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Feminism: Sex and gender discussions

So Doctor “ Beth “ Upton is off to pastures new , leaving a large ongoing bill for NHS Fife

239 replies

RhannionKPSS · 15/02/2026 10:30

Dr Upton is off to Australia it seems, after creating a toxic situation for women in NHS Fife, wonder if Dr Upton is going to be working in “ Gender Services “ down under ?

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TinselAngel · 16/02/2026 11:46

PippaToriFripp · 16/02/2026 08:33

That “poor wife” has agency, knows exactly what he is and has stood by and supported him throughout this shit show. She’s no better than he is.

1st rule of misogyny: women are responsible for what men do.

Read the trans widows threads then have a think about how much agency women in this situation actually have.

KilkennyCats · 16/02/2026 11:10

TwattingDog · 16/02/2026 08:42

Or perhaps she's a victim in all of this and finding it hard to make that first move out the door and to safety.

The reality is we don't know and she isn't the story.

She only need be aware that she is not alone, many wives have had to suffer the loss of their husband to the trans community and she can seek support and help whenever she's ready. And when that time comes, she'll be given that support and help without judgement.

She may not be the story, but she’s not the bloody victim either.

Rainingrain · 16/02/2026 09:31

I agree, the level of English required of overseas doctors should be much higher.

For returning British medics trained abroad, their English should be fine but they will not have been taught to listen to patients if they were taught a course in English with Romanian-speaking population.

anyolddinosaur · 16/02/2026 09:21

It makes no sense to send expensively trained doctors overseas to replace them with those with only slightly better experience on paper. Students who cant get into uk medical schools may go to Malta, where they teach in English, but would not be "overseas doctors" if you gave priority to British nationals. My experience is that PLAB does not restrict doctors who are hard to understand. The standards required should be higher.

Rainingrain · 16/02/2026 09:13

Snootsnoot · 16/02/2026 08:30

Re Dr's from abroad - we also have to note the amount of students who can't afford to do 5 years of study in UK who now get degrees in medicine from EU (Romania and Poland I think are popular) because they don't come from wealthy families. Although I suspect they aren't the ones being given jobs with experience they would presumably also be classed as overseas Dr's?

Most who go abroad do so because they can’t get places here. They do count as international medical graduates and I am sceptical about courses where people can pass their medical degree without having sufficient local language to engage properly with patients. How can that be patient centred care? However, if they are British citizens they have a right to work here as long as they can pass PLAB.

TwattingDog · 16/02/2026 08:42

PippaToriFripp · 16/02/2026 08:33

That “poor wife” has agency, knows exactly what he is and has stood by and supported him throughout this shit show. She’s no better than he is.

Or perhaps she's a victim in all of this and finding it hard to make that first move out the door and to safety.

The reality is we don't know and she isn't the story.

She only need be aware that she is not alone, many wives have had to suffer the loss of their husband to the trans community and she can seek support and help whenever she's ready. And when that time comes, she'll be given that support and help without judgement.

PippaToriFripp · 16/02/2026 08:33

CousinBette · 15/02/2026 10:44

Dragging that poor wife of his thousands of miles from home to indulge his fantasies eh

That “poor wife” has agency, knows exactly what he is and has stood by and supported him throughout this shit show. She’s no better than he is.

Snootsnoot · 16/02/2026 08:30

Re Dr's from abroad - we also have to note the amount of students who can't afford to do 5 years of study in UK who now get degrees in medicine from EU (Romania and Poland I think are popular) because they don't come from wealthy families. Although I suspect they aren't the ones being given jobs with experience they would presumably also be classed as overseas Dr's?

Rainingrain · 16/02/2026 07:41

Needmoresleep · 16/02/2026 07:32

Not read the whole thread but the case and him going to Australia may not be linked.

There are very few jobs for UK trained doctors at his level. At the time of the case he was an F3. A year long contract for those who have finished their 2 foundation years. (He was on a Foundation rotation in A&E when it all happened.)

Boris, perhaps motivated by Covid, designated all doctor jobs as shortage jobs, which means that they open to worldwide applications with no priority given to those already resident in the UK. Wes Streeting has tightened up rules around speciality training positions as application numbers had gone through the roof, but has otherwise ignored the issue. It means that doctors like 'Beth' at the start of their careers are competing for entry level jobs with doctors from overseas with bags of experience. The choice, for DD is insecure and poorly paid zero hours locum work or emigrating.

