SEEN in Health @SEENinHealth Twitter profile

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SEEN in Health

4 months

Welcome to SEEN in Health, the Sex Equality and Equity Network for NHS staff. We focus on the protected characteristic of sex. We're open to anyone who works in the NHS who shares our aims and values. Find out more or sign up for updates here

SEEN In Health

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

30 days

SEEN in Health is disappointed that @theBMA is undertaking a Review of the independent #CassReview . As the leading representative body for doctors in the UK, the BMA has a special responsibility in upholding the ethics, standards and professionalism in the medical profession. 1/5

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SEEN in Health

@SEENinHealth

4 months

SEEN in Health's mission is to create an environment in the NHS where staff feel safe and encouraged to discuss issues related to the protected characteristic of sex, so that they can speak up for themselves as employees and on behalf of patients

SEEN In Health

SEEN in Health

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SEEN in Health

@SEENinHealth

3 months

Let’s talk about ovaries These are the female gonad which produces large human gametes: ova and female hormones. Only women have ovarian diseases such as polycystic ovarian syndrome (PCOS) and ovarian cancer. Only women go through the menopause when the ovaries stop releasing ova

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SEEN in Health

@SEENinHealth

3 months

We are seriously concerned by the multiple incorrect claims made in @TheLancet Information for Authors (June 2024) 🧵

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SEEN in Health

@SEENinHealth

3 months

NHS communications must be, at a minimum, factually accurate. This poster is misleading for 2 of the 9 legally protected characteristics Sex is protected, not ‘gender’ Gender reassignment is protected, not ‘trans’ These errors undermine public & staff confidence in the #NHS

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SEEN in Health

@SEENinHealth

3 months

Sex-based rights are protected under the Equality Act 2010, staff who raise concerns about safety, privacy and dignity should not be ignored, belittled or advised to “broaden your mindset”.

Nurses made to share changing room with trans colleague to sue NHS

In a formal complaint, the nurses say they were stunned after the 'sexually active' trans nurse admitted to trying for a baby with a female partner and had stopped taking female hormones.

www.dailymail.co.uk

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SEEN in Health

@SEENinHealth

2 months

We are growing! As the NHS staff network we can do so much to help our employers understand and respect the protected characteristic of sex. Capturing the right information on IT systems is vital. We would love more colleagues working in IT to join us:

Become a member

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

4 months

Let’s talk about sex. Sex is a protected characteristic. It is a characteristic shared by 100% of the population. NHS data collection, EDI training, policy and patient pathways should all refer to sex.

SEEN In Health

SEEN in Health

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SEEN in Health

@SEENinHealth

2 months

The 2024 NHS staff survey findings indicate a concerning trend that female healthcare staff are experiencing unwarranted sexual approaches at a disproportionate rate 1 in every 26 NHS workers report sexual harassment from their work colleagues /1

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SEEN in Health

@SEENinHealth

2 months

SEEN in Health is seeing some disappointing examples of discriminatory policies in various trusts around the country, highlighted by the experiences of the nurses in Darlington.

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SEEN in Health

@SEENinHealth

24 days

We at @SEENinHealth wrote to the Chair of @TheBMA , the doctor’s union, today to express our concern about its decision to publicly critique the Cass Review. Read the full text of our letter

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SEEN in Health

@SEENinHealth

1 month

Let’s talk about abdominal pain There are many causes of abdominal pain that a doctor must consider when seeing someone as an emergency, with the diagnositic complexities that require a good deal of thought and concentration. 1/

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SEEN in Health

@SEENinHealth

1 month

It is vital to know the sex of an individual when they present to a health care setting and we encourage the NHS to ensure accurate recording of sex in the electronic record in every setting. Join us here at 8/8

SEEN In Health

SEEN in Health

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SEEN in Health

@SEENinHealth

3 months

It’s clear from the Adams V ERCC case that women have an explicit right to same-sex intimate care. This is applicable in healthcare too. Staff & all patients who believe in same-sex care must not be punished for this belief.

