Claimant v Cambridge University Hospitals NHS Foundation Trust
Outcome
Individual claims
Tribunal found no breach of the implied term of mutual trust and confidence. Allegations regarding lack of training, exceeding two-hour specialling limit, and management comments about adjustments did not amount to conduct calculated to or likely to destroy mutual trust and confidence. Where breaches of policy occurred, there was reasonable and proper cause. Claimant resigned before awaiting outcome of further occupational health advice.
Tribunal found a culture (not official policy) of selecting male Healthcare Assistants to special potentially aggressive or violent patients based on stereotypical assumptions about men being larger and stronger. Claims succeeded in relation to 4 of 7 specific incidents (Incidents 1, 3, 5, and 6) where evidence showed male-only allocation. This constituted less favourable treatment because of sex, placing male HCAs at greater risk of assault. Female HCAs in same circumstances would not have been so selected.
Tribunal found that the Respondent did make reasonable adjustments. Claimant was exempted from specialling altogether on multiple occasions following occupational health advice. Arrangements were made to limit bank shifts to Ward N2 where exemption could be maintained. Purple Passport was offered but declined by claimant. While permanent exemption from specialling on N2 was not feasible due to staffing/logistical issues, transfer to another ward without specialling requirements was a reasonable alternative which claimant did not pursue. Claimant resigned before awaiting further occupational health physician advice.
Facts
Claimant, a male Healthcare Support Worker with PTSD and depression, worked for NHS Trust 2018-2022. He was repeatedly assigned to 'special' (closely observe) patients known or suspected to be aggressive/violent. He suffered multiple assaults. He alleged male HCAs were disproportionately selected for such duties based on stereotypical assumptions about physical capability. Following periods of mental health absence, occupational health recommended temporary exemption from specialling. Management indicated this could not be permanent on his ward due to operational needs, suggesting possible redeployment. Claimant resigned March 2022 citing discrimination and failure to accommodate his disability.
Decision
Tribunal upheld sex discrimination claim in relation to four specific incidents where male HCAs were selected to special aggressive patients based on gender stereotypes, not legitimate patient-specific needs. Constructive dismissal claim failed as no breach of trust and confidence found. Reasonable adjustments claim failed as employer had made reasonable temporary adjustments and offered alternatives (Purple Passport, redeployment) which claimant did not fully pursue before resigning. Remedy to be determined at further hearing; tribunal indicated preliminary view that compensation likely limited to injury to feelings.
Practical note
Selecting employees for potentially dangerous duties based on gender stereotypes (e.g. assuming men are stronger/more robust) constitutes direct sex discrimination even where employer has legitimate operational concerns; reasonable adjustments do not require employer to maintain indefinitely an arrangement that creates significant operational difficulties where alternative reasonable adjustments (such as redeployment) are available.
Legal authorities cited
Statutes
Case details
- Case number
- 3304557/2022
- Decision date
- 2 June 2025
- Hearing type
- full merits
- Hearing days
- 10
- Classification
- contested
Respondent
- Sector
- healthcare
- Represented
- Yes
- Rep type
- barrister
Employment details
- Role
- Healthcare Support Worker
- Service
- 4 years
Claimant representation
- Represented
- No