
NHS Fife carrying out equality review over trans staff changing room use after breaking law
The health board says it will conduct the review by September 30 after tough criticism from the UK's equalities regulator, the Equality and Human Rights Commission (EHRC).
The watchdog first wrote to NHS Fife on February 21 following coverage of the employment tribunal brought by nurse Sandie Peggie – who is suing the health board and transgender A&E medic Dr Beth Upton.
A&E nurse Ms Peggie says she was discriminated against and harassed by being forced to share a changing room with Dr Upton, who was born male, at Victoria Hospital in Kirkcaldy.
The EHRC initially reminded NHS Fife of their obligations under the Equality Act, including the provision of single-sex facilities for staff.
But the health board admitted it had not completed an impact assessment over the use of single-sex toilets and changing rooms by transgender staff.
Following this admission the regulator directed NHS Fife to take 'corrective action' to ensure it was in compliance with the law.
It pointed out public bodies have 'a duty to assess and review proposed new or revised policies or practices'.
On July 23, the EHRC says NHS Fife assured them it has conducted a full review and audit of changing, toilet and locker room facilities.
It says the health board has also committed to ensuring there will be 'no delay in progressing all the compliance actions' it was directed to undertake.
Baroness Kishwer Falkner, chairwoman of the EHRC, said undertaking impact assessments and publishing the results are legal requirements.
She added: 'We believe NHS Fife failed to meet these requirements and told them to carry one out immediately.
'NHS Fife has now confirmed that it has commissioned an equality impact assessment and anticipates it will be published by September 30.
'Since we first wrote to NHS Fife, the Supreme Court ruled on the definition of 'sex' in the Equality Act.
'The EHRC has been clear that all duty-bearers should be following the law, as set out in the judgment handed down on April 16.
'NHS Fife has assured us that it is following our advice to review the implications of the judgment for its policies and procedures, seeking specialist legal advice where necessary.'
She said the corrective actions are essential for NHS Fife to protect staff from discrimination and harassment on the basis of sex, religion or belief, and gender reassignment.
'We will continue to engage with NHS Fife and monitor its progress and the outcome of the measures it has committed to taking, to ensure compliance with the Equality Act and Public Sector Equality Duty,' she added.
An NHS Fife spokesman welcomed the EHRC's engagement.
He said: 'A comprehensive review and audit of our facilities has been completed, and an equality impact assessment is underway. This will be concluded and published by September 30.
'Our priority is to ensure that all NHS Fife policies and practices protect the rights of our staff and comply fully with equality legislation.'

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The Courier
16 hours ago
- The Courier
NHS Fife carrying out equality review over trans staff changing room use after breaking law
NHS Fife has launched an urgent equality review into transgender staff accessing single-sex changing rooms, after admitting it broke the law by failing to carry one out previously. The health board says it will conduct the review by September 30 after tough criticism from the UK's equalities regulator, the Equality and Human Rights Commission (EHRC). The watchdog first wrote to NHS Fife on February 21 following coverage of the employment tribunal brought by nurse Sandie Peggie – who is suing the health board and transgender A&E medic Dr Beth Upton. A&E nurse Ms Peggie says she was discriminated against and harassed by being forced to share a changing room with Dr Upton, who was born male, at Victoria Hospital in Kirkcaldy. The EHRC initially reminded NHS Fife of their obligations under the Equality Act, including the provision of single-sex facilities for staff. But the health board admitted it had not completed an impact assessment over the use of single-sex toilets and changing rooms by transgender staff. Following this admission the regulator directed NHS Fife to take 'corrective action' to ensure it was in compliance with the law. It pointed out public bodies have 'a duty to assess and review proposed new or revised policies or practices'. On July 23, the EHRC says NHS Fife assured them it has conducted a full review and audit of changing, toilet and locker room facilities. It says the health board has also committed to ensuring there will be 'no delay in progressing all the compliance actions' it was directed to undertake. Baroness Kishwer Falkner, chairwoman of the EHRC, said undertaking impact assessments and publishing the results are legal requirements. She added: 'We believe NHS Fife failed to meet these requirements and told them to carry one out immediately. 'NHS Fife has now confirmed that it has commissioned an equality impact assessment and anticipates it will be published by September 30. 'Since we first wrote to NHS Fife, the Supreme Court ruled on the definition of 'sex' in the Equality Act. 'The EHRC has been clear that all duty-bearers should be following the law, as set out in the judgment handed down on April 16. 'NHS Fife has assured us that it is following our advice to review the implications of the judgment for its policies and procedures, seeking specialist legal advice where necessary.' She said the corrective actions are essential for NHS Fife to protect staff from discrimination and harassment on the basis of sex, religion or belief, and gender reassignment. 'We will continue to engage with NHS Fife and monitor its progress and the outcome of the measures it has committed to taking, to ensure compliance with the Equality Act and Public Sector Equality Duty,' she added. An NHS Fife spokesman welcomed the EHRC's engagement. He said: 'A comprehensive review and audit of our facilities has been completed, and an equality impact assessment is underway. This will be concluded and published by September 30. 'Our priority is to ensure that all NHS Fife policies and practices protect the rights of our staff and comply fully with equality legislation.'


