Access to health and support services by the trans community and their families, Gloucestershire

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Summary of report content

Healthwatch Gloucestershire collected feedback from transgender or non-binary people in Gloucestershire. Concerns raised on the following areas: • GP surgeries and hospitals • Gender Identity Clinics (GICs) • Psychological therapies To learn more about these issues and find out about people’s experiences, HWG invited a group of transgender and non-binary people (including young people under 25 as well as older adults), their partners and other family members through their local support organisation ‘Gloscats’, to an informal round table discussion in October 2016. Personal stories (case studies) are included in the report. Recommendations Following lengthy discussions with the group, HWG make the following suggestions for improvement: • Giving GPs simple accessible information, which could bring about positive change • Include information about support groups (GAY-GLOS Youth, Gender Identity Research and Education Society (GIRES), Gloscats, Mermaids, Glos Parents of Gay and Trans Youth (POGTY), Transwiki) on G-Care (a locally-developed website designed for primary care clinicians, collating a range of useful local and national information including care pathways, clinical guidance, referral forms, clinical commissioning policies and patient information). • Gloscats to present at one of the Protected Learning sessions for GPs and practice staff. • Clarification on the Gloucestershire policies regarding changes to genetic markers and NHS numbers • Recognition of the need for support between referral to a GIC and first appointment and the provision of this support • Introduction of a pathway to enable local access to mental health appointments once a person has had their first appointment at a GIC • Recognition of the need for information and psychological support for partners and families, and provision of appropriate support.

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General details

Report title 
Access to health and support services by the trans community and their families, Gloucestershire
Local Healthwatch 
Healthwatch Gloucestershire
Date of publication 
Friday, 3 March, 2017
Date evidence capture began 
Monday, 10 October, 2016
Date evidence capture finished 
Monday, 10 October, 2016
Type of report 
Key themes 
Booking appointments
Communication between staff and patients
Cost of services
Information providing
Lifestyle and wellbeing
Patient records
Service delivery organisation and staffing
Staff attitudes
Staff levels
Other information of note about this report 
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
What type of organisation requested the work 
Primary research method used 
User stories
How was the information collected? 
Engagement Event
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Secondary care services 
Sexual health

Details about conditions and diseases

Types of disabilities 

Details of people who shared their views

Age group 
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
Care / support workers
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Network related impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.