
Sandie Peggie's NHS case is more important than Supreme Court ruling
We know too that NHS Fife has spent more than £220,000 defending itself at the tribunal in a case brought by Ms Peggie. This will resume on Wednesday and is expected to last for another 11 days.
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After Ms Peggie formally complained about being forced to share her changing-room with Dr Upton she was suspended following an incident at the Victoria Hospital in Kirkcaldy where both medics worked. She claims that her treatment at the hands of her employer was unlawful under the Equality Act, citing sexual harassment, belief discrimination and victimisation.
There were many absurd moments during the first part of this tribunal earlier this year. Some of them edged towards sinister. Ms Peggie was forced to re-live some details of her intimate history, including being the victim of a sexual assault. There were attempts to portray her as a vindictive bully when there has been an element of class and social status startlingly evident throughout.
We know also that, on two occasions, NHS Fife attempted to withhold information on the tribunal. When Scotland's Information Tsar, the hugely respected David Hamilton, called them out on this, NHS Fife described him as 'emotional', 'selective' and 'unprofessional'. We know this because this health board, whose chief executive earns nearly £150k a year, committed a massive data breach by including their diatribe against Mr Hamilton in their response to a mother who had requested a copy of her child's medical records.
These revelations, serious though they are in respect of NHS Fife's basic competency, pale when measured against the callousness of Scotland's elite liberal class. Until Michelle Thompson spoke out last week, no Scottish politician has dared to express disquiet about the board's conduct throughout this tribunal. Neil Gray, Scotland's comically inept Health Minister, even expressed his confidence in NHS Fife. This is elite-level trolling of the Scottish public.
The hospital in Kirkcaldy where Sandie Peggie worked (Image: free) Ms Peggie's trade union, The Royal College of Nursing, has also chosen to abandon her. In an era in which Scotland's Holyrood elites have been exposed as political fraudsters, the RCN's treatment of this nurse has been the most craven and cowardly I can recall of a British trade union. The Scottish Trades Union Congress is currently led by a property magnate who also apparently believes that biological men can live as women, so perhaps this isn't so remarkable.
You can take your pick of the most startling exchanges during the first hearing of this tribunal. I found this statement by Dr Upton to be the most worrying. 'Biological sex is a nebulous term and doesn't really mean anything,' Dr Upton said. 'Nobody can actually define biological sex.'
I believe that what this really means is: 'Female is a nebulous term and doesn't mean anything'. Coming from a fully-qualified doctor of medicine, this is deeply troubling. Yet, the most iniquitous aspect of these proceedings lies in something else: that they and their employers were most probably emboldened to act like this because the First Minister of this country and his two predecessors believe exactly as they do.
They sit at the apex of a vast inter-dependent system of patronage that seeps into every crevice of civic Scotland. This is reinforced by every promotion, every emolument, every cash dividend handed to those groups which twigged early on that advocating for it was the quickest way to taxpayers' money for their organisations.
Is this rooted merely in a deep loathing for the little people to which many powerful people succumb? Or do some of them sense that the grift is running out of steam; that the well in which they've drunk for years is about to dry up? And that all that's left is to squeeze as much as possible in the time remaining so that they can land a tidy non-exec somewhere: an academic post at the John Smith Centre perhaps, or a position with Engender or the TIE campaign?
The outcome of Sandie Peggie's employment tribunal is, I think, more important than the Supreme Court's clarification of existing law that, for the purposes of the Equality Act, 'sex' means biological sex assigned at birth. In due course, UK civic society will be forced to adopt this, after the performative squealing abates.
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In Scotland, though, if Sandie Peggie were to lose her job over this then it means that every stratum of civic Scotland: from the government, down through local authorities; the health and education boards; the trade unions; the professional associations will all be complicit.
Certainly, you can say that the Supreme Court verdict ultimately gives Sandie Peggie a lifeline should she lose her case. This, though, must be measured against an awful truth that now confronts Scotland: that most of its political class, and its thousands of public servants, believe that 'woman' is a 'nebulous term' that 'doesn't really mean anything'.
Scotland's governing class are like cockroaches. No matter how unintelligent, craven, unprincipled and dishonest they are, they will always thrive. They've managed to create refuges whose true nature is hidden from the public and which will always welcome them and sustain them.
The grants they award to their pet organisations while in office serve another purpose beyond disseminating the state's propaganda. They're meant to ensure these syndicates will all still be in rude financial health when they come knocking on their door for a tidy, per diem contract after politics.
