
Hospital was advised trans doctor could use female facilities, tribunal told
Ms Peggie was suspended after she complained about having to share a changing room with Dr Upton at the Victoria Hospital in Kirkcaldy, Fife – where they both worked – on Christmas Eve 2023.
She was placed on special leave and then suspended after Dr Upton made an allegation of bullying and harassment and cited concerns about 'patient care'.
Ms Peggie has lodged a claim against Fife health board and Dr Upton, citing the Equality Act 2010, including sexual harassment; harassment related to a protected belief; indirect discrimination and victimisation.
At the tribunal on Thursday, Ms Malone said it was her responsibility to 'speak up' on issues around female nurses sharing a changing room with a transgender doctor, and said the 'department took guidance' when refusing to meet a request made by Ms Peggie's solicitor.
Service manager Lottie Myles sent an email to Ms Malone on March 7, 2024 following a meeting with Ms Peggie where she asked why Dr Upton could not be moved or asked to change elsewhere.
Despite Ms Peggie asking through her solicitor that when she returned to work she 'could be assured of a single-sex space to change in', the board did not act, the tribunal heard.
Ms Malone said: 'The department took guidance from the equality and human rights lead, and that wouldn't be what we would do.
'We took guidance that Beth could continue using the female changing facility.'
Cross-examining, barrister Naomi Cunningham said: 'The result of refusing to give her that guarantee of no men in female changing room would be that Sandie couldn't return to work safe in the knowledge that when she got dressed in the women's changing room, there would be no men there.'
Ms Malone said: 'We took advice and the guidance at the time was that Beth could use the female changing facility.'
The tribunal heard that on March 8, Ms Malone sent an email to HR worker Melanie Jorgensen and others that a 'further risk assessment is supported for returning SP to the workplace'.
Ms Cunningham said: 'It had already been established at end of December that there was no shift overlap between the claimant and Dr Upton in January so there was no need to keep them apart. That had already been established by January 3 when the suspension was put in place.'
Ms Malone said: 'I can't recall.'
Ms Cunningham said: 'What seems to have happened is that the risk assessment has been done after a decision to continue suspension.'
She said confidentiality had been 'hopelessly lost' on December 29, 2023 when Dr Kate Searle sent an email to all consultants in the emergency department with Dr Upton's version of events, and again on January 12, 2024 when Dr Searle emailed about the incident – including Ms Peggie, Dr Upton and potential witnesses.
Ms Malone said: 'I don't think she [Kate Searle] should have done that.'
However on July 3, after press reports, Ms Peggie was given a reminder about confidentiality – which Ms Cunningham said was to 'silence her', and referred to emails exchanged on March 7 between Ms Malone and Ms Myles, which referred to 'misgendering' and the 'risk' of Ms Peggie 'using he/him which may cause unrest in the wider NHS team', the tribunal heard.
Ms Cunningham said: 'That tends to underline that the damage limitation is about preventing unrest in the workplace due to Sandie Peggie's use of correct sex pronouns for Dr Upton.'
She said 'prohibiting the subject matter' was primarily about 'preventing her ability to organise with others who shared her concerns', and to 'prevent her expressing gender-critical belief'.
Ms Malone said: 'I don't agree.'
During re-examination by counsel for NHS Fife Jane Russell KC, Ms Malone was asked if she believed commenting on chromosomes was 'gender-critical belief'.
She said: 'No I do not. I think it's an unwanted comment.'
