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NHS Fife now says staff should use toilets based on biological sex

NHS Fife follows UK Supreme Court ruling by requiring staff to use facilities based on biological sex, citing legal compliance and higher demand for women’s spaces, officials said.

  • On Tuesday, NHS Fife said staff should use single-sex toilets and changing rooms according to their sex at birth, committing to safe, lawful facilities that respect privacy and dignity.
  • The UK Supreme Court's April ruling clarified the legal definition of a woman refers to biological sex, and the Equality and Human Rights Commission urged NHS Fife on February 21 to act on single-sex spaces.
  • NHS Fife's equality impact assessment says it will provide a balanced mix of single-sex, gender-neutral and accessible facilities to meet legal duties.
  • The workplace dispute resulted in nurse Sandie Peggie's suspension after objecting to sharing a changing room with Dr Beth Upton, and her Equality Act 2010 claims await tribunal deliberations later this month.
  • The EQIA cautions that people undergoing gender reassignment risk being 'outed' if gender-neutral facilities are limited, and stresses no-one should lack access to facilities protecting dignity and privacy.
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The Independent broke the news in London, United Kingdom on Tuesday, September 30, 2025.
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