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Feminism: Sex and gender discussions

NHS Fife tries to silence nurse - Sandie Peggie vs NHS Fife Health Board and Dr Beth Upton - thread #15

1000 replies

nauticant · 12/02/2025 15:50

Sandie Peggie, a nurse at Victoria Hospital in Kirkcaldy (VH), has brought claims in the employment tribunal against her employer; Fife Health Board (the Board) and another employee, Dr B Upton. Ms Peggie’s claims are of sexual harassment, harassment related to a protected belief, indirect discrimination and victimisation. Dr Upton claims to be a transwoman, that is observed as male at birth but asserting a female gender identity.

The Employment Tribunal hearing started on Monday 3 February 2025 and was expected to continue for 2 weeks although once it was in to the second week it was looking like this would not happen. The hearing commenced with Sandie Peggie giving evidence. Dr Beth Upton gave evidence from Thursday 6 February to Wednesday 12 February.

Access to view the hearing remotely was obtainable by sending an email request to [email protected] headed Public Access Request (Peggie v Fife Health Board) 4104864/2024 and requesting access.

However, as a result of problems with the livestreaming, apparently, as a result of a very large number of observers, remote public access to the hearing was suspended on Tuesday 11 February. It was suggested that it might be reinstated at some point but don't count on it.

The hearing is being live tweeted by https://x.com/tribunaltweets and there's additional information here: https://tribunaltweets.substack.com/p/peggie-vs-fife-health-board-and-dr. This also has threadreaderapp archives of live-tweeting of the sessions of the hearing for those who can't follow on Twitter, for example: archive.is/xkSxy.

An alternative to Twitter is to use Nitter: https://nitter.poast.org/tribunaltweets

Thread 1: https://www.mumsnet.com/talk/womens_rights/5186317-nhs-fife-tries-to-silence-nurse
Thread 2: https://www.mumsnet.com/talk/womens_rights/5267591-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-thread-2
Thread 3: https://www.mumsnet.com/talk/womens_rights/5268347-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-3
Thread 4: https://www.mumsnet.com/talk/womens_rights/5268942-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-4
Thread 5: https://www.mumsnet.com/talk/womens_rights/5269149-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-5
Thread 6: https://www.mumsnet.com/talk/womens_rights/5269635-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-6
Thread 7: https://www.mumsnet.com/talk/womens_rights/5270365-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-7
Thread 8: https://www.mumsnet.com/talk/womens_rights/5271511-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-8
Thread 9: https://www.mumsnet.com/talk/womens_rights/5271596-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-9
Thread 10: https://www.mumsnet.com/talk/womens_rights/5271723-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-10
Thread 11: https://www.mumsnet.com/talk/womens_rights/5272046-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-11
Thread 12: https://www.mumsnet.com/talk/womens_rights/5272276-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-12
Thread 13: https://www.mumsnet.com/talk/womens_rights/5272398-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-13
Thread 14: https://www.mumsnet.com/talk/womens_rights/5272939-nhs-fife-tries-to-silence-nurse-sandie-peggie-vs-nhs-fife-health-board-and-dr-beth-upton-thread-14

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JasmineAllen · 13/02/2025 09:36

I'm not sure if this quote from X-exam has been mentioned here but over on Twitter holyroodmandy posted this gem from yesterdays proceedings:

Dr Upton to Naomi Cunningham KC: "You don't like me, that much is obvious, but if you dropped down in front of me suffering from a heart attack I presume you wouldn't object to me treating you...There are times when severity of illness trumps how we feel about each other..."

IANAL, but I would have thought it not a good luck for someone being examined to take it so personally. When you go to ET you should know it is a process and not personal - I certainly did when I went to ET.

It isn't illegal to be an entitled idiot, but I was wondering if the above comment along with the other patronising replies/digs Upton made to NC would be viewed in a bad light and as a mark of his intent/personality and therefore could influence to courts decision in any way?

Ineedashero · 13/02/2025 09:37

having had the misfortune to engage with the scottish trans alliance I can confirm they are batshit. When is VV being questioned?

MarjorieDanvers · 13/02/2025 09:37

@nauticant thanks again for another great bbc link - it seems a robot would be handy!

