1. Public Health Forum on LGBT Health
Wednesday 15th February 2017

2. Programme
12:15pm
Welcome and overview- Helene Denness, Public Health Consultant, Nottingham City Council
12:30pm
Healthshop and Nottingham Recovery Network: Service inclusivity and service user issues- Louise Wilkins and Apollos Clifton- Brown
13:00pm
Trans4Me: Benefits of community support and the effects of transition on Mental Health- Sharon O’Love, Sharp Manager, CAMHS
13:20pm
Healthwatch: An overview- Richard Mayer, Healthwatch Nottingham
13:35pm
Questions and close- Helene Denness

3. Population
6% of people in England and Wales identify as LGB, approximately 3.42 million (Stonewall)
Little data recorded nationally and locally
No census data
Inconsistent recording in healthcare data
No trans estimates nationally (that I have found), inability to assess health inequalities if we do not capture data on LGBT use and access to healthcare, inability to monitor progress without data capture

4. 58% did not declare their sexual orientation
Local data
This means locally…
15,582 citizens over 16 identify as LGB
3% of citizens told us they identify as LGB
4% of the NCC workforce (who declared) identify as LGB, however….
58% did not declare their sexual orientation
3% as per citizen’s survey, what does the lack of declaration tell us about how comfortable people feel in how this information will be received? We cannot be sure the workforce is representative or identfy if any barriers to progression as data capture not sufficient identified as LGB as of December 2016.
Due to low numbers we do not captre trans figures in the council.

5. Multiple identities NOT a homogenous group
LGBT- Lesbian, Gay, Bi-sexual, Transgender…
NOT a homogenous group
Other identities at play
Ethnicity
Disability
Faith
Family roles
These all can affect health in different ways and can affect the individuals experience
Minorities within a minority, within LGBT health issues are experienced differently, e.g.
Trans people are more likely to experience exclusion from health screening based on their gender at birth
Significantly higher rates of suicide, self harm and MH across minority LGBT than general LGBT population
Smoking and drug use is higher amongst disabled gay and bi-sexual men than non-disabled gay and bi-sexual men
Variation between LGBT groups and health risks and health behaviours
Those who are disabled are less likely to tell their GP their sexual orientation than non-disabled LGBT citizens

6. Health issues Mental health and suicide Alcohol misuse
Substance misuse
Smoking
Diet and eating disorders
In many health measures around these topics LGBT are at increased risk than non-LGBT, as such it would be reasonable to expect a lower life expectancy amongst this group.

7. Mental health and suicide
Increased prevalence of suicide- two-fold
Self-harm
Depression
Loneliness
Access to services
Two fold increase in LGB suicide risk, LGB twice as likely to have suicidal thoughts than heterosexual people, 84% of trans people have considered suicide.
Higher prevalence of self-harm amongst LGBT, particularly young people, 56% of LGBT yp have deliberately self-harmed. Self-harm is directly inked to experience of homophobic bullying.
High levels of depression particularly amongst the trans community
More likely to be alone in older age and less likely to have children
We do not capture data so cannot be sure access to services is equitable

8. Smoking Higher prevalence Heavier smoking habits
1/4 of lesbian and bi-sexual women
¼ of gay and bi-sexual men
32% of trans
More likely to be smokers than the general population
Higher prevalence compared to hetero population
Heavier smoking habits

9. Diet and eating disorders
Poorer diet
Higher rate of eating disorder in lesbian and bi-sexual women
Almost 1 in 5 trans people state they have an undiagnosed eating disorder
Lower rate of obesity amongst gay and bi men
Higher rate of obesity amongst lesbian and bi women
Again, not a homogenous group
Less LGB get their 5 a day, 13% compared to around 25% of men and women generally
1 in 5 LB women have an eating disorder compared to 1 in 20 in general women population
45% of gay and bi mane worry about how they look and feel about their body
44% of GB men are overweight or obese compared to 70% in general male population

10. Local people said…
Local health survey data identified…

11. What next?.....
CCG research