Trans health care and wellbeing report

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Summary of report content

The aim of the community-based research project has been to improve access to health, care and wellbeing for local Trans and Non-Binary people and communities. The project focused particularly on the health inequalities, and discrimination, experienced by Trans and Non-Binary people and communities. Between April and December 2017 225 Trans and Non-Binary people from Bath and North East Somerset, Bristol, North Somerset, South Gloucestershire, Swindon, Wiltshire and other areas in the South West took part in an online survey, interviews and focus groups. Participants were recruited, through a range of methods, including social, community and support groups; online and through social media. The findings highlighted Trans people face a significant amount of hostility in society, and the health care system is a contributing factor. Trans people have very poor mental health compared to the rest of the population. The discrimination Trans people face is a significant contributor. Trans people’s experience, in the health care system, is very mixed. Some health care professionals are excellent in their treatment of Trans and Non-Binary people, others are not as good and some professionals act in a discriminatory way towards Trans and Non-Binary people. Trans people often have to rely on word of mouth to find sympathetic health care professionals. Those Trans people who live in small, isolated and rural communities often have few choices available. The recommendations in this report are linked to training, policy development, specialist support, pronouns and challenging transphobia.

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General details

Report title 
Trans health care and wellbeing report
Local Healthwatch 
Healthwatch North Somerset
Date of publication 
Friday, 1 December, 2017
Date evidence capture began 
Saturday, 1 April, 2017
Date evidence capture finished 
Friday, 1 December, 2017
Type of report 
Key themes 
Communication between staff and patients
Information providing
Quality of regulation
Quality of treatment
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
If this work has been done in partnership, who is the partner? 
The Diversity Trust
Primary research method used 
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 
Acute services with overnight beds
Acute services without overnight beds / listed acute services with or without overnight beds
Mental health services 
Community mental health team (CMHT)

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
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 
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? 
What type of impact was determined? 
Implied 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.