And then you have to consider that the woman for whom same sex care has been requested (it could be by a relative or carer, not just the woman herself) could have a learning disability, or dementia, or be a teenage girl who has never been examined before, or simply not have her glasses on and not be able to see all that well. She could be non-verbal or have english as a second language.
And Upton assumes consent unless she tells him to his man face not to touch her. He got very squirmy when NC asked him what happened if the woman only realised he was male after he'd started the exam, but you could tell he was convinced he had his arse covered with 'refuse at any time'
I would like to hear from NHS Fife if they agree that this is how Upton should approach a request for female same sex care.