
Dr Upton did not sexually harass Sandie Peggie says official
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Ms Peggie, an A&E nurse at Victoria Hospital in Kirkcaldy, is suing her employer after being suspended following a confrontation with the transgender medic on Christmas Eve 2023.
When she entered the changing room and saw Dr Beth Upton, she said, in her view, the medic was a man and should not be in the room.
Dr Upton made a formal complaint shortly afterwards.
Following their complaint, Ms Peggie was placed on 'special leave' in late December 2023 and suspended in January 2024, pending an investigation into 'alleged unwanted behaviours towards another member of NHS Fife staff'.
During the subsequent investigation, Dr Upton made further allegations about Ms Peggie, including a claim she left a patient 'unseen'.
All four gross misconduct allegations were dismissed by NHS Fife on Tuesday following an investigation.
Ms Malone told the tribunal that Ms Peggie had raised concerns in August 2023 by email.
NHS Fife had taken advice at the time, she said, and determined that Dr Upton was entitled to use the female changing room.
Ms Malone told the tribunal: 'I find it unacceptable that any colleague would confront another colleague in the manner described.
'I think that was already raised back in August. I wouldn't have expected that to be face-to-face on Christmas Eve.'
She added: 'The female changing room was not the right space to raise concerns.'
Asked by Ms Peggie's counsel, Naomi Cunningham, whether there was any way for Ms Peggie to express her views about sharing facilities with a trans colleague without facing discipline, Ms Malone said: 'I believe there were other options. She should have taken it to her line manager.'
Later, during further questioning, Ms Cunningham asked: 'So it was discriminatory to raise the issue at all?'
Ms Malone replied: 'Yes.'
The tribunal also heard evidence about the decision to suspend Ms Peggie. Ms Malone said this had followed a risk assessment conducted by the nurse's line manager, Esther Davidson.
When asked whether she had seen the risk assessment herself, she said: 'I can't recall.'
A document from NHS Fife HR discussed the matter, stating: 'We discussed suspension being last resort and options to mitigate risk… Esther felt it would be almost impossible to keep them apart so spoke to Gillian Malone… she believes there is a patient safety issue due to seriousness of the allegation and therefore wishes to suspend.'
Ms Cunningham suggested this showed Ms Malone was 'essentially behind the decision to suspend.'Ms Malone insisted: 'It was Esther who completed the risk assessment.'
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The hearing also raised questions about how the internal investigation was handled, particularly regarding confidentiality.
The tribunal heard that on December 29, 2023 — four days before Ms Peggie was suspended — Dr Kate Searle, Dr Upton's line manager, emailed more than 20 NHS consultants with Dr Upton's version of events.
Ms Malone said she disagreed with that decision.
'It should not have been handled in that way,' she said.
Ms Malone agreed it was inappropriate, though she did not directly respond to a question about whether the 'integrity and confidentiality' of the investigation had been 'hopelessly lost'.
Ms Cunningham contrasted this with the treatment of Ms Peggie, suggesting there had been an effort to prevent her from discussing the case or speaking to colleagues who may have shared her concerns.
The tribunal was shown an email referencing a July 2024 media inquiry, which although not naming either party, discussed the case in detail. Ms Peggie was later reminded of her duty to maintain confidentiality.
Ms Malone rejected that suggestion, saying she did not believe Ms Peggie's gender-critical views were being 'intentionally suppressed'.
The tribunal also heard Ms Malone agree that there are two biological sexes and that sex is a 'medically salient fact'.
Ms Cunningham asked Ms Malone about a hypothetical male NHS worker called Peter, who walked in on a female colleague changing. She asked the manager if that violated boundaries and if she thought it was an example of sexual harassment.
Ms Malone said it was unwanted behaviour and harassment.
Ms Cunningham then asked if a male member of staff had installed a webcam in the female changing room, whether that would count as sexual harassment.
She said it would and she agreed he would be suspended.
Ms Cunningham then asked what would happen if Peter said he was a woman — would the investigator say he was obviously a man and not trying to change?
Ms Malone agreed.
During re-examination by counsel for NHS Fife, Jane Russell KC, Ms Malone was asked if, based on her knowledge of the allegations on Christmas Eve, she believed Dr Upton had sexually harassed Ms Peggie.
