Spotlight on the Trans and Non-Binary community

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Summary of report content

Healthwatch Kent wanted to hear more about the trans and non-binary community and offered to analyse the feedback to a survey undertaken by the sexual health service at Kent Community Health Foundation Trust in 2019.  They also spoke to other people from the Trans and Non-Binary Advisory Group at Kent Community Health Foundation Trust.  Altogether they spoke to 92 people.

People reported that they felt their GP had not listened to them or understood them.  Some experienced difficulties in getting their name, gender and pronouns changed on their NHS record.

People had to wait for a long time to be seen by the Gender Identity Clinic, for hormone treatment and hair removal.  In some cases there were delays in getting the referral paperwork completed. The impact of long waiting times included poor mental health and wellbeing.

People felt that the support provided by Gender Identity Clinics stopped before gender confirmation surgery.  They wanted the support to be ongoing.

People had to travel long distances out of Kent and Medway to access services that are not available locally. There is a lack of locally commissioned support services for trans and non-binary people, their parents and carers, and the partners of trans and non-binary people. There is also not enough provision for specialist counselling services for trans and non-binary people in Kent & Medway. Non binary people mentioned that they weren’t sure how to access surgery. Whilst staff can be great, trans and non-binary people felt that general education was needed. 

The report contains five recommendations, including a commitment within the Primary Care Network to support trans and non-binary people and their healthcare needs, improved support for people waiting for an appointment with the Gender Identity Clinic and the CCG to consider establishing local Gender Identity Clinic services.

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General details

Local Healthwatch
Healthwatch Kent
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Administration (records, letters, results)
Communication with patients; treatment explanation; verbal advice
Follow-on treatment and continuity of care
Diagnosis
Health inequality
Lifestyle and wellbeing; wider determinants of health
Medication, prescriptions and dispensing
Service organisation, delivery, change and closure
Caring, kindness, respect and dignity
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?
Yes
Primary research method used
Engagement event
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
General Practice (GP)
Sexual health
Community Mental Health Team (CMHT) and specialist MH services

Details of people who shared their views

Number of people who shared their views
92
Age group
Not known
Gender
Non-binary people
Is the gender identity of people in the report the same as the sex they were assigned at birth?
No
Sexual orientation
Not known
Pregnancy/maternity
N/A
Does this report feature carers?
Yes
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