LGBTQ+ people’s experience of using health and social care services in North Yorkshire

Download (PDF 2.32MB)

Summary of report content

Healthwatch North Yorkshire undertook research to investigate the health and social care inequalities for people identifying as LGBTQ+. More than 200 people shared their views via a survey and interviews.

Most respondents felt they were open about their LGBTQ+ status when visiting a health or social care professional. Some felt this is integral to their identity, but some feared negative reactions or questioned the relevance of disclosing.

Most felt respected and comfortable using services after disclosing their LGBTQ+ identity and trust staff. But most did not feel services and staff were able to support LGBTQ+ specific needs or gender identity needs.

Most had experienced heteronormative assumptions in health and social care settings, and others had more negative experiences in relation to their LGBTQ+ identity. Accounts of more detailed patient experiences highlighted potential facilitators and barriers to access which apply to staff, services and systems, including use of appropriate language, supportive, friendly, accepting staff and recognition and inclusion of family and partners of choice in care.

There were seven recommendations including collecting LGBTQ+ demographic data, better training, availability and signposting to LGBTQ+ support services, using inclusive language and improving waiting times for gender identity clinics. 

Would you like to look at:

General details

Report title 
LGBTQ+ people’s experience of using health and social care services in North Yorkshire
Local Healthwatch 
Healthwatch North Yorkshire
Date of publication 
Thursday, 25 June, 2020
Date evidence capture began 
Saturday, 1 June, 2019
Date evidence capture finished 
Thursday, 31 October, 2019
Type of report 
Key themes 
Booking appointments
Communication between staff and patients
Health inequalities
Holistic support
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff training
Waiting times and lists for treatment
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Structured interview
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Primary care services 
GP practice
Secondary care services 
Inpatient care
Mental health services 
Community mental health team (CMHT)
Community services 
Community based services for people with mental health needs

Details about conditions and diseases

Types of long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
Age group 
All people 18 and over
Not known
Sexual orientation 
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? 
Does the information include other people's views? 
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? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known

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.