New rules for staff toilets at NHS Fife are a “devastating blow” to the health board’s defence in the case brought by Sandie Peggie, the campaign group supporting the Kirkcaldy A&E nurse says. Ms Peggie was suspended and investigated after confronting transgender doctor Beth Upton, who was born male, in the female changing rooms at Victoria Hospital in Kirkcaldy on Christmas Eve 2023. NHS Fife said on Tuesday its staff should use facilities that correspond with their sex at birth, rather than their gender identity. “This assessment forms part of our ongoing review of staff changing and toilet facilities across the NHS Fife estate. “NHS Fife will continue to engage with staff and partners to ensure our facilities remain fit for purpose and compliant with current legislation and guidance.”