ArabellaScott · 13/02/2025 09:37

Pobblenotoes · 13/02/2025 09:33

Given that biology is central to medical treatment, that men and women have different blood, different sized hearts, lungs, bones etc.,that much medication and treatment has to be sex specific or at least sex sensitive, how can the GMC license a doctor who has plainly stated during this tribunal that he doesn't understand or know clear differences between men and women and that he understands himself, a natal male as biologically female? A person so floridly unwell with gender dsyphoria and therefore also body dysmorphia in my opinion should not be at work. I fear for the patient that he would misgender and mis treat with the wrong doseage or wrong blood. He could put patients lives at serious risk, surely?

Either he really doesn't understand quite basic principles of biological sex, which are crucial in patient care, or he's lying.

Needspaceforlego · 13/02/2025 09:38

PepeParapluie · 13/02/2025 08:54

Thanks for the insightful updates everyone. A couple of thoughts as I’ve caught up.

On the issue of requesting a female doctor or clinician in a medical setting:

  1. I get why people are asking how we can ask this without getting a trans woman, but all of that is expecting average women to have any idea of the intricacies of gender identity theory. I can’t imagine my grandma knowing what a ‘cis’ woman is or ‘assigned female at birth’ means, even if we put aside the fact that expecting patients to understand such concepts means forcing them to engage in a contested belief system.
  2. I don’t think one can underestimate the guts you’d have to have to refuse a trans woman doctor when you have already requested female care and you are then presented with a trans woman. It’s a direct challenge to you isn’t it? They understood your request, ignored it, presented you with a male who identifies as female and now you have to have the guts to say ‘not you’ in a way that somehow doesn’t offend. It’s absolutely insane to think that most women in that situation, knowing what happens to ‘transphobes’ would feel free to say what they really want. Plenty of women (me included) find it hard to be assertive at the best of times, let alone faced with such a direct challenge, in a setting which already had a power imbalance and when you are already vulnerable.

On the evidence and additional dates issue - I really hope that the long delay doesn’t soften the memory of how ridiculous, contradictory and non-sensical DU’s evidence was. I hope the judge has got the measure of DU and at the very least has seen he is not direct and reliable, but I worry that the long delay until the rest of the trial might make his baffling evidence less impactful. If it does though, it seems NC should had plenty of material to refer to in summing up showing he is not reliable.

Yes, and many would look at a TW thinking, they are a just manish looking actual woman.

The GMC should never have allowed men to register as a different sex. That's where the muddying of the water is.

It is unbelievable how many organisations have allowed this without thinking through the consequences for actual women. And thinking the other way, lots of men wouldn't really want a TM touching them either.

It's like something out a cartoon - what another fine mess you've gotten us into

fanOfBen · 13/02/2025 09:38

Ineedashero · 13/02/2025 09:37

having had the misfortune to engage with the scottish trans alliance I can confirm they are batshit. When is VV being questioned?

Friday, is the plan. I don't know whether morning or afternoon.

prh47bridge · 13/02/2025 09:38

Shortshriftandlethal · 13/02/2025 09:26

The judge didn't seem very receptive to the idea, though, did he? And it is unlikley JR will agree.

Edited

I think the judge is simply unhappy that the disclosure failures are causing problems. He will know that it will give SP an easy appeal if he refuses to order disclosure of relevant documents and then decides against her.

NoBinturongsHereMate · 13/02/2025 09:39

NebulousHog · 12/02/2025 16:25

Re BMA + Speed, the BMA was actually closed over Christmas - it's on the X feed; does anyone know how you would contact someone within the BMA when the head office is shut? Is there another mechanism to do so for support.

I am questioning this as I know with my professional registration support agency we have no contact when the head office is closed.

Do we know whom, and how, DU contacted the BMA yet with evidence provided of that (ie. have the e-mails /phone numbers been shared).

I know I can get support from my organisation but only because I know personal numbers of friends (very good friends) who are willing to advise / guide in the interim closure period.

The BMA isn't the professional registration body. That's the GMC.

The BMA is a union, and therefore presumably has branch reps who are also staff within the hospital. Some.of these will have been on duty over Xmas.

RoyalCorgi · 13/02/2025 09:39

JasmineAllen · 13/02/2025 09:36

I'm not sure if this quote from X-exam has been mentioned here but over on Twitter holyroodmandy posted this gem from yesterdays proceedings:

Dr Upton to Naomi Cunningham KC: "You don't like me, that much is obvious, but if you dropped down in front of me suffering from a heart attack I presume you wouldn't object to me treating you...There are times when severity of illness trumps how we feel about each other..."

