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Pride, Progress and
Transformation: LGBT health and
well being
Brenda Weston
Equality South West
Vision underlying the Equality Act
2010
“An equal society protects and promotes equal,
real freedom and substantive opport...
The Public Sector Equality Duty
In the design and delivery of policies and
services public bodies* must demonstrate
having...
Why the PP&T survey?
“To identify the real issues for LGB and T
people in the South West of England”

 Highlight issues s...
How did we do it?
o Advisory group: LGB and T network chairs,
local authority reps, ESW support
o Based on ‘10 dimensions ...
362 contributors
o Gender
 47% female + 6% MtoF Trans
 43% male + 4% FtoM Trans

o Sexuality L 34%; G 41%; B 14% (other ...
362 contributors
o Homes in... 55% cities or large towns, 30
local authority areas
o Bristol - largest number responses
o ...
Health and well-being - Key points
o Mental health the top health-related concern
o GP and other health staff lack of know...
Health and well being - voices
ool
us sch e
io
a relig ers of th
ent to
emb
“I w
ome m openly
s
where ff were
st a
obic.”
...
Health and well-being:

questions for policy makers

o How do service providers - including voluntary sector publicise and...
Safety and security – key points
o In the previous 2 years:
 Homophobic/transphobic incidents experienced: Over 1 in
10 r...
Safety and security - voices
t t he
el t ha c t
not fe
je
r did I was sub
oye
mpl
se
“My e hobic abu language, ,
p
es
c
ho...
Safety & security:
questions for policy makers

o How do responsible organisations (police, employers,
unions) assist peop...
Visibility, dignity, self-expression – key
points
o Depression and other mental health effects from
prejudice is a multi-a...
Visibility, dignity, self-expression
t to
rea o hug
eg
t
ld b as ok like
u
wo
w
lic
.. it that it
pub .”
“.
k
r in
thin ar...
Visibility, dignity, self-expression:
questions for policy makers
o How good are local information, support and advice
ser...
The Force is with you...
o The Public Sector Equality Duty applies to:
• GPs/Clinical Commissioning Groups
•
•

Local Heal...
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Lgbt mental health

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Based on the Pride Progress and Transformation survey

