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Medical Records: Gender

Asked by Pippa HeylingsLiberal DemocratDepartment of Health and Social CareTabled Answered 2 April 2025UIN 40897

The question

To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of mandating changes to NHS systems to ensure that it is possible to update the gender marker associated with an NHS number.

Answered by Karin Smyth

Sex and gender identity are not always the same thing, and it is important for patients that we record both accurately. On 20 March 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care instructed the health service to immediately suspend applications for National Health Service number changes for under 18 year olds, to safeguard children.

Taking such action does not prevent the NHS from recording, recognising, and respecting trans people’s gender identity. General practitioners are currently able to rename a patient and manually input preferred pronouns and expressed gender in free text without affecting the formal marker.

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