The witness said: 'No, I don't believe Dr Upton sexually harassed Ms Peggie. I believe it was unacceptable behaviours, unprofessional behaviours, which warranted investigation.'
The tribunal continues.

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Times
an hour ago
- Times
Trans row nurse Sandie Peggie was viewed as misbehaving, lawyer claims
A veteran nurse was viewed as 'misbehaving' for refusing to share a female changing room with a transgender doctor, her lawyer has claimed in a landmark tribunal. Dr Kate Searle, an A&E consultant, recalled being told about two occasions when Sandie Peggie left the women's changing facilities at Victoria Hospital, Kirkcaldy, when Dr Beth Upton entered, causing the doctor to feel 'uncomfortable'. She said that Peggie could have been reported to her manager, but Upton, who is biologically male but identifies as female, deciding against pursuing the matter further. Peggie confronted Upton on the third occasion on which they met in the female-only space, on Christmas Eve 2023, claiming the doctor had no right to be there. This led to Peggie's suspension from work and an 18-month internal investigation, in which the nurse was cleared last week. Peggie had been warned that she could have been sacked, after a 30-year career, had the health board found against her. The nurse is taking action against NHS Fife and Upton, claiming she faced harassment and discrimination as a result of the changing rooms policy. Searle was Upton's line manager and, giving evidence on Tuesday, said that the doctor had informed her about the two occasions, in August and October 2023, in which Peggie had left the changing room when Upton entered, without saying anything. Documentation showed that Upton had been given the option by Searle to 'take the matter further' in late October that year. Searle said that, had Upton pursued this option, it could have meant an informal conversation 'between parties' or talking to Peggie's manager. 'At the time you discussed this with Dr Upton both you and he [Upton] considered Sandie's choice to remove herself from the changing room if he was there, to be misbehaving, didn't you?' Naomi Cunningham, Peggie's lawyer, said. 'She was behaving badly and making him [Upton] feel uncomfortable.' Searle replied: 'Beth felt uncomfortable that Sandie appeared to not want to engage, she was the only one behaving like this and that was why Beth felt uncomfortable with someone behaving differently like that. I don't agree we would have classed it as misbehaviour.' The tribunal has previously been told how Searle rallied behind Upton after the doctor raised a formal complaint about the changing room row. Upton later took sick leave due to the anxiety resulting from the confrontation. The consultant said she had checked when introducing Upton to the department, in August 2023, that the doctor was comfortable using the female facilities. Searle agreed with Cunningham that she had proceeded on the basis that it wasn't 'anyone else's business' whether Upton, who began transitioning to live as female in January 2022, was going to use the women's changing room or not. 'Beth identifying as a female has every right, under the Equality and Human Right Commission Act [sic] to use the facilities under the gender in which she identifies,' Searle said. However, she went on to admit that many women may feel uncomfortable about taking their clothes of in the presence of a man. Cunningham put it to Searle that her suggestion that she might have facilitated a conversation between the nurse and Upton 'about why she wasn't willing to take her clothes off in a room that he was present in' would have been 'a very long way from kind or compassionate' to Peggie. The consultant had earlier said possible approaches to resolve the situation of Peggie leaving the changing rooms when Upton entered could have involved a discussion of 'views between people' or a speaking to Peggie's 'line manager.' Searle added: 'That's not how I would have directly approached them nor how I did directly approach it. I was suggesting ways that you might manage a situation when two parties are uncomfortable. 'We would have discussed, if Dr Upton felt very uncomfortable and it was affecting them in coming to work, then it would have been appropriate to take it further, whether it's just a discussion between parties to say how can we work through this together, with compassion and kindness and to make sure everyone is safe.' Cunningham put it to Searle that Peggie was clearly feeling uncomfortable with sharing facilities with Upton, after being told about the two occasions in which the nurse self-excluded from female changing rooms. The lawyer asked: 'What steps did you take to offer her any compassion or kindness?' Searle replied: 'I didn't make that approach.' Meanwhile, Searle was also confronted with emails between witnesses involved in the investigation into Peggie's conduct. An email sent on January 5, 2024, stated that 'information must not be shared outside this group as risk of foot in mouth syndrome — it is quite a serious risk of foot in mouth syndrome'.' Searle said 'in hindsight we should not have written these things' but denied deliberately attempting to 'conceal the wrongdoing of colleagues.' The email had not been provided initially in disclosures of evidence by NHS Fife. The tribunal continues.