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SEEN in Health

@SEENinHealth

3 months

It is vital to know the sex of an individual when they present to a health care setting and we encourage the NHS to ensure accurate recording of sex in the electronic record, with recording of gender separately as appropriate. Join us here at

SEEN In Health

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

3 months

Thank you to those of you who have engaged positively with our tweets. We have noted your comments, either on here or on the "Join us" form on our website, and your views are helping shape our next steps as a staff network. To join us, go to

Become a member

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

22 days

Nearly 900 doctors express "dismay" at BMA's decision to challenge puberty blockers ban and criticise Cass Review. Doctors can sign here . Signatures are being verified

SEEN in Health

@SEENinHealth

24 days

We at @SEENinHealth wrote to the Chair of @TheBMA , the doctor’s union, today to express our concern about its decision to publicly critique the Cass Review. Read the full text of our letter

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SEEN in Health

@SEENinHealth

30 days

We are concerned this is an attempt to undermine the findings of the #CassReview - an independent, 4 year review by a leading Paediatrician. We expect the BMA to take contributions from the experience and expertise of its members, including those in SEEN in Health 2/5

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SEEN in Health

@SEENinHealth

30 days

Many of our members are also members of the BMA and we have expertise in Psychiatry, General Practice, Emergency Medicine, Ethics and Law, and in systematic review which would be invaluable in recognising the conflicting rights within the Equality Act 2010, 4/5

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SEEN in Health

@SEENinHealth

30 days

Given the clinical, research and policy expertise of Dr Cass, we would wish to ensure that any such review can be objectively held to the highest standards and does not bring the Union or the profession into disrepute in seeking to critique a 4 year expert review. 3/5

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SEEN in Health

@SEENinHealth

3 months

What are the consequences of desexed / ambiguous language in healthcare? @DrKarleenG details her findings in this peer reviewed paper (free access) We’ve summarised them in this thread:

Frontiers | Effective Communication About Pregnancy, Birth, Lactation, Breastfeeding and Newborn...

www.frontiersin.org

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SEEN in Health

@SEENinHealth

30 days

while also considering the rights and responsibilities of children and young people, parents and clinicians alike. We would like to contribute our experience and expertise to aid the BMA to reach an evidence based child centred conclusion. 5/5

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SEEN in Health

@SEENinHealth

3 months

As NHS staff we are disappointed when the word ‘woman’ is removed as only women are at risk of ovarian cancer. It is crucial that we use clear language so that women from all parts of society are aware of their risks, and to avoid confusion among men and women.

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SEEN in Health

@SEENinHealth

1 month

It is vital that we know the sex of a patient to be able to consider these causes when doctors are already working hard to reach the right diagnosis. Obscured vital information can be the difference between life and death. 6/

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SEEN in Health

@SEENinHealth

3 months

Today is World Blood Donor Day Donors rightly take pride in being able to help others in this way. Without regular blood donations, thousands of people every day would not be able to receive vital emergency or ongoing medical treatment.

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SEEN in Health

@SEENinHealth

3 months

It’s deeply concerning that one of the leading medical journals has chosen to express these untruths whilst encouraging prospective authors to follow suit The accuracy and clarity of future medical publications involving sex-based findings are at risk. In healthcare, sex matters

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SEEN in Health

@SEENinHealth

2 months

Let’s talk about the cervix This is the Macmillan cervical screening awareness week.

Cervical Screening Awareness Week

For Cervical Screening Awareness Week, we answer some common questions about cervical screening, including what to expect at a smear test.

www.macmillan.org.uk

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SEEN in Health

@SEENinHealth

3 months

It was a pleasure to talk with @WomensRightsNet this evening to explain why we felt the need to set up SEEN in Health. We exist because sex inequality exists in NHS workplaces across the four nations. Once we have achieved our mission we will gladly disband.

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SEEN in Health

@SEENinHealth

1 month

SiH believes that clear language is important for communication, accuracy and diagnosis of women and men and to maintain their dignity and safety. 7/

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SEEN in Health

@SEENinHealth

3 months

(1) The guide claims that 'Sex and gender are often incorrectly portrayed as binary, concordant and static'. There are only two sexes and they are immutable. 'Gender' is the socially constructed stereotypical behaviours applied to people based on sex.