IANAL, but I would have thought it not a good luck for someone being examined to take it so personally. When you go to ET you should know it is a process and not personal - I certainly did when I went to ET.

It isn't illegal to be an entitled idiot, but I was wondering if the above comment along with the other patronising replies/digs Upton made to NC would be viewed in a bad light and as a mark of his intent/personality and therefore could influence to courts decision in any way?

I'm pretty sure you're right about this, and judges don't take kindly to this type of rhetoric. It seeks to undermine the legitimacy of the tribunal process (as did another claim by DU that the tribunal itself was brought about as a way of bullying him), and obviously if you are a tribunal judge you're not going to be impressed by this. A tactical error on DU's part, I think.

prh47bridge · 13/02/2025 09:40

Shortshriftandlethal · 13/02/2025 09:28

The reason so much time has been taken up by NC cross examination is partly down to JR's interruptions, as well as the Judge's tardiness in all matters and his inability, or unwillingness, to hold the line.

Edited

Agreed. The point I was making is that the fact most of the time is being taken up by NC might lead people to think this was still SP's case. It isn't. What we are now hearing is the case for the respondents, which is why NC doesn't get to decide the order in which witnesses appear.

RethinkingLife · 13/02/2025 09:40

Ereshkigalangcleg · 13/02/2025 09:35

Question to anyone who is a doctor or familiar, is consent and ethics covered in medical training?

https://jme.bmj.com/content/early/2025/01/19/jme-2024-110298

fanOfBen · 13/02/2025 09:40

I suppose one way this could be playing out in the mind of the judge, which is consistent with what we see and especially with his obvious irritation, is "it's already clear that I'm going to have to decide FOR SP, we don't need extra documents and massive long cross-examinations to convince me of that, so could we please just get on with it and could you stop messing up the rest of my schedule". Obviously, if that's how he's thinking, he would have to be careful not to let on, but it's possible, I feel. Let's hope.

Ereshkigalangcleg · 13/02/2025 09:42

Thank you @RethinkingLife

ValerieDoonican · 13/02/2025 09:42

RedToothBrush · 13/02/2025 09:15

No it wouldn't.

Because you would have to be educated enough to know to do this.

That leaves a lot of uneducated women and women who don't have English as a first language in a position of vulnerability and UNABLE to refuse.

That creates a whole other world of mess and leaves the door open for indirect discrimination litigation because certain groups are disproportionately affected.

Completely fair point in response to my somewhat facetious post. I know it is far from a laughing matter.

prh47bridge · 13/02/2025 09:43

Bunpea · 13/02/2025 09:30

TBF, I wouldn’t want to see doctors on their pay grades doing obs (except in exceptional cases), when a nurse on a much lower pay grade can do them. Otherwise what are we paying doctors for?

I guess the ‘exceptional cases’ needs defining if people are going to be arsey about it.

In a busy A&E department you don't want an expensive doctor standing around watching a nurse doing obs when there are other patients the nurse needs to see. Once the doctor arrives, it is far more sensible for the nurse to go and deal with other patients while the doctor takes the obs.

Bunpea · 13/02/2025 09:44

The GMC register shows Gender, not sex. And if a doctor has previously been registered with a different gender, they keep that secret.

I agree (assuming this is what you mean) they should not have allowed this.

Applies to other (most? all?) health care professionals too.

NebulousHog · 13/02/2025 09:44

NoBinturongsHereMate · 13/02/2025 09:39

The BMA isn't the professional registration body. That's the GMC.

The BMA is a union, and therefore presumably has branch reps who are also staff within the hospital. Some.of these will have been on duty over Xmas.

I realise the separation between BMA and GMC - just with me, as I said, it would be unlikely to get support through the channels over the office closure period.

Scout2016 · 13/02/2025 09:44

Early on on his evidence, NC gave the scenario of walking in the street and there's someone behind you. She asked if the person's sex would alter his perception of risk and he waffled a lot but it boiled down to no. That alone tells you he isn't a woman, doesn't get what it's like and probably never will.

Someone - Julia Long or Kathleen Stock maybe? - said there should have been a whole new word invented from the start for TW. That it's proving impossible to claw the word "woman" back and it should never have been shared / lent. I hadn't thought of that before but it's so right.

