And let's not forget that when one of the nurses - who is a survivor of childhood sexual abuse - needed gynae surgery, the male she and others had complained about was scheduled to be present during her surgery:
But worse was to come for Karen. By, as she says, ‘an unhappy coincidence’, she was due to have a gynaecological operation at Darlington Memorial Hospital in August 2024.
To her horror, she discovered that Rose was scheduled to be involved.
The procedure would be part robotic, and Rose’s role would involve being at the bedside, passing tools to the surgeon.
“It is difficult to put into words how I felt,” Karen said, “I immediately knew this was ethically wrong and that my condition would be made worse and more painful with the stress it would cause.”
With a colleague, Karen approached the theatre manager and explained the situation, the legal case and how Rose’s involvement would be “completely inappropriate”, and that she wanted women involved in the operation.
Astonishingly the theatre manager said: “But Rose is a woman”.
She added that she thought Karen was being “prejudiced”.
She tried to explain that she was not singling Rose out, but that there was clearly a conflict of interest and because of her childhood trauma she wanted women involved in the procedure.
Regarding Rose being removed from the operating team, Karen was asked: “How do you think that would make Rose feel?”
She was given the choice of cancelling her surgery, trying to get it done at another hospital, or allowing Rose to be part of the operation. Any delays would prolong the pain she was in and had been for some time.
After putting her position in writing, the theatre manager wrote to her and said that her request could not be accommodated “due to clinical and staffing skill mix issues.”
With legal support and advice from the Christian Legal Centre, days before the operation, Karen went to the Patient Advisory and Liaison Service (PALS).
After outlining her situation, PALS swiftly made the decision that it was not appropriate for Rose to be involved.
Despite what the theatre manager had said, it appeared very possible to reallocate staff so that Rose was not involved in the operation.
“I believed this was purely vindictive and demonstrated how low they were prepared to go,” Karen said. “Gender identity was placed above patient and staff care. They tried to punish me for the legal case I was part of and for opposing gender identity policy within the hospital.”