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What the ruling in the Sandie Peggie employment tribunal tells us is that this was a dispute that should have been settled long before lawyers got involved.

That it was not has resulted in two years of hell for the nurse, for Dr Beth Upton and also for many of their colleagues in the A&E at Kirkcaldy ’s Victoria Hospital.

The tribunal was unambiguous about where responsibility for this bourach lies.

Even after the formal complaint process had begun, the panel found that NHS Fife treated a volatile, contentious issue involving privacy, dignity, belief and gender identity as though it were an administrative inconvenience.

It opted for a slow, fragmented process rather than anything close to decisive management judgment.

In f

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