Workplan 2015-16

Adult Social Care Outcomes Framework LGB&T companion document

We are working with the Department of Health to develop relationships which improve the choose one system for LGB&T service users and carers based on the LGB&T companion to the Adult Social Care Outcomes Framework (ASCOF), developed by the Partnership.

This work follows the publication of an LGB&T companion to the Public Health Outcomes Framework in April 2013 (see below).

The companions set out the current evidence on LGB&T health and social care needs in relation to the outcomes frameworks and make the case for LGB&T inclusive services. The ASCOF and PHOF are key tools for commissioners in planning services, and these companions represent a significant step towards improving provision for LGB&T communities.

The Companions are each based on a call for evidence, which ensures coverage of all available data: local authorities, service providers, academics, and the LGB&T sector were called on to share evidence on LGB&T health inequalities and service access in relation to the PHOF and ASCOF indicators.

Alcohol Identification & Brief Advice – LGB&T Briefing

We are working with Public Health England on identifying opportunities to improve LGB&T inclusion within their programme of work around alcohol use.

Alcohol is a high priority area for PHE and over the last year The National LGB&T Partnership agreed a package of actions to ensure evidence relating to LGB&T alcohol use informs their work plan.

In September 2015 we published a briefing aimed at anyone working in health and care settings who have contact with LGB&T people; at staff and volunteers working in LGB&T organisations; and at those who commission alcohol prevention services, which discusses early interventions to reduce alcohol related harm for lesbian, gay, bisexual and transgender (LGB&T) people.

Consultation Responses

We aim to respond to the widest range of consultations, ensuring future health, public health and social care policy is inclusive of LGB&T people’s needs.

We prioritise public consultations launched by health and care organisations (e.g. NHS England, the Care Quality Commission, etc.) and also those relevant to LGB&T issues (e.g. legislative developments on equal rights). Our responses are informed by up to date evidence on LGB&T needs and issues, and by the experiences of our Board member organisations as LGB&T service providers.

We encourage and value the input of our stakeholders into each consultation response, and invite comments and suggestions to be sent to us to be incorporated into our consultation responses.

Each response is published on our website before the deadline to encourage other LGB&T organisation and individuals to submit their own response. The more individuals and organisations that contribute to and endorse key messages in support of health equalities for LGB&T people, the stronger our voice becomes.

Check out the Consultations responses section of our website for current consultations.

Factsheets on Healthy Trans* / Gender Variant Living

We have published a series of short online fact sheets, primarily intended to advise trans*/gender variant people how to protect and improve their own health and wellbeing.

The fact sheets aim to empower trans* / gender variant people to make informed choices confidently.  In 2015/16, this project will continue with a further set of fact sheets focusing on: good information sources; general healthcare; gender identity treatments; self-medication; reproductive health, BAME Trans People; and trans people in prisons and secure accommodation.

Health and wellbeing of gay men, bisexual men and other men who have sex with men

Public Health England is currently developing a strategic framework for the health and wellbeing of gay men, bisexual men and other men who have sex with men (MSM).

The aim of the framework is to reduce HIV infections and improve sexual health, by applying a whole person, whole system approach. The framework will bring together all parts of the system to ensure that we operate in a coordinated way and are collectively able to better manage the associated syndemics (including sexually transmitted infections, mental and emotional health and wellbeing, misuse of drugs and alcohol, stigma, poor access to preventive and curative services),

Key partnership organisations with expertise in Gay, Bisexual and MSM health will contribute to and support the development of the framework.

LGB&T Exercise & Physical Activity Work Stream

We are developing a series of responses around LGB&T people’s relationship to exercise and physical activity.

These include a Survey & Briefing Paper on take up of exercise and physical activity, addressing a gap in knowledge. We will also develop comprehensive national listing of LGB&T specific fitness and sports activity, which will be disseminated through various means to the community. The aim to enable increased participation through knowledge sharing.

Pride Sports will carry out a review of NGB equality toolkits and how they relate to LGB&T communities, a report will be produced for Public Health England and passed to Sport England’s diversity team.

Finally we will chair an LGB&T round table discussion event, part of a series, on inclusivity in sports & fitness for priority groups.

Mental Health Guidance Project

The LGB&T Partnership Mental Health Guidance Project is developing a set of accessible resources about the mental health of LGB&T people.

This will take the form of a short guidance document which summarises evidence and experience of LGB&T mental health and pulls out good practice guidance, tailored for services and practitioners and a flyer about seeking support, aimed at LGB&T communities.

These will be augmented by a collection of links to the supporting research, published on the Partnership website.

We expect these documents to become available in autumn 2015, the project will then continue with a focus on mental health for young LGB&T people.

Public Health Outcomes Framework (PHOF)

We are working with Public Health England to raise awareness of the Lesbian, Gay Bisexual & Transgender PHOF Companion Document and to produce tools to assist with implementation of its recommendations.

The document was produced to increase understanding of LGB&T health and make sure that the public health system tackles inequality related to sexual orientation and gender identity and promotes equality for everybody. It follows the structure of the PHOF, providing data and evidence on LGB&T communities for each indicator and domain and makes recommendations for actions to address inequalities in outcomes for LGB&T people and communities.

We will work with PHE to cascade the PHOF LGB&T Companion Document recommendations and develop written and other tools for implementation at the local level

Tobacco Control and LGB&T Communities

Smoking within the LGB&T communities has long been, and remains currently, higher than in the general population.

Gay and bisexual men and lesbians and gay and bisexual women start smoking earlier, smoke more and smoke for longer than their heterosexual counterparts. LGB&T youth is a target audience for tobacco marketing. Almost 50% of HIV positive men in studies smoke.

In August 2015 we published a set of resources on smoking cessation to support both Local Authorities and LGB&T communities in providing suitable services for stopping smoking to LGB&T communities.

We will continue to work with policy teams, social marketing teams and other key staff to inform PHE’s tobacco control initiatives.