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SEEN in Health

@SEENinHealth

3 months

It is vital to know the sex of an individual when they present to a health care setting with abdominal or genitourinary symptoms and we encourage the NHS to ensure accurate recording of sex in the electronic record.

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SEEN in Health

@SEENinHealth

3 months

The NHS is a key election battleground. NHS staff alone account for nearly 2M votes. All parties must understand the importance of the protected characteristic of sex, sex equality & equity in healthcare; not least for patient and staff safety SEEN & voters are watching #GE24

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SEEN in Health

@SEENinHealth

3 months

@SEENinHealth acknowledges the immutable characteristic of sex. Sex is not an assignation at birth, rather an observed fact.

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SEEN in Health

@SEENinHealth

1 month

A tragedy occurred when the sex of the patient with abdominal pain was not obvious, pregnancy was not suspected and the baby died before birth: 5/

The Power and Limits of Classification — A 32-Year-Old Man with Abdominal Pain | NEJM

A 32-year-old transgender man, presenting with severe lower abdominal pain and hypertension, is classified as a man who hasn’t taken his blood-pressure medications. When examined several hours late...

www.nejm.org

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SEEN in Health

@SEENinHealth

3 months

It was a pleasure to meet with the Rt Hon. @EstherMcVey1 & other Sex Equality and Equity Network (SEEN) representatives from across the country, in Parliament yesterday. We are grateful for the opportunity and it is encouraging to know we are not alone and are being heard.1/3

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SEEN in Health

@SEENinHealth

3 months

Women who have been pregnant can have antibodies in their blood that could cause harm to a recipient when receiving platelets and plasma, so men’s donations are easier to use than blood from women:

Why men should donate blood

We need more men to become blood donors. Men can donate every 12 weeks.

www.blood.co.uk

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SEEN in Health

@SEENinHealth

30 days

Join us here at

SEEN In Health

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

3 months

It is deeply offensive to suggest that they are somehow a third sex and that their medical conditions are an 'identity'.

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SEEN in Health

@SEENinHealth

2 months

It is incredulous that an NHS Trust denied the rape of a patient for a year because the trust reprehensibly prioritised the gender-identity of the alleged attacker over the female victim These are just a few examples that have allegedly occurred in NHS Hospitals /7

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SEEN in Health

@SEENinHealth

3 months

(2) “…these constructs exist along a spectrum that includes additional sex characterisations and gender identities, such as people who are intersex/ have differences of sex development” Sex is not a spectrum. People with differences of sex development are still male or female:

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SEEN in Health

@SEENinHealth

3 months

🧵 @SEENinHealth welcomes the legislation passed before government dissolves for the election, which is prohibiting the private UK or overseas prescribing of puberty blockers for under 18s (subject to consultation to make permanent)

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SEEN in Health

@SEENinHealth

4 months

SEEN in Health is run by volunteers. If you’d like to know more about what we do, check out our website and sign up to be on our mailing list.

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SEEN in Health

@SEENinHealth

3 months

(3)“In any given person, sex and gender might not align, and both can change” As we have said, gender is socially constructed. Sex, however, is immutable and absolutely cannot change.

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SEEN in Health

@SEENinHealth

2 months

We have just published our response to the consultation on the NHS Constitution. We encourage everyone who works in the NHS or uses its services to submit a response. See our submission here:

NHS Constitution Consultation Response

SEEN in Health

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SEEN in Health

@SEENinHealth

1 month

Sex-specific causes in women include ovarian torsion, pelvic inflammatory disease, ectopic pregnancy, other complications of pregnancy and, of course, going into labour. In men, testicular conditions such as torsion or infection can present with abdominal pain. 4/

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SEEN in Health

@SEENinHealth

3 months

REMINDER If you've got any examples of public bodies with policies or guidance that wrongly suggest that people can access single sex spaces based on self-identified gender, you can still submit them, despite the election.

Call for input: single-sex spaces guidance

Please take the time to complete our survey. Your feedback is important.

www.smartsurvey.co.uk

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SEEN in Health

@SEENinHealth

3 months

The requirements for donating blood are different to ensure that women are not put as health risks. Women with a shorter stature under 65kg might not be able to donate, and women can only donate every 16 weeks minimum while men can donate every 12 weeks as they recover faster.

