My reason for asking was this seems a very obvious question if he has also been quizzed about what he would do in future.
Given what we know about him already, it seems highly unlikely that he would have explained himself to any patient before examining or treating them.
What I have also missed is whether A&E was his first rotation as "Beth".
Having spent time extremely ill, unconscious or drugged up to the eye-balls on morphine on several occasions in A&E, Assessment Admissions, High Dependency Unit, mixed-sex and (supposedly) single-sex pre-op and post-op women's wards or bays over the years, medics don't always even introduce themselves adequately or intelligibly before they "touch" your body externally or internally. That or the patient is not in a position to be fully or even partly aware of the invasion, let alone the sex of the medic or nurse.
So I am wondering how confident Upton is that a previous patient will not come forward with a complaint that Upton assaulted them? Or how confident NHS Fife is that Upton has never examined or treated a patient who had previously requested a female-only service?
(The Sandie Peggie threads have already rehearsed all the arguments about whether or not it is reasonable or practical for a patient to expect female-only care on A&E so I don't want to re-open that debate.)
As far as patient wishes and consent are concerned, I am also wondering if that preference is recorded in NHS England Spine records and Scottish, Welsh and Northern Ireland equivalents? (And if not, why not?)
NHS SCOTLAND
Emergency care summary
Most patients in Scotland now have an Emergency Care Summary containing basic information about your health in case of an emergency.
NHS staff can also use your Emergency Care Summary if your GP refers you to an outpatient clinic or for admission to hospital to check your details.
Before any member of staff looks at your Emergency Care Summary, they must get your consent.
Specialist health records
Patients with particular needs or living with long-term conditions may also have a Key Information Summary containing information that NHS staff should know.
The Key Information Summary might contain:
- an emergency contact
- information about a patients condition
- what treatment the patient is having
https://www.nhsinform.scot/care-support-and-rights/health-rights/confidentiality-and-data-protection/health-records
I would have thought NHS Fife would have been on firmer ground if it had suspended Upton, ie. while it opened an investigation to find out if he had already assaulted any patients.