Ms Russell 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.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Scotsman
4 hours ago
- Scotsman
How Sandie Peggie-NHS Fife case is writing the obituary of gender identity politics in Scotland
Sign up to our daily newsletter – Regular news stories and round-ups from around Scotland direct to your inbox Sign up Thank you for signing up! Did you know with a Digital Subscription to The Scotsman, you can get unlimited access to the website including our premium content, as well as benefiting from fewer ads, loyalty rewards and much more. Learn More Sorry, there seem to be some issues. Please try again later. Submitting... Are we witnessing the slow death of the absurd ideology that has dominated our public discourse for the last decade, helping to bring down two First Ministers and which saw a male rapist briefly housed in a women's prison? Frankly, I believe we are. Earlier this week, an NHS equality and human rights officer, a woman with a degree in immunology, claimed under oath that she did not know her own sex. As the words stumbled from Isla Bumba's mouth, you could almost hear the country respond: 'Don't be daft, your chromosomes are XX which makes you a woman. What did they teach you at that university?' Advertisement Hide Ad Advertisement Hide Ad Bumba, who also has a postgraduate degree in public health, became the object of ridicule while giving evidence at nurse Sandie Peggie's employment tribunal earlier this week. Her role, as set out in the 2022 job advert, was to give NHS Fife advice on the interpretation of and compliance with the Equality Act 2010. READ MORE: Why trans activists who hound their work colleagues could cost employers dear Sandie Peggie smiles as her solicitor Margaret Gribbon, left, reveals the NHS Fife nurse had been cleared of gross misconduct following disciplinary proceedings (Picture: Jeff J Mitchell) | Getty Images Believing in fairy tales Unfortunately for Peggie, who was suspended last year for daring to object to a male-born doctor using female changing rooms, Bumba based her guidance, not on the law of the land, as clarified by the Supreme Court earlier this year, but on the theory of gender identity. This proposition, which claims that humans can change their sex at will and that we all have an inner 'gender identity', has infected Scotland's public realm for a decade or more. When transgender campaigners – paid for by the public purse – came up with their cunning plan in 2014 to persuade the Scottish Prison Service to include trans-identified male offenders in the women's estate, Bumba was only 18. During her early adult years, gender identity was embedded in public services, as well as in universities, charities, the arts and culture. Advertisement Hide Ad Advertisement Hide Ad Little wonder then that she grew up believing in fairy tales. Her understanding of human physiology is based, not on her science degree, but on the same misinformation that led my ten-year-old granddaughter to assert 'men can have babies too granny, if they are trans'. While NHS Fife's Equality and Human Rights Isla Bumba 'hazarded a guess' that she was female, she stressed 'no one knows what their chromosomes are' until they are tested (Picture: Jeff J Mitchell) | Getty Images Sturgeon's zeal for gender identity The poster girl for the cult – because that is what it became – was Nicola Sturgeon. The politician who in 2000 had dragged her feet over the repeal of Section 2A, the law that banned the promotion of homosexuality in schools, emerged diva-like after the independence referendum as the champion of all things queer. 'Trans women are women,' she insisted, even as Adam Graham (aka Isla Bryson), a man in a cheap blonde wig, was found guilty of rape. Sturgeon was not alone in her zeal for gender identity. Whether because of internal party pressure, a desire to maintain their status within Scotland's narrow but powerful civic elite, or sheer stupidity, we will never know, the majority of Scotland's political class went along with the charade – with the notable exception of the Scottish Conservatives and a few determined women like Alba MSP Ash Regan, Labour's Claire Baker and Carol Mochan, and SNP MSP Michelle Thompson. Advertisement Hide Ad Advertisement Hide Ad Regan became one of the leading figures of a grassroots movement that grew up in support of women's rights, along with her erstwhile SNP colleagues Joanna Cherry and Joan McAlpine and Labour's Johann Lamont. The movement now encompasses one of the most famous women in the world, author and philanthropist JK Rowling, as well as an army of anonymous women sewing banners, writing emails and mastering equality law at their kitchen table. Sturgeon did her best to undermine them, sneering that their views were 'not valid', but reality has a way of asserting itself, even in in the face of petty authoritarianism. Slowly but surely, the empress's new clothes were stripped away and then she was gone. The penny drops That landmark Supreme Court judgment, which ruled that For Women Scotland was right to argue that the legal definition of 'woman' in the Equality Act 2010 is based on biological sex, was the single most important moment in the campaign to re-assert women's rights. It will force the Scottish Government, and bodies such as NHS Scotland and the Scottish Prison Service, to unpick the tapestry of transgender guidance and diktats that have been firmly sewn into the fabric of our public life. Advertisement Hide Ad Advertisement Hide Ad The surreal utterings of NHS Fife's equality and human rights officer are another milestone in the myth's destruction. Bumba's public assertion that she could only hazard a guess that she is female and 'no one knows' their chromosomes unless they had undergone tests must surely be the moment when the penny dropped for everyone – including, I imagine, John Swinney and Labour