The NHS Scotland faced scrutiny after it withdrew its staff transgender policy at the start of the tribunal involving nurse Sandie Peggie. Peggie, who has been at the centre of controversy for standing up for women's rights, was suspended by NHS Fife. Despite admitting that Peggie had done nothing wrong, NHS Fife’s lawyers returned to court shortly after. The case has drawn criticism towards the Scottish government, NHS Fife board, and management for a lack of accountability and transparency. A senior diversity officer, whose advice led to allowing a transgender doctor access to female changing rooms, has publicly stated that she does not know her own sex. Additionally, the head of nursing involved in Peggie’s suspension could not recall the risk assessment that justified the action. The tribunal and related events have raised questions about NHS policies and management decisions concerning transgender issues in healthcare settings.