@guinnessguzzler - "... But seriously, I think the real problem there is that the definition of woman has been deliberately muddled over recent years, with boundaries consistently eroded, such that even though there is actually a good level of clarity, lots of people aren't aware of that. Combine that with people who either don't have the time or desire to check, or ability to recognise it as something worth checking, and we end up here..."
This ^.
The meaning of the word "woman" has become completely muddled and I suspect this might be why NHS Fife think they have no legal obligation to provide separate changing rooms (and toilet and washing facilities) for the two sexes.
Para 24 of the Workplace Regulations 1992 simply says that employers must provide separate changing facilities for men and women. Unfortunately there is no definition of the words "men" and "women" in the regulations, but I suppose that wasn't considered necessary back in 1992 - or even earlier.
If NHS Fife are of the opinion that TWAW then I suppose they think Dr U is not only entilted to use the women's changing rooms, but that he is obliged to.
It's all a mess...
What I find interesting and what obviously contributes to this muddle is the anomaly of definitions in the Equality Act.
Gender is obviously referred to in the Act, but the Act has no definition of gender.
Sex is mentioned and is defined as being a reference as to whether an individual is a man or a woman.
Man is defined as a male of any age
Woman is defined as a female of any age
Neither male nor female are defined anywhere in the legislation