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Evidence from patient surveys and other studies indicates that patients often find themselves sharing sleeping accommodation or toilet and bathroom facilities with members of the opposite sex. For some this will be distressing and/or embarrassing. It is also inconsistent with established commitments to privacy and dignity. Whilst the NHS has made progress, there would appear to be scope to more to ensure delivery. There is a need to consider a broader range of high intensity activities to support the NHS in moving rapidly towards the elimination of mixed sex accommodation.