addressing the health inequalities of lesbian, gay, bisexual and transgender (lgb&t) mary black...
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Addressing the Health Inequalities
of Lesbian, Gay, Bisexual and
Transgender (LGB&T)
Mary Black
May 2013
Purpose• Improve health and social wellbeing and
reduce health inequalities• Protect health• Improve quality and safety of health and
social services• Improve early detection of disease
Life Expectancy in N.I. 2008-10The gap between the most and least deprived areas
72.6
78.977.1
81.580.1
83.4
65
70
75
80
85
Males Females
Life Expectancy at Birth in
years
Most Deprived 20%
NI average
Least Deprived 20%
Determinants of Health
General Socio-Economic
Cultural and Environmental Conditions
Advertising
Taxation
EnvironmentLiving and Working Conditions
Workenvironment
Education
Unemployment/Employment
Water andsanitation
AgricultureAnd food
productionHealth care
services
Social and Community Networks
Crime andjustice
I ndividual Lifestyle
Factors
Smoking StressAge, Sex &
Hereditary
f actors
Housing
I nclusion/Exclusion
Source: Dahlgren & Whitehead 1991
Principles of the PHA Approach Clear focus on Outcomes Community Participation Partnership Based on Best Evidence Innovation Risk Taking Evaluation Research and Development
Building Blocks For A Healthy Life
Working with others to
1.Give every child & young person the best start in life
2.Ensure a decent standard of living for all
3.Build sustainable communities
4.Make healthy choices easier
5.Ensure high quality care
Regional Thematic Action Plan for Lesbian, Gay, Bisexual and Transgender (LGB&T)
Aim: To address the Health Inequalities experienced by Lesbian, Gay, Bisexual and Transgender individuals and communities in Northern Ireland.
4 key objectives:
Reduce stigma and discrimination by increasing public awareness, understanding and skills and create a safe and open environment for people who are LGB&T.
Ensure Health and Social Care and related services are accessible and sensitive to the needs of LGB&T people.
Commission a range of services for people who are LGB&T and ensure awareness of those services.
Provide leadership and include LGB&T sector in the development of action plans and evaluate progress against agreed action plans.
Objectives continued .....
LGB&T Staff ForumThrough Our Eyes – Experiences of LGB People in the
Workplace
“1 in 4 respondents working in the Public Sector conceal their sexual orientation and that some 40% of respondents from the public sector had heard negative comments about LGB&T people from a colleague or colleagues in the workplace”
Ref: The Rainbow Project 2011
Action Online Survey with staff working across all
HSC settings. Workshops facilitated with LGB&T Staff. First meeting of Forum held June 2011. Confidential email address established. 100 members on data base.
Key achievementsMission Statement.
“A Forum to provide a safe and welcoming space for lesbian, gay, bisexual and transgender people working within health and social care, create an inclusive environment, and improve wellbeing.”
Key achievements to date: 2012 PRIDE events in Belfast, L’Derry and
Newry. LGB&T E-Learning pilot. Pilot of Survey Questionnaire for HSC Staff
Research.
Key achievements contd... Visit from Department of Justice Staff Forum. Visit from NIPSA Staff Forum. Meeting with Belfast City Council. Article in BMA Staff Newsletter. Action Plan for 2013.2014 developed. Development of a dedicated website ongoing. Support for development of Posters for HSC
Settings.
Creating inclusive workplaces – translating policy into practice Training and awareness for frontline staff
including: Midwives, Nurses and School Nurses. Training for Social Care staff working in adoption
and fostering teams (South Eastern Trust). Development of Guidelines for LGB&T Older
People in Residential and Day Care settings. Support for RCGP to develop Guidelines.
Vision for the future
Continued support from all HSC Organisations.Increased visibility of Forum within HSC Organisations.Increase numbers of LGB&T Staff on Forum database.Forum involved in helping to inform and shape future policy developments as appropriate.
Vision for the future contd... Increased emphases on training for staff on
LGB&T issues and promotion of E-Learning.
http://lgbtelearning.hscni.net Baseline data on sexual orientation and gender
identity issues within HSC Organisations. Endorsement of Research proposal by Directors
of Human Resources.
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