Pride in Practice
The NHS in North West London has successfully secured funding from the Government Equalities Office, via LGBT Foundation, to roll out a 15-month pilot of the Pride in Practice initiative from April 2019.The initiative will help CCGs and GP practices to respond to community feedback and address nationally-identified health inequalities on a regional basis.
What is Pride in Practice?
Pride in Practice is a quality assurance and social prescribing programme that strengthens and develops GP practices’ relationship with their lesbian, gay, bisexual and transgender (LGBT) patients within the local community. It is a support service endorsed by the Royal College of General Practitioners (RCGP) which empowers practices to effectively meet the needs of their LGBT patients with confidence. In North West London, LGBT Foundation will lead on recruiting Account Managers who will support practices by providing the following:
- Access to training around LGBT inclusion, Sexual Orientation and Trans Status Monitoring and myth-busting
- Access to a Pride in Practice compendium, which includes a wealth of information on high prevalence areas and referral pathways for LGBT people
- An accreditation award, including a wall plaque and Pride in Practice logos for letterheads and websites
- Ongoing support from a dedicated Account Manager providing consultancy and support on a range of topics based on the needs of the service
- Volunteer Community Leaders who provide insight and lived experience to ensure patients are heard and have influence, as well as driving greater public involvement
- Support to deliver effective active signposting and social prescribing for LGBT communities, linking services with a range of LGBT-affirmative local community assets to facilitate holistic approaches to care
- Access to posters, rainbow lanyards and a suite of LGBT information resources for display in primary care services
- LGBT patient insight so that services can be proactive about meeting LGBT patients’ needs
- Support reviewing Equality & Diversity policies and inclusivity statements
- Practical support, guidance and confidence-building for staff members on how to implement the Sexual Orientation Monitoring Information Standard
- Celebration of awarded primary care services within LGBT communities
We know that Pride in Practice is needed both because of the local feedback we have received (we would like to thank our community and voluntary sector colleagues at Mosaic LGBT Youth Centre for valuable contributions), and the national evidence base. Evidence shows that LGBT people are more likely to experience increased cancer risk factors compared to the general population due to higher rates of smoking, substance misuse, poorer diet, and reduced access to sport and exercise.
LGBT people have poorer mental health compared to the general population; a third of gay and bisexual men have experienced suicide ideation, while 3 in 4 lesbian and bisexual women have experienced anxiety. Bisexual people as a group have poorer mental health outcomes than heterosexual people and those who are gay or lesbian.
Health inequities experienced by LGBT people are likely to be exacerbated for Black and Minority Ethnic (BAME) LGBT people, who experience stigma and discrimination in relation to both sexual orientation and ethnicity. Similarly, evidence suggests that the ‘dual discrimination’ experienced by disabled LGBT people may impact negatively on their mental health, while a Stonewall report found that disabled LGB people are more likely to have experienced domestic abuse, attempted suicide and self-harmed compared to non-disabled LGB people.
Despite these health inequities and barriers to access, evidence shows that LGBT people who are given the opportunity to disclose their sexual orientation and trans status are likely to have better health outcomes. LGB people who have disclosed their sexual orientation to a service are 21% more likely to say that service meets their needs, while trans people who have disclosed their trans status to a service are 62% more likely to say that service meets their needs. Primary care services who have engaged with Pride in Practice feel more informed and more confident about meeting the needs of their LGBT patients.
What impact has the Pride in Practice initiative had elsewhere?
A full Impact Report is available online. Since 2016 the initiative has been rolled out across 398 primary care services, reaching over 1,600,000 patients across Greater Manchester. 100% of the 4,496 health professionals trained can evidence improvements within their service as a result of Pride in Practice. 87% of primary care services trained have implemented NHS England’s Sexual Orientation Monitoring Information Standard and 60% have implemented trans status monitoring. LGBT Foundation’s 2018 Patient Survey evidenced that:
- Trans patients at GP practices monitoring trans status were 62.1% more likely to say their GP practice met their needs
- LGB patients at GP practices monitoring sexual orientation were 21.4% more likely to say their GP practice met their needs
- 100% of trans patients at Pride in Practice awarded GP practices say that their GP was supportive of their gender identity and their medical transition
Pride in Practice has become a vehicle for systems change across the health and social care sector, influencing change at all levels. For example, responding to feedback from trans people, the Pride in Practice model brought commissioners, GPs and trans communities together to develop a holistic, primary care led Trans Health Service for Greater Manchester.
For more information about Pride in Practice contact firstname.lastname@example.org or call 0345 3 30 30 30 and ask for the Pride in Practice Project Manager.