<p>Prison Service Instruction 07/2011 sets out NOMS policy on the care and management of prisoners who live or propose to live in a gender other than the one assigned at birth. Prisoners are normally placed according to their legally recognised gender. However, the guidelines allow room for discretion and senior prison staff will review the circumstances of every case in consultation with medical and other experts in order to protect the physical and emotional wellbeing of the person concerned along with the safety and wellbeing of other prisoners.</p><br /><p>A review of the current policy on transgender and transsexual prisoners began earlier this year and revised policy guidance will be issued to reflect NOMS' responsibilties to transgender offenders in the community as well as in custody. The intention is to implement the guidance early in the New Year.</p>