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flag NHS Fife updates toilet policy to require biological sex-based facility use following a UK Supreme Court ruling and an equality review.

flag NHS Fife has updated its staff policy to require use of toilets and changing facilities matching biological sex at birth, aligning with a UK Supreme Court ruling defining a woman under equality law as someone with female biological sex. flag The change follows an equality impact assessment prompted by the Equality and Human Rights Commission, which criticized the health board for previously lacking such an assessment. flag The interim guidance mandates single-sex facilities be used by those whose sex at birth matches the space, while also maintaining gender-neutral and accessible options. flag The move comes amid a high-profile legal case involving nurse Sandie Peggie, who was suspended after objecting to sharing a changing room with transgender doctor Dr Beth Upton, citing privacy concerns. flag The case remains pending, with NHS Fife emphasizing its commitment to legal compliance, staff dignity, and equitable access to facilities across its estate.

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