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Lgbt mental health

  1. 1. Pride, Progress and Transformation: LGBT health and well being Brenda Weston Equality South West
  2. 2. Vision underlying the Equality Act 2010 “An equal society protects and promotes equal, real freedom and substantive opportunity to live in the ways people value and would choose, so that everyone can flourish. An equal society recognises people’s different needs, situations and goals and removes the barriers that limit what people can do and can be.” Fairness and Freedom: The Final Report of the Equalities Review: A Summary (Cabinet Office, 2007)
  3. 3. The Public Sector Equality Duty In the design and delivery of policies and services public bodies* must demonstrate having ‘due regard’ to the need to 1. Eliminate discrimination in relation to the protected characteristics 2. Advance equality of opportunity between people who share a protected characteristic and those who do not 3. Foster good relations… * Applies to HWBs and CCGs.
  4. 4. Why the PP&T survey? “To identify the real issues for LGB and T people in the South West of England”  Highlight issues specific to sub-groups as well as those that are common to each  Bring the voices of contributors directly to policy makers  Assist LGB and T ‘equality-proofed’ policy making  Empower LGB and T groups to advise and challenge local policy-making  Stimulate debate and further research where needed
  5. 5. How did we do it? o Advisory group: LGB and T network chairs, local authority reps, ESW support o Based on ‘10 dimensions of equality’ – ‘human flourishing’ o Anonymous survey o Open-ended questions o Electronic + strategically places hard copies o Launched Jan - closed July 2010
  6. 6. 362 contributors o Gender  47% female + 6% MtoF Trans  43% male + 4% FtoM Trans o Sexuality L 34%; G 41%; B 14% (other 11%) o Age range youngest, 14; oldest 87 o Disabilities 23% self-identified o Race 21 BME respondents o Religion/belief 86 identified a religion or belief
  7. 7. 362 contributors o Homes in... 55% cities or large towns, 30 local authority areas o Bristol - largest number responses o Housing 52% owners; 29% private rented o Relationships      17% civil partners 34% single 39% in a relationship 28% biological parents or in a parental role 7% married o Income majority under £25k (largest group £15-20K)
  8. 8. Health and well-being - Key points o Mental health the top health-related concern o GP and other health staff lack of knowledge/awareness of LGBT health issues o GPs’ attitudes can lead to unnecessary health risks o Specific health/care issues affect different sub-groups of LGB and T o Lack of staff training (all sectors) and public awareness key factors contributing to LGBT mental health problems o Homophobia/transphobia in childhood > impact on adult health and well-being o Anxieties around ageing and developing dementia in the care system
  9. 9. Health and well being - voices ool us sch e io a relig ers of th ent to emb “I w ome m openly s where ff were st a obic.” omoph h yto ga s cces GP “A dly frien ce...” ti prac “I was continua lly called names a t work and physic ally assaulted, but w as not backed up b y the managemen t, leading to a me ntal breakdown and illhealth retiremen t.” “M en t con al iss I d cern ues o m to not w e ge a t po to th nt i de pe nt of e wit nden h qu alit out a ce yo f Alz e.g. life he ime “M rs s ore ” e mo rvic var po re es - ied s it c o p a c o iv e u n r t u n at sell icul sel titu or ar lin de s w ly g t o it h LG a BT .”
  10. 10. Health and well-being: questions for policy makers o How do service providers - including voluntary sector publicise and practice LGB and Trans inclusiveness? o What arrangements are in place for LGBT awareness training of staff and volunteers? o How do GP practices ensure that they have the necessary knowledge and understanding of LGBT issues? o Are health & social care, and supported housing providers addressing the needs of older LGB and Trans people? o Do mental health specialists understand the effects of homophobia and transphobia, and offer appropriate therapies? o Do service providers use relevant equality data?
  11. 11. Safety and security – key points o In the previous 2 years:  Homophobic/transphobic incidents experienced: Over 1 in 10 respondents in school, college, university, workplace (11%); in their local area (12-16%). 68% not reported to anyone  Domestic violence: From: parents/guardians (19%); intimate partners (26%); other family members (8%). Over 80% had not reported to anyone o Ongoing, low-level homophobic/transphobic abuse that is not addressed induces feelings of insecurity and fear.
  12. 12. Safety and security - voices t t he el t ha c t not fe je r did I was sub oye mpl se “My e hobic abu language, , p es c homo mophobi ial activiti ic ho ob oc to (... on from s f homoph a”. i o si exclu xpression homophob e s open s etc) wa de attitu far ed ols ne s and “Scho ennes op s ... more ddres to a tools ophobic hom and buse g, a bullyin mination.” discri “It has to start with kids and schools. I've suffered from severe depression since an early age and have contemplated suicide since I was a little boy...” “Te wo ache r u me ld no s and serio t take u how no id sly, ea rep to ort ...” “(T no he p “I was hospitalised wit t ima olice fee h ho gine ) just following a severe un ling w I c or re cou l assault, which iss educ as th ould ally d de included sexual pa ues. ated ey w be al c if ere I f e in i ed assault ... on my way T an lt unh rans d p ea home from work.” atr rd, on is e d. ”
  13. 13. Safety & security: questions for policy makers o How do responsible organisations (police, employers, unions) assist people to report, and address homophobic/transphobic incidents? o How are schools, colleges and workplaces ensuring they offer create safe and supportive environments for LGBT people? o What do victim support agencies do to publicise their services to LGBT people, including in relation to DV? o What protections do housing providers offer against persistent homophobic/transphobic neighbour abuse? o How do mass media contribute to public awareness in their representation of LGB and Trans people?
  14. 14. Visibility, dignity, self-expression – key points o Depression and other mental health effects from prejudice is a multi-agency concern o Family reactions are fundamental and crucial o Schools, colleges need to operate zero-tolerance o LGB and T people want to be a visible part of society o The media distort perceptions of LGB and Trans people’s lives: do not reflect the ‘ordinariness’ o Poor workplace equality practices cost everyone o Some ‘gay’ venues and LGBT organisations can be less welcoming than ‘mainstream’ ones o Things have improved, including (many of) the police ...
  15. 15. Visibility, dignity, self-expression t to rea o hug eg t ld b as ok like u wo w lic .. it that it pub .” “. k r in thin artne es can l p my r coup e oth ice jud ious re st p relig .” r wo from ives he t ..T ome rela “. c nd has nds a frie “The bigg est I face is a problem ssumptio n of hetero sexuality .” “Being trans can attract unwanted attention and make your life more difficult. You can be seen as a threat ... or simply mocked.” “It i s a m very e the inority asy to , fo op r har basis of s exam press mle allo p e s win s offic eming le, on big ote g a m e ban ly t exp d pe inor ity o er and res opl unc s e hal homo freed f len ged phobi om to c vi .” ews “… un scho i to versit ols/ c h eq ave ies e olleg ua lity traini tc. ne es/ an ng o ed dd ive n rsit y.”
  16. 16. Visibility, dignity, self-expression: questions for policy makers o How good are local information, support and advice services for families and LGB and Trans children? o Are public bodies actively promoting LGB and Trans equality and inclusion? o Do public bodies consult LGBT people and use relevant research data in service design? o What can LGBT people do to ensure the media take responsibility for the attitudes they foster o How do schools ensure all staff are LGB and Trans aware, willing & equipped to deal with incidents o Do health staff ensure patients feel safe to discuss LGB and Trans identity-related issues?
  17. 17. The Force is with you... o The Public Sector Equality Duty applies to: • GPs/Clinical Commissioning Groups • • Local HealthWatch Local Health and Well Being Boards o NHS Equality Delivery Strategy “In the face of persistent difficulties for protected groups ... the EDS is designed to help NHS organisations improve their performance, reduce health inequalities and be assured of progress”.

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