It was never accurate either as you can't transition into womanhood, only pretend to. But now no compromise is possible because they royally took the piss and abused the kindness shown.

Appalonia · 13/02/2025 09:44

Does anyone know, if SP wins her case, what will be the consequences ( if any ) for Dr U?

Tallisker · 13/02/2025 09:44

Do no other men work in Fife A&E? I can't recall any mention of any involvement of any male member of staff in this whole sorry tale.

Ereshkigalangcleg · 13/02/2025 09:45

No it's striking, isn't it @Tallisker

MorrisZapp · 13/02/2025 09:46

Where does Vic V come into this? Is she his adviser in some capacity?

Boiledbeetle · 13/02/2025 09:46

Sandie's fundraiser now at over £28,000

NHS Fife tries to silence nurse - Sandie Peggie vs NHS Fife Health Board and Dr Beth Upton - thread #15
KnottyAuty · 13/02/2025 09:46

NotMaroonButRaspberry · 13/02/2025 08:56

I was thinking about the gang that worked as his Roman army marching in on the first day or 2 - some of them were clearly quite fired up, some quite excited to be part of it, some serious and apprehensive but doing what they felt a good friend doing the right thing would do ...

I really do wonder now if any of them have properly engaged with any of the discourse, really listened to what led to all this, and had any second thoughts or doubts?

It is one of the big disadvantages of no longer being able to see the posse on camera. Because usually this wouldn't be on show for the online observer at all. We would only get to see the reactions of other observers if in the room. In my experience as an observer to a professional conduct panel, the observers do influence things - sharp intake of breath, shocked look etc. It affects others nearby. If they came in fired up for support (having presumably taken 2 weeks off work to do this) and then had to sit through all the contradictory evidence and DU minimising of complaints previously described as "hate crime", there must be some doubts going on. But obviously (Cialdini persuasion principles) once a person has made a public commitment of support it is incredibly difficult for them to row back. So I was imagining that for today/tomorrow the group will defo remain committed to attending. It will be very illuminating to see who turns up in July. In that respect the initial attempt to give a visual indication of support, could potentially backfire if that support is visually diminished. Fascinating!

thenosiesttermagant · 13/02/2025 09:47

JasmineAllen · 13/02/2025 09:36

I'm not sure if this quote from X-exam has been mentioned here but over on Twitter holyroodmandy posted this gem from yesterdays proceedings:

Dr Upton to Naomi Cunningham KC: "You don't like me, that much is obvious, but if you dropped down in front of me suffering from a heart attack I presume you wouldn't object to me treating you...There are times when severity of illness trumps how we feel about each other..."

IANAL, but I would have thought it not a good luck for someone being examined to take it so personally. When you go to ET you should know it is a process and not personal - I certainly did when I went to ET.

It isn't illegal to be an entitled idiot, but I was wondering if the above comment along with the other patronising replies/digs Upton made to NC would be viewed in a bad light and as a mark of his intent/personality and therefore could influence to courts decision in any way?

As I couldn't log in I couldn't see her response. She's doing a job, 'liking' doesn't come into it. But it's typical of a coercive controller - everything HE doesn't like someone doing is a personal attack on him, not something someone's doing for entirely different reasons (like doing her job as a KC), or wanting a single sex changing room. SP wants a single sex changing room, it's not about him, it's just he's male. Yet Upton has turned it into a personal attack and even on here we're often (not always) going along with this framing.

I think this is a type of abuser in the Freedom programme - maybe the victim? Everything is an attack on him. People using the language they've used their entire lives and just applying according to their perceptions is an attack on him. ('transphobic') etc. At best it's a really unattractive personality trait to turn every single human interaction that doesn't involve someone bowing down before you as an attack or dislike or some other personal thing. Extremely manipulative.

I also thought it was a vaguely threatening remark - if you were unconscious I could put my hands upon you. Honestly, I wouldn't want someone so obsessed about the tiniest perceived personal slight treating me. I'd want someone competent who is focused on my care and dedicated to saving me and doesn't think I'm a transphobic bigot who deserves punishing for using standard English pronouns. Because he's made it quite clear that he thinks people using standard English are transphobic bigots akin to racists and deserve the punishment of slurs at the very least. What is that type of person going to do in that situation when giving 'care' to someone he thinks deserves punishment and thinks is abhorrent? Who knows... i have no confidence he'd behave according to medical ethics, he's already said he wouldn't in other situations.

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