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SEEN in Health

@SEENinHealth

3 months

Women of childbearing potential requiring blood components need to be matched for Rhesus factor and Kell factors, to help prevent haemolytic disease of the newborn in future pregnancies. Men, however, can receive a wider range of blood types.

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SEEN in Health

@SEENinHealth

3 months

Additionally, @TheLancet advises authors to use the phrase “sex assigned at birth” rather than “biological sex” or “natal sex”; claiming this is more “accurate”. However, there is no single, universally agreed-upon set of guidelines reporting sex-based findings.

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SEEN in Health

@SEENinHealth

2 months

Michelle Russell, an experienced, specialist nurse was one such female sexually harassed by a male work colleague. Her own Trust’s investigation into these allegations were deemed ‘catastrophically flawed’ by NHS England: /2

Nurse reveals sexual harassment and whistleblowing ‘nightmare’

A nurse has warned that she has been “crushed and silenced” over a battle with the NHS and the n...

www.nursingtimes.net

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SEEN in Health

@SEENinHealth

1 month

Abdominal pain can also be caused by conditions outside the abdomen such as pneumonia, a heart attack or even a skin condition such as shingles (I saw one of these last week). 3/

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SEEN in Health

@SEENinHealth

2 months

@SEENinHealth are aware of many more. These incidents depict the sobering reality facing UK healthcare staff and patients, these are the real life consequences of failing to safeguard the protected characteristic of sex in health #BeSEEN /8

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SEEN in Health

@SEENinHealth

3 months

Ovarian Cancer Action website has lots of great information on the condition and we support their clear sex based language. Ovarian cancer can present with persistent symptoms of bloating, stomach pain, feeling full more quickly and needing to wee more frequently.

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SEEN in Health

@SEENinHealth

3 months

Welcome to the SEEN community @LocalAuthSEEN 👏🏼 👏🏼 🚹🚺 We’re a growing network of staff groups committed to sex equality and equity in all areas of society.

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SEEN in Health

@SEENinHealth

2 months

Again, the concerns raised by a group of female nurses were repeatedly ‘brushed aside’ by @CDDFTNHS when they were forced to share their changing room with a male colleague /3

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SEEN in Health

@SEENinHealth

3 months

But did you know that there are very important differences in the way that blood donations from men and women are handled?

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SEEN in Health

@SEENinHealth

1 month

There’s obvious ones: appendicitis, constipation, GI infections which make up the bulk of what is seen. Then there's hernias, torsion (twisting) of the bowel, pancreatitis, or gall bladder disease, and more subtle conditions such as abscess, bowel ischaemia or aortic aneurysm. 2/

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SEEN in Health

@SEENinHealth

2 months

Similarly, provision to single-sex wards is fundamental in safeguarding patients from sexual assault too: /6

Hospital told police patient was not raped because alleged attacker was transgender

Assault was confirmed through CCTV and witnesses despite previous denials, Lords told, as debate on single-sex wards policy continues

www.telegraph.co.uk

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SEEN in Health

@SEENinHealth

2 months

/4

Nurses forced to share changing room with trans colleague - Christian Concern

Courageous female nurses are speaking publicly following the launch of a landmark legal case against an NHS Trust after they were told they needed to ‘broaden their mindset’ and be more ‘inclusive’,...

christianconcern.com

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SEEN in Health

@SEENinHealth

2 months

Vulnerable women who have experienced sexual abuse and international staff with protected religious beliefs were amongst this group of nurses /5

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SEEN in Health

@SEENinHealth

2 months

It is vital to know the sex of an individual when they present to a health care setting and we encourage the NHS to ensure accurate recording of sex in the electronic record. Join us here at

SEEN In Health

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

3 months

These are also symptoms of common and much less serious conditions. See here for more information:

The UK's Leading Ovarian Cancer Research Charity

We're Ovarian Cancer Action, the UK's leading ovarian cancer research charity. We live and breathe this lifesaving ovarian cancer research. We fund more ovarian cancer research than any other UK...

ovarian.org.uk

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SEEN in Health

@SEENinHealth

3 months

#MentalHealthWeek In 2022 @ONS reported that males continued to account for 3/4 of suicide deaths. Accurate sex recording in healthcare is crucial to ensure services are supporting the appropriate demographic @SEENinHealth is committed to achieving sex equality in healthcare 🚻

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SEEN in Health

@SEENinHealth

2 months

It is important that all NHS bodies are aware of their legal responsibilities to review their policies in light of legislation which balances the rights of different groups.

