Evidence for Change: Bristol Lesbian, Gay, Bisexual and Trans Health and Wellbeing Research Report

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Summary of report content

The Diversity Trust, alongside Healthwatch Bristol, Healthwatch Bath & North East Sommerset, Healthwatch of this report is to improve access to health services in the Bristol area for Lesbian, Gay, Bisexual, Trans and LGBT+ communities.

Between 2012 and 2015 the Diversity Trust asked over 1100 Lesbian, Gay, Bisexual, Trans and LGBT+ people across the West of England region about their experiences of health and wellbeing, and about their experiences accessing and receiving healthcare services.

The programme was funded through the Healthwatch Community Pot, and the Diversity Trust were commissioned to carry out a Health Needs Assessment, focusing on the specific health inequalities experienced by LGBT+ communities.

The Bristol research was carried out between July 2014 and July 2015. A total of 400 people took part in the research study. 271 people took part in an online survey. A further 130 people took part in consultation and engagement events, in interviews, discussion and focus groups and in a short paper-based qualitative survey. A further 100 participants took part in briefing sessions for health professionals which ran between July 2015 and February 2016.

Headline statistics from the report include:

• 61% of participants had sought help for anxiety or depression

• 32% had hurt or injured themselves (known as self-harm)

• 20% were feeling unhappy and depressed in recent weeks

• 59% had thought about suicide or tried to kill themselves

• Most people would seek help from friends (54%) or a partner (52%) when they are unwell

• 35% stated they had a physical health condition expected to last 12 months or more

• 34% stated they had a mental health condition expected to last 12 months or more

The report contains a large number of recommendations covering the following topics:

- Culture change

- Mental health services

- Sexual health services

- Substance misuse services

- Older people's services

- Education and younger people's services

- Intersecting identities

- Celebrate

- Improving access for trans patients

- Monitoring sexual orientation

- Monitoring gender identity

The report does not include any provider response, but does include "pledges from health professionals" who took part in the LGBT+ briefings between July 2015 and February 2016, throughout the Avon and Somerset areas.

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General details

Local Healthwatch
Healthwatch Bath and North East Somerset
Healthwatch Bristol
Healthwatch Somerset
Healthwatch South Gloucestershire
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Report
Key themes
Access to services
Administration (records, letters, results)
Building, Decor and Facilities, including health and safety
Communication with patients; treatment explanation; verbal advice
Complaints
Consent, choice, user involvement and being listened to
Follow-on treatment and continuity of care
Diagnosis
Public consultation and engagement
Health inequality
Written information, guidance and publicity
Prevention of diseases, including vaccination, screening and public hygiene
Lifestyle and wellbeing; wider determinants of health
Referrals
Service organisation, delivery, change and closure
Caring, kindness, respect and dignity
Staffing - levels and training

Methodology and approach

Was the work undertaken in partnership with another organisation?
Not applicable
Name(s) of the partner organisation(s)
The Diversity Trust
Primary research method used
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Diagnostic centre/hub
General Practice (GP)
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres
Other
General outpatients and hospital-based consultants
Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools Services (TaMHS)

Details of people who shared their views

Number of people who shared their views
400
Age group
All
Gender
All
Sexual orientation
Gay men
Lesbians / Gay women
Does this report feature carers?
Not known
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