Glasgow Times
18 hours ago
- Glasgow Times
NHS Fife told to ‘progress corrective actions' urgently on single-sex spaces
The Equality and Human Rights Commission (EHRC) wrote to NHS Fife regarding access to single-sex facilities for staff on February 21, after the employment tribunal brought by nurse Sandie Peggie against the health board adjourned. Ms Peggie was suspended after she complained about having to share a changing room with transgender medic Dr Beth Upton at Victoria Hospital in Kirkcaldy, 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, and the case has been adjourned until September. Baroness Kishwer Falkner, chairwoman of the EHRC, said NHS Fife previously admitted no equality impact assessment had been carried out and one is now expected around September 30, having been commissioned retrospectively. The EHRC recently directed NHS Fife to take 'corrective action' to ensure compliance with regulations which require public bodies to assess how policies and practices affect people with protected characteristics. On June 10, it held a meeting to reiterate that the Scottish Government has a duty to ensure public bodies comply, following the UK Supreme Court ruling in April that the terms 'woman' and 'sex' in the 2010 Equality Act 'refer to a biological woman and biological sex'. On July 23, NHS Fife 'assured the EHRC that it has taken steps in several areas, including a full review and audit of changing, toilet and locker room facilities', and it 'committed to ensuring there will be no delay in progressing all the compliance actions directed', according to the regulator. Baroness Falkner said the EHRC had 'urged NHS Fife to progress the corrective actions we directed without delay' to 'protect staff from discrimination and harassment'. Maya Forstater, chief executive of human rights charity Sex Matters, said: 'This directive to NHS Fife is an unprecedented intervention from the EHRC. Nurse Sandie Peggie has taken NHS Fife and Dr Beth Upton to an employment tribunal (PA) 'While long overdue, this is a clear instruction to NHS Fife – and all employers – that it cannot get away with continuing to flout the Equality Act. 'There have been relentless efforts to undermine the Supreme Court judgment since it was handed down. 'This leads to women being subjected to bullying, harassment and discrimination if they stand up, as Sandie Peggie did, for their right to undress with dignity and privacy. 'The EHRC has the power to hold employers, service providers and public sector bodies to account.' The employment tribunal held further hearings in July before adjourning until September. Scottish Conservative equalities spokeswoman Tess White said: 'This damning directive from the EHRC confirms that on top of being negligent, incompetent and biased, NHS Fife broke the law in relation to the Sandie Peggie case. 'It's abundantly clear that the positions of the chief executive and senior health board colleagues are completely untenable. 'The shameful admission from the health board confirms that Sandie Peggie was hung out to dry from the very beginning, simply for standing up for her rights as a woman. Fairness and accountability must prevail. Tess White said all public bodies must uphold the Supreme Court ruling 'entitling women to single-sex spaces' (PA) 'The First Minister must clear out those at the top of NHS Fife and finally demand that it, and all other public bodies, upholds the clear and unequivocal Supreme Court ruling entitling women to single-sex spaces.' Baroness Falkner said: 'The policies and practices of all Scottish health boards must comply with the Equality Act 2010. 'We will continue to engage with NHS Fife and monitor its progress and the outcome of the measures it has committed to taking, to ensure compliance with the Equality Act and Public Sector Equality Duty.' NHS Fife said it welcomes continued engagement and oversight from the EHRC. It said: 'We are committed to working constructively with the EHRC to provide assurance that we fully understand, and are meeting, our obligations under the Equality Act 2010 and the Public Sector Equality Duty. This includes considering the implications of the recent Supreme Court ruling and the EHRC's interim guidance. 'A comprehensive review and audit of our facilities has been completed, and an equality impact assessment is under way. This will be concluded and published by September 30, 2025. 'Our priority is to ensure that all NHS Fife policies and practices protect the rights of our staff and comply fully with equality legislation.' The Scottish Government has been contacted for comment.


