This man is a doctor. He currently works as one in an NHS a&e.
Is he expected to refer to patients by 'their chosen sex' in an emergency too? Is it ok to acknowledge bio sex at the point of looking up their blood results or considering likely diagnoses?
If you can be sacked for not being validating enough (colluding in the patients' belief) where is that line drawn? Patients turn up at a&e convinced someone is chasing them, convinced they shouldn't eat, convinced they should harm themselves.
The article gives no real detail. Did he wilfully and deliberately offend people, persistently using a name they asked not to be called or did he have a hypothetical conversation in which he expressed his difficulty with what was being expected?
If it's more the former and less the latter then maybe he was tricky with patients and made them and colleagues uncomfortable etc. If it's more the latter and less the former then we are all potentially in trouble.
It's interesting that he lost his job for one government employer but he is presumably securely employed by the NHS and there's been no concern from the GMC. Makes me think it's more the latter than the former.