.org.uk/wp-content/u...
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TransActual @transactualuk.bsky.social · 06/10/2026
In May of this year, over 80 clinicians, researchers and academics signed an open letter. In August, Medical Director James Palmer finally responded - yet many of the experts’ most significant concerns remain unaddressed or even acknowledged. This is what they said:
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TransActual @transactualuk.bsky.social · 06/10/2026
We take your privacy very seriously. We will do everything we can to anonymise your data and limit any risk that you could be identified in our write-ups. Please visit transactual.org.uk/blog/2026/09... to find out how we’ll do this, and please get in touch if you have any questions!
transactual.org.uk
Analysing your responses to the EHRC Code of Practice consultation – TransActual
Last year, thousands of you responded to the EHRC’s 2025 Code of Practice consultation. Many of you also shared your responses with TransActual. As you might have seen, we used these to create a…
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TransActual @transactualuk.bsky.social · 06/10/2026
Kat will analyse consultation responses to better understand trans people and our supporters’ concerns, how we talk about ourselves and our lives, and what we want to see from our government and society more broadly. Please visit LINK to find out more.
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TransActual @transactualuk.bsky.social · 06/10/2026
TransActual is working with Dr Kat Gupta, a researcher in Politics, to examine how trans people and our supporters responded to this consultation. Please visit transactual.org.uk/blog/2026/09... for more information.
Text reads: Did you fill out the 2025 EHRC consultation on the revised Code of Practice? 
Are you trans, non-binary or supportive of trans people? 
Are you over 16? 
Do you want to include your consultation response in a research project? 
Visit our website for more details.
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TransActual @transactualuk.bsky.social · 05/10/2026
transactual.org.uk/wp-content/u...
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TransActual @transactualuk.bsky.social · 05/10/2026
In May of this year, over 80 clinicians, researchers and academics signed an open letter. In August, Medical Director James Palmer finally responded - yet many of the experts’ most significant concerns remain unaddressed or even acknowledged. This is what they said:
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TransActual @transactualuk.bsky.social · 05/10/2026
Healthcare experts have signed an open letter to Health Secretary Yvette Cooper escalating concerns over the rationale behind NHS England’s evidence reviews of gender-affirming care for under-18s. Read the full statement here: transactual.org.uk/blog/2026/10...
Text reads: Experts escalate concerns over NHS England’s evidence reviews of gender-affirming care. Healthcare experts have signed an open letter to Health Secretary Yvette Cooper escalating concerns over the rationale behind NHS England’s evidence reviews of gender-affirming care for under-18s.
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TransActual @transactualuk.bsky.social · 04/10/2026
We take your privacy very seriously. We will do everything we can to anonymise your data and limit any risk that you could be identified in our write-ups. Please visit transactual.org.uk/blog/2026/09... to find out how we’ll do this, and please get in touch if you have any questions!
transactual.org.uk
Analysing your responses to the EHRC Code of Practice consultation – TransActual
Last year, thousands of you responded to the EHRC’s 2025 Code of Practice consultation. Many of you also shared your responses with TransActual. As you might have seen, we used these to create a…
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