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SEEN in Health

@SEENinHealth

3 months

Sex matters and is protected under the Equality Act 2010 yet this is not universally recognised, nor supported in practice, across our NHS employers, professional bodies or public sector unions.3/3 #SEEN #strongertogether #SexMatters #NHS

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SEEN in Health

@SEENinHealth

3 months

Join us here at #thewordiswoman

SEEN In Health

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

2 months

SiH believes that clear language is important for communication, accuracy and dignity of women and men when we talk about female and male anatomy.

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SEEN in Health

@SEENinHealth

3 months

We believe the misguided attempts of inclusivity at the expense of women must end. Sex is a protected characteristic and mustn’t be erased or replaced with the term ‘gender’ @SEENinHealth is committed to sex equality in healthcare and we support the use of accurate sexed language

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SEEN in Health

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3 months

“I support @SEENinHealth because sex matters” 🧵 The NHS needs to be more sex considerate, and so do our patients. I am relieved Constitutional changes are proposed to support this but more needs to be done at operational, strategic and policy level 1/9 #BeSEEN #NHS

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SEEN in Health

@SEENinHealth

2 months

The cervix is the neck of the uterus, an extraordinary structure is unique to females with no similar male structure, as it develops from the Mullerian structures which are suppressed in male development.

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SEEN in Health

@SEENinHealth

2 months

The cervix of the uterus is not synonymous with front hole: anatomically a front hole, a ventral orifice, is the urethral meatus, very different from the unique structure of the cervix, being the internal structure sitting at the top of the vagina that forms part of the uterus.

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SEEN in Health

@SEENinHealth

2 months

@SEENinHealth looks forward to the newly elected Labour Govt ensuring the protected characteristic of sex is upheld in healthcare. Patients and staff both have sexed based rights which must be respected./1

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SEEN in Health

@SEENinHealth

19 days

@SEENinHealth commends @Telegraph and @DerryBanShee for highlighting the concerning ideological capture of the @SCoRMembers ‘inclusive pregnancy status’ guidelines and the devastating impact they have on patients 🧵 1/7

NHS staff told to ask men if they are pregnant before X-rays

archived 10 Aug 2024 19:18:05 UTC

archive.ph

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@SEENinHealth

2 months

After years of progress in which the public in general and women specifically have become more knowledgeable about their own anatomy we are disappointed that there is now a regression to using inaccurate terms.

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SEEN in Health

@SEENinHealth

3 months

@seeninhealth are committed to protecting the sex-based rights of all healthcare staff - we encourage all staff involved and those who are concerned to join our network for support:

Become a member

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

3 months

The goal of Men’s Health Week is to raise awareness around the health challenges faced by men and reducing stigma around those challenges. Men are less likely to discuss or seek help for their physical or mental health and many men find it difficult to open up and reach out.

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#BeSEEN

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We discussed the negative impact of poorly implemented EDI policies and practices, the current culture of fear in our professional and personal communities and the importance of impartiality in the NHS.2/3

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SEEN in Health

@SEENinHealth

3 months

@SeenStem If you work in healthcare and believe in representing the specific sex-based needs of different staff and patient groups, please join us:

Become a member

SEEN in Health

seeninhealth.org

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@SEENinHealth

2 months

SiH is aware that words other than anatomically correct terms are being used to describe female body parts.

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SEEN in Health

@SEENinHealth

13 days

Yesterday was ROGD awareness day, Rapid Onset Gender Dysphoria, a condition first noticed to affect teenage girls, but also affects boys.

