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A nurse who confronted a transgender doctor in a changing room behaved in an "unacceptable" way, an employment tribunal has heard.

Gillian Malone – who is head of nursing at NHS Fife – said nurse Sandie Peggie should have raised concerns about sharing facilities with Dr Beth Upton – a trans woman – in a different way.

Ms Peggie and Dr Upton exchanged words on Christmas Eve 2023 after the nurse told the doctor they should not be in the same changing room at the Victoria Hospital in Kirkcaldy.

Ms Malone said Ms Peggie's comments that Dr Upton was a man constituted unacceptable conduct.

Why doesn't NHS Fife just throw in the towel? Yesterday their head of Equalities and Human Rights didn't know what sex she was, and now the head nurse tells us it was unacceptable for Sandie Peggie, coming in to the women's changing room to change herself during a heavy period she was experiencing and finding a man there, to mention the fact that he was a man.

What she should have done: she should have kept quiet, changed herself while the man looked on, then later approached her line manager with her concerns – at which point she would have been instructed to attend a compulsory course on transphobia, and how people with penises can be women especially if they wear a wig and a dress and some make-up and tilt their head to one side in a coquettish manner, and how trans people are especially sensitive to being misgendered so it's something you must never do. Then everyone would have lived happily ever after.

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