North Wales Chronicle
7 hours ago
- North Wales Chronicle
Consultant believed dispute over female changing rooms ‘was hate incident'
Sandie Peggie was suspended after she complained about having to share a changing room with transgender medic Dr Beth Upton at Victoria Hospital, Kircaldy, Fife, on Christmas Eve 2023. She was placed on special leave after Dr Upton made an allegation of bullying and harassment and cited concerns about 'patient care'. Ms Peggie has lodged a claim against NHS Fife and Dr Upton, citing the Equality Act 2010, including sexual harassment; harassment related to a protected belief; indirect discrimination; and victimisation. The tribunal resumed in Dundee on July 16 after an initial set of hearings in February. On Tuesday, Dr Kate Searle, a consultant in emergency medicine, said that Dr Upton was 'very open' about their trans status during a job interview, and had been out for around a year in August 2023, the tribunal heard. Dr Searle said that she had known Ms Peggie during her 11-year career at NHS Fife but was unaware of her gender critical views, and had asked Dr Upton 'if she was happy using female changing rooms' in August 2023 during an induction and 'didn't make any other suggestions'. She said she emailed equality lead Isla Bumba on December 8 2023 to ask if NHS Fife had a transgender policy but was told it did not. Dr Searle said: 'I asked her if she was happy using female changing rooms, she said yes, I had nothing else to add.' She said she emailed Ms Bumba as 'we've got our first transgender doctor working, there's very little information available', hoping there would be an NHS Fife policy on 'supporting transgender staff in their workplace', the tribunal heard. On her return to work after Christmas, on December 29 2023, Dr Searle read an email from Dr Elspeth Pitt regarding an 'upsetting interaction with another member of staff' and an email from Dr Upton from Christmas Day, alleging Ms Peggie had told her 'she can't be in the female changing room, it's wrong and lots of others feel this way' and 'she continued to tell me she is intimidated, she told me women have a right to feel safe', and made a comment about 'prisons', the tribunal heard. Dr Searle said: 'To me that was likening the situation to the Isla Bryson case that was very well publicised. Isla Bryson was a convicted rapist who was housed temporally in a female prison.' She said she was 'very concerned' and 'knew there wasn't an NHS Fife policy', adding that 'according to the hate incident policy it is verbal harassment', the tribunal heard. She said she had a meeting with Dr Upton at 5pm who was 'shaken and distressed', and they completed a Datix internal report together. Dr Searle said: 'We looked at NHS Fife's hate incident policy and recognised this required a Datix to be completed, so we completed that together, we discussed reporting the incident to the police as that's again what is recommended in NHS Fife policy. 'Beth said she would think about it, we looked at her shift patterns to see when she was next due to be in and if she felt safe to do that.' She added that Dr Upton 'mentioned two other incidents she had had with Sandie where she had felt the interaction was affected by Ms Peggie's feelings towards her as a transgender woman', and alleged that in one incident in a resuscitation unit 'Ms Peggie was doing nursing obs (observations) on a patient; when Beth walked in Ms Peggie left. Beth said 'do you want me to finish doing obs?', Ms Peggie said 'you can finish doing them yourself', and left the room', the tribunal heard. She alleged that another incident involved a patient in a suspected mental health crisis leaving, and said that when Dr Upton went to look for Ms Peggie, the nurse 'would only speak to her through another member of nursing staff', the tribunal heard. Dr Searle said: 'That would make me somewhat concerned for patient safety; in our team we need to communicate very well between ourselves to ensure patient safety.' She said she had spoken to the healthcare worker, and added: 'I asked if she recalled the situation and she was concerned about getting involved in any discussions about the incident because she said 'I am mixed race and I am worried about getting involved in this for my own safety'.' Counsel for both respondents, Jane Russell KC, said: 'What do you think she meant?' Dr Searle said: 'This legal case where there is a lot of press attention and any staff being involved in the case have felt under scrutiny and concerned that their views will be widely publicised when they wouldn't otherwise.' She said she completed the Datix as 'NHS staff must record all hate incidents' and added: 'We talked about reporting to the police, that's mentioned for hate incidents.' The tribunal continues.

