Improving LGBTQ+ access to health and social care.
This project aimed to gather insights directly from LGBTQ+ individuals to better understand their experiences, needs, and concerns, especially around mental health support.
Why we sought feedback
Healthwatch North Yorkshire wanted to understand LGBTQ+ people’s experiences when using health and social care services in our area. LGBTQ+ people often face unique barriers to healthcare. Research shows higher rates of mental health issues, chronic conditions, and concerns about discrimination among LGBTQ+ individuals, especially in rural areas like North Yorkshire. This feedback was essential to identify what works and what needs improvement.
What people told us
More than 200 LGBTQ+ individuals shared their experiences with us. Many felt respected in health settings after sharing their LGBTQ+ identity, but others reported significant issues. Here are the main points:
Mental health needs: LGBTQ+ individuals reported high rates of anxiety and depression, with 57% mentioning these conditions. Yet, services often lacked the training to address LGBTQ+ mental health needs specifically.
Concerns about disclosure: Some felt hesitant to disclose their identity, fearing negative reactions or feeling that it wasn’t relevant. One person shared, “I’ve had to educate my doctor on LGBTQ+ issues, even when I’m the one seeking help.”
Heteronormative assumptions: Many faced assumptions that they were heterosexual, which led to awkward and sometimes dismissive interactions. One person recalled, “They assumed I needed birth control, despite me being a gay woman.”
Lack of inclusive language and awareness: Only a few respondents felt that their healthcare providers were knowledgeable and used inclusive language. The lack of understanding created distrust and discomfort in healthcare settings.
What action we want to see
Based on these experiences, Healthwatch North Yorkshire has developed key recommendations to help healthcare providers improve services for LGBTQ+ communities:
1. Provide inclusive training: Healthcare staff need specific training on LGBTQ+ issues. This includes using correct pronouns, understanding gender identity, and learning the mental health impacts unique to LGBTQ+ individuals. As one participant noted, “Staff need to understand that being transgender isn’t a phase.”
2. Improve access to mental health services: Services should address LGBTQ+ mental health needs specifically. We recommend more visible support options and shorter wait times, especially for gender identity services.
3. Use inclusive language and forms: Language and forms in healthcare settings should acknowledge diverse sexual orientations and gender identities. This includes adding pronouns on forms and using terms that show respect.
4. Promote LGBTQ+ support and information: Many participants were unaware of LGBTQ+-focused support groups or mental health resources. Health and social care providers should improve signposting to inclusive support services, including LGBTQ+ organizations.
5. Ensure respectful treatment: Staff should aim to provide respectful, non-judgmental care for LGBTQ+ individuals. One participant shared, “Just being treated like anyone else makes a huge difference.” Respectful language and non-assumptive treatment foster better experiences and trust in healthcare.
Moving forward
Healthwatch North Yorkshire will share these findings with healthcare providers across North Yorkshire. We hope our recommendations will guide changes that create a more inclusive, respectful, and responsive health system for everyone.