leader Anas Sarwar. The First Minister may well insist that NHS Fife has his full backing, but I will be shocked if the SNP's 2026 manifesto contains a promise to amend gender laws, as the last one did. With less than a year to the Holyrood elections, Swinney will calculate that public opinion is now firmly on the side of biology, and while the majority are content to live and let live, most people do not believe that a man who says he is a woman has changed his sex. Nor will Sarwar sacrifice his slim electoral chances on the altar of gender ideology. I hazard a guess that he has always known exactly what his chromosomes are, and that he now realises the electorate know theirs too. Sturgeon had a ball for a few years, revelling in the adulation of the LGBTQI+ community. But while she and her allies boasted of their progressiveness, children were being harmed, families broken, women hounded. Advertisement Hide Ad Advertisement Hide Ad


The Herald Scotland
7 hours ago
- The Herald Scotland
Peggie sues RCN over lack of support in NHS Fife trans row
A preliminary hearing in her action against the RCN will begin in September. Read more: Ms Peggie was suspended after raising objections to her colleague, Dr Beth Upton, who is transgender, using female facilities. In response, Dr Upton complained to hospital management, alleging patient care failings and misgendering by the A&E nurse. Ms Peggie was placed on special leave on December 30 and formally suspended on January 4. Shortly afterwards, she contacted her RCN representative to seek advice. Earlier this week, following an internal investigation, NHS Fife cleared Ms Peggie of the charges, saying there was 'insufficient evidence to support a finding of misconduct'. The decision was announced by her lawyer just hours before the resumption of the employment tribunal in Dundee after a five-month break. Ms Peggie claims her treatment by her employers was unlawful under the 2010 Equality Act and has brought a case against both the health board and Dr Upton. It has since emerged that NHS Fife's defence of their actions has cost the public purse more than £220,000. The Herald understands Ms Peggie, who worked in A&E at Kirkcaldy's Victoria Hospital, claims her union turned its back on her because it 'had adopted gender identity belief as its institutional belief, and was therefore unwilling or unable to recognise that she was or might be entitled to insist on the maintenance of the female changing room as a single-sex space'. She also claims the union failed to acknowledge her belief that she was experiencing discrimination and harassment from NHS Fife and Dr Upton. Ms Peggie's lawyer, Margaret Gribbon of McGrade Employment Solicitors in Glasgow, said last night: 'The RCN's failure to act like a trade union ought to, has contributed to Sandie Peggie's mistreatment. "They have repeatedly failed to exercise their industrial muscle to advocate for female members distressed because they are being deprived of genuine single-sex spaces to dress and undress at work. 'Had the RCN fulfilled the conventional role of a trade union, it is less likely that Sandie would have faced the ordeal of an 18-month disciplinary process and having to raise legal proceedings against Fife Health Board.' The RCN's 2021 guide On the case: Advice, support and representation from the RCN states: 'It is your right to receive our support, guidance or representation regardless of your ethnic or national origins, religion or belief, sex or sexual orientation, gender reassignment, disability, marital status or civil partnership, age, pregnancy or any complaint you may have previously made about the RCN itself. If, after careful consideration, we find that we are unable to provide advice or representation, we will give you a clear and detailed explanation as to why we have taken this decision.' Ms Peggie and her lawyer argue she has not been given any 'clear and detailed explanation' about the union's refusal to back her. Were Ms Peggie to succeed in her case against the RCN, the trade union movement could face further claims from women alleging workplace mistreatment for defending single-sex spaces. Read more: In her case against the RCN, Ms Peggie is seeking compensation for unlawful discrimination. This would include damages for injury to feelings and recommendations to reduce the impact of the RCN's alleged discrimination. When Ms Peggie learned of the union's refusal to support her, she approached her local MP at the time, Neale Hanvey. He advised her to contact feminist groups For Women Scotland and Sex Matters, who in turn referred her to employment lawyer Margaret Gribbon, who is now acting for her. Last year, Ms Peggie launched a claim against NHS Fife, making various complaints against both the board and Dr Upton regarding the use of the women's changing room and her subsequent suspension. The second part of the tribunal, currently sitting in Dundee, is expected to run for another week. Ms Peggie has been on sick leave with stress since February and cites her treatment by NHS Fife as the sole reason. An RCN spokesperson said: 'We have responded to the claim, and we deny all the allegations from Ms Peggie." This is not the first time the RCN—the world's largest nursing union—has faced controversy over issues of sex and gender. In 2021, policy analyst Lisa Mackenzie published a blog titled The Policing of Feminist Thought in the Workplace, detailing her treatment by the RCN when she worked as a policy officer there in 2017. She described being forced out 'because of my belief that women are disadvantaged and discriminated against on the basis of sex'. 'These views had provoked a breach of contract investigation and an intrusive attempt to police my private activities," she said. "This is ironic given that my then employer was a trade union whose aim is to represent the interests of its predominantly female membership.'