Rhyl Journal
10 hours ago
- Rhyl Journal
Consultant believed dispute over female changing rooms ‘was hate incident'
Sandie Peggie was suspended after she complained about having to share a changing room with transgender medic Dr Beth Upton at Victoria Hospital, Kircaldy, Fife, on Christmas Eve 2023. She was placed on special leave after Dr Upton made an allegation of bullying and harassment and cited concerns about 'patient care'. Ms Peggie has lodged a claim against NHS Fife and Dr Upton, citing the Equality Act 2010, including sexual harassment; harassment related to a protected belief; indirect discrimination; and victimisation. The tribunal resumed in Dundee on July 16 after an initial set of hearings in February. On Tuesday, Dr Kate Searle, a consultant in emergency medicine, said that Dr Upton was 'very open' about their trans status during a job interview, and had been out for around a year in August 2023, the tribunal heard. Dr Searle said that she had known Ms Peggie during her 11-year career at NHS Fife but was unaware of her gender critical views, and had asked Dr Upton 'if she was happy using female changing rooms' in August 2023 during an induction and 'didn't make any other suggestions'. She said she emailed equality lead Isla Bumba on December 8 2023 to ask if NHS Fife had a transgender policy but was told it did not. Dr Searle said: 'I asked her if she was happy using female changing rooms, she said yes, I had nothing else to add.' She said she emailed Ms Bumba as 'we've got our first transgender doctor working, there's very little information available', hoping there would be an NHS Fife policy on 'supporting transgender staff in their workplace', the tribunal heard. On her return to work after Christmas, on December 29 2023, Dr Searle read an email from Dr Elspeth Pitt regarding an 'upsetting interaction with another member of staff' and an email from Dr Upton from Christmas Day, alleging Ms Peggie had told her 'she can't be in the female changing room, it's wrong and lots of others feel this way' and 'she continued to tell me she is intimidated, she told me women have a right to feel safe', and made a comment about 'prisons', the tribunal heard. Dr Searle said: 'To me that was likening the situation to the Isla Bryson case that was very well publicised. Isla Bryson was a convicted rapist who was housed temporally in a female prison.' She said she was 'very concerned' and 'knew there wasn't an NHS Fife policy', adding that 'according to the hate incident policy it is verbal harassment', the tribunal heard. She said she had a meeting with Dr Upton at 5pm who was 'shaken and distressed', and they completed a Datix internal report together. Dr Searle said: 'We looked at NHS Fife's hate incident policy and recognised this required a Datix to be completed, so we completed that together, we discussed reporting the incident to the police as that's again what is recommended in NHS Fife policy. 'Beth said she would think about it, we looked at her shift patterns to see when she was next due to be in and if she felt safe to do that.' She added that Dr Upton 'mentioned two other incidents she had had with Sandie where she had felt the interaction was affected by Ms Peggie's feelings towards her as a transgender woman', and alleged that in one incident in a resuscitation unit 'Ms Peggie was doing nursing obs (observations) on a patient; when Beth walked in Ms Peggie left. Beth said 'do you want me to finish doing obs?', Ms Peggie said 'you can finish doing them yourself', and left the room', the tribunal heard. She alleged that another incident involved a patient in a suspected mental health crisis leaving, and said that when Dr Upton went to look for Ms Peggie, the nurse 'would only speak to her through another member of nursing staff', the tribunal heard. Dr Searle said: 'That would make me somewhat concerned for patient safety; in our team we need to communicate very well between ourselves to ensure patient safety.' She said she had spoken to the healthcare worker, and added: 'I asked if she recalled the situation and she was concerned about getting involved in any discussions about the incident because she said 'I am mixed race and I am worried about getting involved in this for my own safety'.' Counsel for both respondents, Jane Russell KC, said: 'What do you think she meant?' Dr Searle said: 'This legal case where there is a lot of press attention and any staff being involved in the case have felt under scrutiny and concerned that their views will be widely publicised when they wouldn't otherwise.' She said she completed the Datix as 'NHS staff must record all hate incidents' and added: 'We talked about reporting to the police, that's mentioned for hate incidents.' The tribunal continues.