What Trans, Non-binary and Intersex People Told Us About Health Services in York

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Summary of report content

Healthwatch York had heard about poor experiences in accessing local healthcare services from trans and non-binary people living in the city. They wanted to find out if the issues people raised were common for trans, non-binary and intersex people in York. Healthwatch undertook three surveys, reaching a total of 90 people. 

Healthwatch found a mixed picture across all NHS services. Some people told  of gender affirming care from healthcare professionals who were empathetic, caring and wanted to support the people to get the care they needed. However, others had such distressing experiences that they no longer trust the NHS to provide any care for them. 

Key findings

1. Many people are not treated with respect and dignity. This includes healthcare professionals consistently using the wrong pronouns or names for people. 

2. Many healthcare professionals do not have appropriate/effective training around trans, non-binary and intersex people’s healthcare. 

3. The waiting lists for gender specific care are too long, with little to no support for people while waiting. 

4. There isn't a consistent approach to shared care in York between GPs and private hormone/gender affirming care.

Some of the feedback  highlighted good practice. This demonstrates that gender affirming care is not only possible but is already happening in York. It is led by committed and concerned healthcare professionals. This shows that good care for all trans, non-binary and intersex people is possible locally. With leadership and support it could be the rule rather than the exception. 

 

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General details

Local Healthwatch
Healthwatch York
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Caring, kindness, respect and dignity
Communication with patients; treatment explanation; verbal advice
Consent, choice, user involvement and being listened to
Health inequality
Medication, prescriptions and dispensing
Service organisation, delivery, change and closure
Staffing - levels and training
Waiting for appointments or treatment; waiting lists for treatment

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
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
Gender identity clinics/services
General Practice (GP)

Details of people who shared their views

Number of people who shared their views
90
Gender
Non-binary people
Prefer to self-describe
Is the gender identity of people in the report the same as the sex they were assigned at birth?
No
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