Healthcare needs and experiences of the LGBTQIA+ community
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Healthwatch Swindon wanted to understand the healthcare experiences of individuals who identify as Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual or additional sexual orientation (LGBTQIA+), based on engagement at Swindon and Wiltshire Pride 2025. Healthwatch Swindon gathered insights through surveys, a key poll question, and in-depth conversations with over 100 participants.
Findings reveal that disclosure of LGBTQIA+ identity in healthcare settings remains a complex and deeply personal decision, influenced by perceived safety, trust, and relevance to care. While 61% of respondents had disclosed their identity, 38% had not—highlighting ongoing discomfort and fear of judgment.
Environmental factors such as inclusive signage, rainbow lanyards, and affirming language significantly impact feelings of safety. Although most respondents had not experienced direct discrimination, 80% feared judgment, and 30% had avoided seeking care due to identity-related concerns.
Respondents emphasized the need for greater understanding and awareness from healthcare professionals, with 80% supporting LGBTQIA+-specific training. Inclusive care was linked to improved trust, satisfaction, and health outcomes.
Ultimately, the report advocates for healthcare environments that go beyond tolerance—spaces where LGBTQIA+ individuals feel safe, respected, and empowered. By embedding inclusive practices and listening to lived experiences, healthcare systems can better meet the needs of all patients.