The NHS is failing to meet the needs of transgender adults and children, says a nurse who has first-hand experience both working in a hospital and as a transgender patient.

Kirsty Cass, 53, works at a private hospital in southern England. But in 2012, she was an NHS patient having gender reassignment surgery.

When she woke up from her operation, she remembers a member of staff on the ward referring to her as “he”.