Daily Mail
18 hours ago
- Daily Mail
Now NHS Fife admits it DID break the law by giving trans doctor access to female changing rooms
A health board has admitted it broke the law after it failed to complete a legally required assessment before letting a trans doctor use the women's only changing room. NHS Fife said it had not completed an equality impact assessment before allowing male-born medic Dr Beth Upton to use the female-only facilities at Victoria Hospital, Kirkcaldy. The Equality and Human Rights Commission has now ordered the under-fire health board to 'carry one out immediately' in yet another extraordinary intervention. NHS Fife has been plunged into turmoil amid an employment tribunal veteran nurse Sandie Peggie brought against it, in which she has claimed being made to get changed next to the trans-woman was unlawful. The watchdog first wrote to NHS Fife bosses in February, following the first two weeks of the landmark tribunal, to 'remind' them of their obligations under the Equality Act and how they had a duty to 'assess how their policies and practices affect people with protected characteristics'. But this week the EHRC revealed the health board 'failed' to meet the requirement of having a equality impact assessment, which is a legal duty. Tess White, equalities spokesman at the Scottish Conservatives, said the latest revelation showed senior health board bosses must go. The MSP said: 'This damning directive from the EHRC confirms that, on top of being negligent, incompetent and biased, NHS Fife broke the law in relation to the Sandie Peggie case. 'It's just one failure, and one revelation, after another. It's abundantly clear that the positions of the Chief Executive and senior health board colleagues are completely untenable. 'The shameful admission from the health board confirms that Sandie Peggie was hung out to dry from the very beginning of this tawdry scandal simply for standing up for her rights as a woman. 'Fairness and accountability must prevail. Surely John Swinney and his SNP colleagues can no longer retain confidence in those in charge of this dysfunctional health board? 'The First Minister must clear out those at the top of NHS Fife and finally demand that it, and all other public bodies, upholds the clear and unequivocal Supreme Court ruling entitling women to single-sex spaces.' Mrs Peggie had encountered Dr Upton in the female-only changing room in 2023, but had waited outside until the trans-identifying medic left. But on Christmas Eve that year she challenged the junior doctor - the exact circumstances of which are disputed - and was suspended from work and her actions subject to an internal investigation. Baroness Kishwer Falkner, chairman of the EHRC, said all Scottish health boards must comply with the 2010 Equality Act. She said: 'Earlier this year we asked NHS Fife to provide us with information on the provision of single-sex changing facilities for staff and the rights of different groups in the application of these policies. 'At that point NHS Fife confirmed that no equality impact assessment was available. 'Undertaking an equality impact assessment of relevant policies or practices, and publishing the results, are requirements of the PSED [Public Sector Equality Duty] Specific Duties in Scotland. 'We believe NHS Fife failed to meet these requirements and told them to carry one out immediately.' Maya Forstater, chief executive of human rights charity Sex Matters, said: 'This directive to NHS Fife is an unprecedented intervention from the EHRC and the kind of muscle that has been lacking from regulators across the board since gender ideology first took hold of public institutions. 'While long overdue, this is a clear instruction to NHS Fife - and in fact all employers - that it cannot get away with continuing to flout the Equality Act.' An NHS Fife spokesman said: 'We are committed to working constructively with the EHRC to provide assurance that we fully understand, and are meeting, our obligations under the Equality Act 2010 and the Public Sector Equality Duty. 'This includes considering the implications of the recent Supreme Court ruling and the EHRC's interim guidance. 'A comprehensive review and audit of our facilities has been completed, and an Equality Impact Assessment is underway. This will be concluded and published by 30 September 2025. 'Our priority is to ensure that all NHS Fife policies and practices protect the rights of our staff and comply fully with equality legislation.'