The tribunal heard from another nurse, Jane Peveller, who has been working at the hospital since 1997 and said she was uncomfortable with Rose being in the changing rooms.

She is among 26 hospital workers who signed a “letter of concern” about Rose’s behaviour, which included allegations Rose was stopping hormone treatment to conceive with their partner.

Describing when she was in the changing room with Rose, on a separate occasion, Ms Peveller said she felt “overwhelmed with anxiety that a man was stood next to me”.

When asked by Mr Cheetham if it was the presence of someone she considered to look “very male” rather than anything in particular they did, she replied “yes”.

Ms Peveller said, before signing the letter she had overheard “rumours” from a colleague Rose had stopped taking female hormones and was trying to “inseminate” their female partner.

Mr Cheetham asked if Ms Peveller had verified this rumour before signing it, and she denied doing so.

He asked why it “did not trouble” her that she was putting her name to a letter “unequivocally”, without checking whether the rumour was true.

She maintained it was “because it was correct” and said Rose was a “sexually active biological man [who was] stood next to me while I had my trousers down”.