From previous thread - I think, in this situation, acting with integrity would require a degree of courage, which they all seemed to lack. I don't defend them, but in my view this illustrates the power of a narcissist in controlling the people around them.
On a local level it's that, but there's also the institution-wide level where the NHS (like so many others) has promoted the idea that anything trans people say is true however ridiculous it sounds (from TWAW on in), they must be pandered to and treated with kid gloves and allowed to control everything and never be told no.
Then not dealt with the fact that the idea that sex doesn't exist or can just change because someone says so is not compatible with medical care and treatment, or with safety and privacy for patients and staff. They contradict themselves on a daily basis because obviously recognising and understanding sex differences happens all day, every day in the NHS but everyone has to pretend GI is true 🤦🏻♀️
I did some NHS volunteering recently and part of it involved working with school students on work experience. Beforehand the coordinator emailed me to say the student I would be with the next day was non-binary and they/them, complete with painstakingly detailed, patronising explanation of what this meant and how to behave.
Went in, behaved respectfully and kindly towards the (clearly female) student, first thing the coordinator did was introduce her using she pronouns. Not deliberately - she was extremely earnest, preachy and rainbow-lanyardy. Just automatically and didn't even notice she'd done it.
There's a huge gap between the ideology that's been slapped onto everything, and how people actually instinctively think and behave - obviously. In a forensic situation like this where it's being picked apart the contradictions are going to be laid bare.