The dispute traces back to December 2023, when Ms Peggie objected to sharing a changing room with Dr Beth Upton, a transgender medic who now lives in Australia and goes by “Lis”, at Kirkcaldy’s Victoria Hospital. The disagreements escalated and Ms Peggie was suspended from her post in January 2024.

She subsequently pursued legal action against both Dr Upton, who has since departed the NHS, and the health board itself. In December 2025, a separate tribunal handed Ms Peggie a partial win, upholding her harassment claim against NHS Fife while rejecting her broader allegations of discrimination, indirect discrimination and victimisation.

The case against the RCN, which concluded its evidential hearings in Dundee during September and October, centred on three specific allegations.



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