Cover of report. Trans health matters: improving access to healthcare for trans and gender-diverse Londoners - London Assembly Health Committee
The London Assembly health committee has called on the NHS to improve the way it treats trans and gender-diverse people. Image: London Assembly.

Trans and gender-diverse Londoners are being “failed” by the NHS, according to a new report from the London Assembly.

Marking the last day of LGBT+ history month on Monday, the London Assembly health committee has called on Mayor of London Sadiq Khan to consult with trans and gender-diverse individuals with lived experience to drive improvements in the delivery of healthcare.

The report refers to research conducted by TransActual which found that more than 70 per cent of transgender patients had experienced some form of transphobia from their primary care provider, while 57 per cent reported putting off seeing a GP while ill because of this.

The health committee has called on the NHS to improve the way it records data on trans and gender-diverse people to be more inclusive, having been told in an evidence-gathering session that “without data, you are invisible”.

Caroline Russell, who chairs the health committee, said it is clear a lack of proper recording is having a “significant impact” in contributing to healthcare inequalities for trans and gender-diverse people.

Ms Russell said: “It is worrying that trans and gender-diverse people currently face long waiting lists for gender-affirmative healthcare, but they also face barriers accessing general healthcare services, like booking a blood test.

“We were told during our investigation that without data, you are invisible. It is clear that trans and gender-diverse people are being failed by this absence of appropriate recording, which is having a significant impact at both an individual and population level.

“Training NHS staff and adjusting NHS IT systems to be trans inclusive could reduce health inequalities and greatly improve the general healthcare experience for trans and gender-diverse Londoners.”

During its evidence-gathering session earlier this year, the Assembly’s health committee was told “the majority of GPs want to help trans people but sometimes they do not know how to help them” and a lack of specific training was contributing to this skills gap.

Monday’s report backs a recommendation from Stonewall that medical and nursing schools, royal colleges and all training providers for the medical profession should review their curricula to ensure that the healthcare needs of LGBT+ people are included.

In total the report made six recommendations for improving access to healthcare.

Around one per cent of the UK population might identify as trans, including people who identify as non-binary. There are are significant numbers of trans and gender-diverse people living in London and accessing NHS services.

Report: Trans health matters: improving access to healthcare for trans and genderdiverse Londoners – London Assembly Health Committee.

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