Kevin McKenna is a Herald writer and columnist. He is Features Writer of the Year and writes regularly about the working-class people and communities of Scotland

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The Sandie Peggie vs NHS Fife employment tribunal took a dramatic turn yesterday when the internal disciplinary investigation cleared the nurse of all gross misconduct allegations. On the evening before the case resumed came information that four gross misconduct allegations: two relating to patient care failures, one of misgendering Dr Beth Upton, and one relating to her encounter with Dr Upton in the workplace female-only changing room on Christmas Eve 2023, which were classed as 'hate incidents', were dropped. Peggie is a female nurse who objected to sharing a changing room at NHS Fife with the trans-identifying Dr Upton, both before and after a gruelling shift on the ward. Peggie felt uncomfortable and intimidated by Dr Upton's presence and raised this with her manager but nothing was done to address the issue. In fact, she was informed that the doctor had a right to use the female-only changing room. On 24 December 2023, there was a confrontation between the two. 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While I am one of the many common sense citizens who is delighted for long-serving nurse Peggie, I am astounded and horrified that NHS Fife put her through these stressful disciplinary proceedings at all – simply for challenging a biological male for using the women's changing room. It is unclear whether there were specific policies in place when Dr Upton began to work at NHS Fife, but during the tribunal we learned those tasked with implementing equality and diversity protocols decreed that the doctor had a right to use those spaces. The tribunal now has to decide whether or not the presence of trans-identifying Dr Upton in that changing room is lawful, or whether it amounts to unlawful harassment of Peggie. While it is probably still in Dr Upton's best interests to argue that Peggie engaged in harassment and endangered patients, it is very hard to see how that's still in NHS Fife's best interests. And it is just as hard to see how Jane Russell KC can continue to argue these points when one of her clients has now determined this didn't happen. There is a very clear law that requires employers to provide separate changing facilities for male and female employees in the workplace. Based on evidence that Dr Upton gave in terms of the date of transitioning, no Gender Recognition Certificate (GRC) was in place when these events occurred. But since the Supreme Court decision this April, namely that even a GRC does not give a blanket legal right for men in possession of one to use a female-only facility, this argument will be difficult to apply. The management of NHS Fife has made Peggie's life a misery and wasted a huge amount of public money defending the indefensible. Bearing in mind how strapped for cash the NHS is, I hope they are severely reprimanded for what they have forced her to endure. We know that with cases against those who commit heresy regarding gender ideology, the process itself is the punishment. Sandie Peggie has been tortured for 18 months by her employers because a biological male decided to encroach upon her personal space. For 30 years, this woman has worked hard under the most stressful of circumstances. She had an unblemished record, which she has now reclaimed as a result of these spurious and vindictive allegations being dropped. Although Peggie is clearly mightily relived at no longer having the cloud of these very serious allegations hanging over her, the case and the sadistic treatment of the hard-working public servant will act as a warning to others who dare to speak out about the harms of gender ideology in the workplace, particularly when it involves a colleague of a higher rank. Despite this, the gender house of cards is falling, particularly since the Supreme Court decision in April, brought by a fine group of Scottish feminists, but also because the general public is now becoming aware of the ridiculousness of the notion that a person can simply change sex. As NHS Fife's equality and human rights lead officer Isla Bumba, who originally advised management that Dr Upton should be allowed to use the female changing room, told the ongoing tribunal yesterday: 'If someone says that they are trans, I would believe that they are trans,' having already admitted that she had no idea whether Dr Upton had undergone any surgery, hormonal treatment, or even made an effort to 'look like a woman'. In the light of this disgraceful witch hunt against Peggie, I hope that human resources departments and individuals everywhere charged with upholding actual anti-discrimination measures in the workplace will take note. They must adhere to the laws of the land confirmed by the Supreme Court – and not Stonewall's made-up rules. They must not bow and scrape to bullies and, instead, must protect and defend the rights of women to have a safe space when getting changed and in other situations that require single-sex facilities. I don't understand why those like Dr Upton, and their numerous trans activist allies, cannot see why taking off their clothes in front of a woman would cause discomfort and fear. Why do these people think feminists fought decades ago for female-only facilities and services? When single-sex facilities were created, very few people suggested it was outrageous or that it meant that all men were being painted as potential rapists. And yet many transgender activists claim that unless we let any man who claims to be a woman inside a single-sex facility, we are calling them a rapist. It is simply a matter of upholding women's safety and dignity. The tribunal continues, despite a number of experts in workplace discrimination and the law relating to equality law assuming it would collapse in light of Peggie being cleared of wrongdoing. But this clown show of a case will surely be a lesson for all employers, as well as public institutions such as universities, police forces, and governmental departments in implementing laws and policy as dictated by bullying trans activists. Putting a woman who has done no wrong whatsoever through hell and back in order to appease a biological male who demands to be recognised as female is not only cruel on a deeply personal level, but also costly in other ways. To date, this case has been fought with £220,000 of public money, and for the majority of the public, without our consent.