North Wales Chronicle
16 hours ago
- North Wales Chronicle
Issue of trans doctor using female facilities previously raised, tribunal told
Dr Elspeth Pitt, a consultant in emergency medicine, was at the end of her shift on Christmas Eve 2023 at the Victoria Hospital in Kirkcaldy, Fife, when she encountered Dr Beth Upton in a state of 'visible distress' following an incident with nurse Sandie Peggie. Ms Peggie was suspended after she complained about having to share a changing room with Dr Upton at the hospital on Christmas Eve 2023. She was placed on special leave and then suspended after Dr Upton made an allegation of bullying and harassment and cited concerns about 'patient care'. Ms Peggie has lodged a claim against Fife health board and Dr Upton, citing the Equality Act 2010, including sexual harassment; harassment related to a protected belief; indirect discrimination and victimisation. On Friday, Dr Pitt told the tribunal she met Dr Upton in a corridor around midnight, and said the junior doctor 'looked pale'. She said they went into the wellbeing room, and a 'sobbing' Dr Upton told her there had been 'a very upsetting interaction'. Dr Pitt said: 'She was really upset, she felt very fearful and at that time had felt cornered. 'She had been at the end of her shift and in a changing room had a conversation with Sandie and it had become very unpleasant and painful for her. 'She said she felt as if she had been cornered and that the end of a shift was not a good time to have this conversation, but it escalated and she felt she couldn't get away, and she just felt very upset by what had been said to her.' The witness said Ms Peggie 'felt that Dr Upton should not be in the changing room', and Dr Pitt added: 'I do remember some comments about likening the situation to something to do with convicted rapist… what I clearly remember is just feeling so very, very sad, because that must have been so hurtful a thing to hear. 'Dr Upton was really upset, I had to comfort her, she was crying so much.' The consultant said she walked Dr Upton to the car, 'as she was feeling quite threatened', and then sent an email to the doctor's line manager, Dr Kate Searle, and Ms Peggie's line manager Esther Davidson, titled 'catch up', asking to speak the next week. She also told the tribunal that during an 'informal meeting' between consultants and senior nurses at some point between August and December 2023, a concern had been raised about Dr Upton using the female changing room by a senior nurse. Dr Pitt said: 'At one of those meetings before December, a member of senior nurses had said there had been a concern raised about Dr Upton using that changing room but that our understanding was that she was entitled to, that's what we had been informed. We were not told of the specifics, that was to be aware that people had a concern.' Ms Peggie's junior counsel, Charlotte Elves, raised an email sent on December 29, 2023 from Dr Searle, which said 'we all support her and condemn the actions of Sandie'. The witness said it would have been sent to around 20 senior consultants, and described it as 'information sharing'. Dr Pitt said: 'When I read 'condemn the actions' it was that we heard she had been verbally attacked. The way I would always think is anyone would condemn a behaviour that causes someone to feel unsafe or disrespected, that does not mean we condemn the person.' She said Dr Upton's sex was 'just not something we talked about', and added: 'When Dr Upton started working with us we were told she was Dr Beth Upton… It didn't come up in conversation.' Asked about other actions she could have taken, Dr Pitt said: 'I genuinely didn't know how to respond. An incident happens, one reports it and there is an investigation, but it was very late at night, I was tired. I genuinely didn't know what was the right thing to do.' The consultant was asked why she did not engage with three email chains about the incident. Ms Elves said: 'What I'm going to suggest is you didn't reply to any of those three threads as they were becoming increasingly partisan, condemnatory of Sandie Peggie, and you knew that was not appropriate.' Dr Pitt said: 'I don't use email as a form of conversation.' The tribunal continues.