DD is also about to leave. About 25% of those who completed F2 in her deanery last August are in or en route to Australia. She already knows that 7 from her Deanery and six from her medical school will be working in the same hospital. Perhaps Beth as well.

In short this decision will not be about 'trans', but simply that Beth's special status was not enough to protect her from the realities of trying to build a career within the NHS.

I had made this point. Though Streeting has only just proposed ensuring UK doctors have priority again and even there I think it was only for 80% of jobs. He could have made the change immediately after the election. The BMA doesn’t see this as an issue - they think the problem is that the NHS don’t offer unlimited well paid training places to however many overseas doctors who want to come here.

Needmoresleep · 16/02/2026 07:32

Not read the whole thread but the case and him going to Australia may not be linked.

There are very few jobs for UK trained doctors at his level. At the time of the case he was an F3. A year long contract for those who have finished their 2 foundation years. (He was on a Foundation rotation in A&E when it all happened.)

Boris, perhaps motivated by Covid, designated all doctor jobs as shortage jobs, which means that they open to worldwide applications with no priority given to those already resident in the UK. Wes Streeting has tightened up rules around speciality training positions as application numbers had gone through the roof, but has otherwise ignored the issue. It means that doctors like 'Beth' at the start of their careers are competing for entry level jobs with doctors from overseas with bags of experience. The choice, for DD is insecure and poorly paid zero hours locum work or emigrating.

DD is also about to leave. About 25% of those who completed F2 in her deanery last August are in or en route to Australia. She already knows that 7 from her Deanery and six from her medical school will be working in the same hospital. Perhaps Beth as well.

In short this decision will not be about 'trans', but simply that Beth's special status was not enough to protect her from the realities of trying to build a career within the NHS.

Rainingrain · 16/02/2026 07:01

ElenOfTheWays · 16/02/2026 02:57

I doubt the good doctor would offer to help anyway if he's not getting paid to do so. He seems entirely selfish.

He would consider it beneath him. Iirc in one of those cases where he accused Peggie of neglecting a patient he was left with the patient to carry out the observations. The patient had someone to care for them but the task was a ‘nurses job’

AnSolas · 16/02/2026 06:25

Aluna · 15/02/2026 19:13

I couldn’t give a stuff what Dr Upton considers. I’m very clear if I am not comfortable with the gender of a practitioner I will say so whatever they consider themselves to be.

NHS Fife failed to take appropriate action. But their case would have been much harder to defend has they been supporting Dr Upton’s right to examine unwilling rape victim as a “female” doctor.

There was one good outcome from the case is that it forced the GMC to change its listings policy on problem doctors.

Prior to this case the GMC issued a new name and ID number "sealing" the old history. (As some genius had decided that prior regulation issues would be left on the old name as they would be outing.)

When people (the press) started to ask questions they had to quickly amemd the process to carry any history over as it was an obvious loophole.

ElenOfTheWays · 16/02/2026 02:57

AskingQuestionsAllTheTime · 15/02/2026 19:02

PithyViewer
If you had a collapse and she was the only doctor in sight (like on a plane) I bet you'd be quite happy to put your prejudices aside and have her treat you!

Except in the extraordinary and unusual circumstance of a collapse on a plane (which is unlikely ever to happen to me because I don't use the things), I'd be very chary about relying on just any old medic if I were injured or collapsed. For one thing, a trained medic may have no experience at all of whatever it is that is wrong.

My late MiL fell out of a first-floor window and landed on a paved area below it. The person who found her early in the morning, knowing that the man next door was a qualified MD, ran to him for help. While waiting for an ambulance to arrive, that doctor picked up the unconscious woman and carried her into the house in his arms to put her on a sofa.

Because of the damage he did to her spine in this way, she never walked again. He seems to have known no better: he had never had to deal with a spinal injury.

And there have been several cases in which qualified doctors, afraid that a car may explode even though that's extremely unusual in the absence of naked flame, have hauled people out of cars after an RTI and made their injuries worse by doing so. Give me an ambulance worker or a St John trained civilian any day!

In the case of Dr Upton, I think he's delusional, so I would prefer him not to treat me for a non-delusional, actual medical condition or emergency.

I doubt the good doctor would offer to help anyway if he's not getting paid to do so. He seems entirely selfish.

