Trans and non-binary people face hurdles at every stage of primary care

Healthwatch England surveyed nearly 1,400 trans and non-binary adults. Only 53% rate their GP practice as good for general care.
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Key trends

The survey highlighted a range of administrative hurdles or poor staff attitudes that trans and non-binary people faced when they wanted to formally change their gender on their GP record or have their gender identity recognised in everyday interactions. 

Of the 1393 respondents, 40% (565) said they had formally changed their gender marker on their GP record:  

  • 28% said they had lost access to a previous NHS record 
  • 18% said they were misgendered in NHS written communications
  • 16% had experienced disrupted prescriptions
  • 13% had disruption to ongoing care. 

 Read the report

A new LGBT+ healthcare strategy

The research comes almost seven years after the launch of the 2018 LGBT Action Plan, a cross-government initiative which pledged to tackle health inequalities.  

Healthwatch called for the government and NHS England to develop a new comprehensive LGBT+ healthcare strategy to ensure that trans and non-binary people get clarity on entitlements to gender-affirming referrals, medication and specialist care and are protected from loss of sex-specific healthcare if they change their gender. 

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