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Addressing the Health Inequalities of Lesbian, Gay, Bisexual and Transgender (LGB&T)

Addressing the Health Inequalities of Lesbian, Gay, Bisexual and Transgender (LGB&T). Mary Black May 2013. Purpose. Improve health and social wellbeing and reduce health inequalities Protect health Improve quality and safety of health and social services Improve early detection of disease.

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Addressing the Health Inequalities of Lesbian, Gay, Bisexual and Transgender (LGB&T)

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  1. Addressing the Health Inequalitiesof Lesbian, Gay, Bisexual andTransgender (LGB&T) Mary Black May 2013

  2. Purpose • Improve health and social wellbeing and reduce health inequalities • Protect health • Improve quality and safety of health and social services • Improve early detection of disease

  3. Life Expectancy in N.I. 2008-10The gap between the most and least deprived areas

  4. Determinants of Health Source: Dahlgren & Whitehead 1991

  5. Marmot Review of Health Inequalities, England, February 2010

  6. Principles of the PHA Approach • Clear focus on Outcomes • Community Participation • Partnership • Based on Best Evidence • Innovation • Risk Taking • Evaluation • Research and Development

  7. Building Blocks For A Healthy Life Working with others to • Give every child & young person the best start in life • Ensure a decent standard of living for all • Build sustainable communities • Make healthy choices easier • Ensure high quality care

  8. Regional Thematic Action Plan for Lesbian, Gay, Bisexual and Transgender (LGB&T) Aim:To address the Health Inequalities experienced by Lesbian, Gay, Bisexual and Transgender individuals and communities in Northern Ireland. 4 key objectives: • Reduce stigma and discrimination by increasing public awareness, understanding and skills and create a safe and open environment for people who are LGB&T.

  9. Objectives continued ..... • Ensure Health and Social Care and related services are accessible and sensitive to the needs of LGB&T people. • Commission a range of services for people who are LGB&T and ensure awareness of those services. • Provide leadership and include LGB&T sector in the development of action plans and evaluate progress against agreed action plans.

  10. LGB&T Staff Forum Through Our Eyes – Experiences of LGB People in the Workplace “1 in 4 respondents working in the Public Sector conceal their sexual orientation and that some 40% of respondents from the public sector had heard negative comments about LGB&T people from a colleague or colleagues in the workplace” Ref: The Rainbow Project 2011

  11. Action • Online Survey with staff working across all HSC settings. • Workshops facilitated with LGB&T Staff. • First meeting of Forum held June 2011. • Confidential email address established. • 100 members on data base.

  12. Key achievements Mission Statement. “A Forum to provide a safe and welcoming space for lesbian, gay, bisexual and transgender people working within health and social care, create an inclusive environment, and improve wellbeing.”

  13. Key achievements to date: • 2012 PRIDE events in Belfast, L’Derry and Newry. • LGB&T E-Learning pilot. • Pilot of Survey Questionnaire for HSC Staff Research.

  14. Key achievements contd... • Visit from Department of Justice Staff Forum. • Visit from NIPSA Staff Forum. • Meeting with Belfast City Council. • Article in BMA Staff Newsletter. • Action Plan for 2013.2014 developed. • Development of a dedicated website ongoing. • Support for development of Posters for HSC Settings.

  15. Creating inclusive workplaces – translating policy into practice • Training and awareness for frontline staff including: Midwives, Nurses and School Nurses. • Training for Social Care staff working in adoption and fostering teams (South Eastern Trust). • Development of Guidelines for LGB&T Older People in Residential and Day Care settings. • Support for RCGP to develop Guidelines.

  16. Vision for the future Continued support from all HSC Organisations. Increased visibility of Forum within HSC Organisations. Increase numbers of LGB&T Staff on Forum database. Forum involved in helping to inform and shape future policy developments as appropriate.

  17. Vision for the future contd... • Increased emphases on training for staff on LGB&T issues and promotion of E-Learning. http://lgbtelearning.hscni.net • Baseline data on sexual orientation and gender identity issues within HSC Organisations. • Endorsement of Research proposal by Directors of Human Resources.

  18. In conclusion Leadership Participation Partnership Action

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