ErinBell01 · 16/02/2026 01:12

PithyViewer · 15/02/2026 11:22

Why do you feel sorry for the Australian women patients? Her medical skills aren't in question and there is no evidence or suggestion that she has ever mistreated any female patient. If you had a collapse and she was the only doctor in sight (like on a plane) I bet you'd be quite happy to put your prejudices aside and have her treat you!

He said that he'd treat a woman who had requested female only care, which is a sexual offence. If I was in a serious condition then of course I'd accept him treating me. Don't forget he put in a complaint about an Alzheimer patient calling him the very friendly, caring, term, 'son'. He's a narcissist and beyond the pale.

ErinBell01 · 16/02/2026 01:04

Hoardasurass · 15/02/2026 10:52

Does anyone know if hes still under the gmc complaints process. I'm just wondering what will happen to our ongoing complaints

I complained about him - did other people? It certainly doesn't show up on his BMA registration.

ErinBell01 · 16/02/2026 01:01

I think that's the least of her problems! She's now apparently a lesbian.

ErinBell01 · 16/02/2026 00:59

As of today he's still registered with the BMA as a 'female' doctor.

GargoylesofBeelzebub · 16/02/2026 00:11

Scoffingbiscuits · 15/02/2026 22:32

I hate seeing our best-educated and most hard-working young people being more or less forced to leave the country. It makes no sense.

A male doctor who claims to be biologically female, said he would ignore the wishes of female patients and treat patients according to their “gender” rather than sex is no loss. He’s a loon. Oh and he tried to drive a hard working nurse out of a job by fabricating evidence. He’s a nasty piece of work. No great loss.

Rainingrain · 15/02/2026 22:50

Aluna · 15/02/2026 22:40

Yes in Scotland “gender” was replaced “sex” for forensic medical services for sex offences. Victims can self-refer without police involvement.

Wasn’t that what caused Nicola Sturgeon to film herself crying in a cupboard over how terribly sorry she was to trans people to have allowed the SNP MSPs to vote against requiring women who have just been gang raped to be examined by a trans identified male doctor?

Aluna · 15/02/2026 22:40

selffellatingouroborosofhate · 15/02/2026 19:53

Wasn't the Six Word Amendment specifically about police forensic gynaecologist examiners?

Yes in Scotland “gender” was replaced “sex” for forensic medical services for sex offences. Victims can self-refer without police involvement.

Scoffingbiscuits · 15/02/2026 22:32

I hate seeing our best-educated and most hard-working young people being more or less forced to leave the country. It makes no sense.

Rainingrain · 15/02/2026 22:25

AskingQuestionsAllTheTime · 15/02/2026 21:11

Because so very many of the medical staff in this country come from all over the world? So long as they speak English, which is what really matters if you are an English speaker and want to tell a doctor what the problem is, I can't see that it matters. If you aren't, you may need a translator no matter which country the doctor happens to come from. The last one who treated me was a Finn, who naturally spoke better English than I do. The one before that was a Bulgarian.

Edited

Why are we taking doctors from around the world instead of our own doctors, trained at huge expense? Every other country prioritises employment of their own over people from outside the country. We must do the same.

AskingQuestionsAllTheTime · 15/02/2026 21:11

Because so very many of the medical staff in this country come from all over the world? So long as they speak English, which is what really matters if you are an English speaker and want to tell a doctor what the problem is, I can't see that it matters. If you aren't, you may need a translator no matter which country the doctor happens to come from. The last one who treated me was a Finn, who naturally spoke better English than I do. The one before that was a Bulgarian.

Scoffingbiscuits · 15/02/2026 20:42

Rainingrain · 15/02/2026 18:16

To be fair, the government hasn’t been giving uk medical graduates any priority over foreign doctors applying from abroad for specialty training posts. This left nearly half of last year’s FY2 finishers unemployed as approx 11,000 of them were apply for around 10,000 training posts - designed as the next step in the uk training system after FY2 - in competition with over 25,000 foreign doctors (not resident in the UK). It looks like priority will be given back to uk graduates (though it is unclear whether this is for all posts) but there is a backlog of uk graduates wanting training positions. Priority means, like other jobs and every other country, training posts can only be offered to foreign doctors if there are no qualified uk applicants. Notoriety aside, Upton might well have found it difficult to find a training position.

I'm glad to hear that they'll be prioritising British doctors. As the EU prioritises doctors from the EU. I don't understand why they aren't already doing so.

selffellatingouroborosofhate · 15/02/2026 19:59

No, but it was specifically about post-rape examinations. https://forwomen.scot/07/12/2020/sixwords/