#ROGDAwarenessDay: What It Is and Why You Should Care — Genspect

Amidst the ongoing onslaught of transgender media coverage and public discussion on gender and sexuality, a new push for understanding has emerged from inquisitive parents and therapists. Genspect is...

genspect.org

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SEEN in Health

@SEENinHealth

2 months

SEEN in Health would like to wish @England the best of luck in Berlin tonight. True equality is winning both the women's and men's Euros! ⚽️🏆 #ESPENG #EUROS2024 #EurosFinal

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@SEENinHealth is a staff network representing the protected characteristic of sex in healthcare. We’re a small part of a wider #SEEN community that promotes sex equality and equity Here’s some of our colleagues who are doing great work in their field 🧵 1/11

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Cervical cancer can develop in women, particularly if they have been infected with certain types of HPV virus. It is important to have screening for this infection and for abnormal cells in the cervix as this cancer is very treatable if caught early.

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3 months

Let’s talk about prostates. This is a gland only found in men, and it is retained even if a trans identified male has had surgery to remove male genitalia.

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@SEENinHealth

2 months

The cervix is short thick, mostly tightly closed except during labour when it thins, stretches and dilates up to 10cm to allow that passage of the baby’s head and body. Miscarriage can be caused by cervical insufficiency if it is unable to keep tight closed in pregnancy.

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SEEN in Health

@SEENinHealth

2 months

There have been a number of such cases that have come to court, and Trusts risk public money when they don’t abide by the law. #BeSEEN

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@SEENinHealth

3 months

Although different approaches to terminology in healthcare remaining respectful may be required depending on the context, @DrKarleenG suggests inclusivity statements or definitions in circumstances where desexing language isn’t appropriate because of the confusion it introduces.

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SEEN in Health

@SEENinHealth

3 months

Referring to ‘chests’ rather than ‘breasts’ regarding breastfeeding is medically inaccurate. Chest = everything within the ribcage, breast = mammary glands.

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SEEN in Health

@SEENinHealth

3 months

There has been an incremental creep of desexed language within healthcare communications. For example, replacing ‘Mothers’ & ‘Women’ with ‘Birthers’ & ‘Menstruators’, respectively. Desexing language in relation to males occurs less frequently.

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SEEN in Health

@SEENinHealth

4 months

In 2022 the Women's Health Strategy was launched. @lregan7 was appointed the first women's ambassador for England. The strategy can help organisations promote sex equality and equity by improving training, policies and services for women. 1/9

Women’s Health Strategy for England

Details the government’s 10-year ambitions and the actions we are taking now to improve the health and wellbeing of women and girls in England.

www.gov.uk

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SEEN in Health

@SEENinHealth

3 months

The ambiguous alternative terms used involving body parts e.g. ‘cervix havers’ is perceived as dehumanising and ‘invisiblising women’. Women have unique experiences, needs and rights in relation to pregnancy, birth and breastfeeding that are not, and cannot, be shared with others

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SEEN in Health

@SEENinHealth

3 months

New mothers, pregnant & birthing women have unique vulnerabilities and also require protection. Each day, approx 810 women die during pregnancy worldwide (WHO). Postpartum psychosis affects 1-2/1000 mothers and is a leading cause of maternal death through suicide

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@SEENinHealth

3 months

The intention behind this is to acknowledge women with a gender identity alternative to their natal sex, a strategy championed by EDI departments. However, the unintended consequences of this on other women are often not deliberated resulting in sex-based rights being overlooked

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SEEN in Health

@SEENinHealth

3 months

Who are ‘postnatal people’? Are they the mothers who’ve just given birth or the healthcare staff providing postnatal care? Who are ‘breastfeeding people’? Are they the mother or the infant, or both?

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SEEN in Health

@SEENinHealth

3 months

Misleading language introduces inaccuracies and creates confusion. E.g. “1 in every 8 people develop breast cancer”. “1 in every 10 people have endometriosis”

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SEEN in Health

@SEENinHealth

4 months

Today is National ODP (Operating Department Practitioners) Day, thank you to our amazing ODPs, our theatres cannot run without you. Registrants are increasingly female (64%) in this allied health profession #ODPday

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SEEN in Health

@SEENinHealth

2 months

Join us here at

SEEN In Health

SEEN in Health

seeninhealth.org

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SEEN in Health

@SEENinHealth

3 months

It is vital to know the sex of an individual when they present to a health care setting with genitourinary symptoms, and we encourage the NHS to ensure accurate recording of sex in the electronic record.

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