London, UK – A Black NHS nurse, Jennifer Melle, has been disciplined after refusing to use a transgender patient’s preferred pronouns, despite facing racial abuse and threats of violence from the same patient. The incident, which occurred at St Helier Hospital in Carshalton, has sparked widespread outrage and raised concerns over the NHS’s treatment of Black professionals and the intersection of faith and workplace policies.
The Incident
Jennifer Melle, a 40-year-old nurse with over 12 years of experience, was involved in a confrontation with a transgender sex offender during a night shift at St Helier Hospital. The patient, who was trying to self-discharge from the hospital, became irate when Melle referred to them as “Mr. X” while updating a doctor. The patient responded by shouting: “I’m a Miss, don’t call me Mr!”

The situation escalated as the patient used racial slurs, calling Melle the “N-word” multiple times, and physically lunged at her, despite being restrained by two prison guards. Melle was left feeling threatened and unsupported.
NHS Disciplinary Action
Rather than addressing the racial abuse Melle faced, the NHS Trust launched an investigation into her conduct for “misgendering” the patient. As a result, she received a final written warning and was referred to the Nursing and Midwifery Council (NMC). She was also redeployed to a different department, which she believes was a punishment for her religious beliefs.
In an interview, Melle expressed her distress:
“I love my job and have always received good feedback. But this situation is about more than just me. It’s about standing up for my faith and being treated fairly.”
Melle, who is a devout Christian, maintained that while she was willing to use the patient’s chosen feminine name, she could not call a biological male “Miss” due to her religious convictions.
The Broader Debate
Melle’s case raises serious questions about the balance between professional conduct, personal beliefs, and institutional policies. The NHS’s response to her refusal to comply with the patient’s gender identity preference has raised concerns about religious freedom, free speech, and racial discrimination in the workplace.
Many have questioned why the NHS focused on Melle’s use of pronouns while failing to address the racist abuse she endured.
This case is not an isolated incident, as other healthcare professionals in the UK have faced disciplinary actions for similar issues related to gender identity policies that clash with personal values.
African Perspectives and Global Attention
The case has sparked international outrage, particularly within African communities, who view the situation as a direct attack on Christian values and racial justice. Many have expressed concern that Black professionals in the UK, particularly in healthcare, face discrimination and marginalization, both racially and ideologically.
In Africa, where many nations uphold traditional and religious values, there is a growing debate over Western policies that seem to prioritize gender identity over race, religion, and cultural values.
What’s Next for Melle?
Jennifer Melle has vowed to fight back against the disciplinary action and is seeking legal advice on the matter. She has filed a claim for harassment, discrimination, and violation of her human rights against the NHS Trust.
At this stage, the NHS Trust has refused to comment, stating that the case is under review.
As this case continues to unfold, it raises critical questions about the balance of professional conduct, human rights, and institutional fairness within the NHS.
What’s Your Opinion?
Should Jennifer Melle have been punished for standing by her faith and refusing to misgender the patient? Was the NHS wrong for not addressing the racial abuse she experienced? Share your thoughts in the comments below.
Stay tuned for updates on this developing story.