Minutes LGBT Forum for Merton Notes and Actions from the LGBT Forum meeting on Monday 18 May 2009 Present: Henry Nelless – LBM Councillor Chris Worthy – LGBT Representative, Police Frances Newell – Head of Commissioning - Equalities and Patient/Public Involvement, Merton & Sutton PCT Shar Jordan-Passmore – LMO Youth Group Lynne Jordan-Passmore – LMO Youth Group Angie Bishop – Community member Deirdre Costigan – Community member Maureen Branch Davis – Diversity and Community Cohesion Officer Helen Cook – LBM/PCT Paul Alford - Merton GP and on Merton PCT’s Professional Development Committee Adrian Davey - PCT’s Assistant Director for Mental Health Commissioning 2 apologies Item 1. Welcome Forum Facilitators Samantha Cornick – Stronger Communities Project Officer Kate Martyn – Stronger Communities Manager Actions Kate Martyn welcomed everyone to the LGBT Forum and thanked everyone for coming. The two speakers Dr Paul Alford, Merton GP and on Merton PCT’s Professional Development Committee, and Adrian Davey, PCT’s Assistant Director for Mental Health Commissioning, were introduced as well as the topic of the meeting – health care for the LGBT community. Kate stated the importance of hearing the LGBT communities’ views on the health care services available to them and stressed the need to act to improve services based upon these views. 2. Minutes and actions of meeting on 19 January 2009 The Minutes of the last meeting were agreed Some actions will be ongoing and progress will continue to be reported to the LGBT community forum. These include: To note Action 1: Police to attend LMO Youth Group to offer information about how to report homophobic and transphobic hate crime. Chris Worthy & Shar Jordan-Passmore Action 2: Merton Council to do more work about where to access information from other services to put on the LGBT website. Link to this page to be circulated with these minutes. Samantha Cornick Action 8: Progress on teacher training of LGBT issues to continue to be reported to forum on a regular basis. Sian Rowland Action 9 &10: Unreported LGBT hate crime briefing paper to go to Hate Crime Partnership Management Board progress to be reported at next meeting. Kate Martyn & Samantha Cornick Action 11: Research regarding national studies about LGBT needs ongoing – start publishing to website. Samantha Cornick Action 16: Age concern to be invited to next meeting. 3. How can health services be made more appropriate/sensitive to the needs of the LGBT community in Merton? Samantha Cornick Introduction from Dr Paul Alford who focused on GP services and Adrian Davey who focused on mental health services for LGBT people. Both felt that a major difficulty when providing services to the LGBT community is that there is no way of asking them firstly whether they are LGBT, or recording this information for patients. And secondly, there is also no way of finding out their particular needs except via complaint systems and through national studies. They also both accepted the existence of prejudice against LGBT people within the community at large and following this within health care services. They stressed that more needs to be done to tackle this. Followed by questions and discussion from the forum. Question – LGBT people have been around since time began. What health services already exist for the LGBT community? Answer – Very little as no comprehensive needs assessment has been undertaken, therefore today we would like to hear your issues and we will take these away and improve our services based upon your feedback. The only real way we have of knowing about issues is through our confidential complaint system. Issues raised by the LGBT Community Forum: 1. PCT staff and all health professionals should have a clear understanding of the specific health needs of the LGBT Health issues discussed by the LGBT Forum to be 2. 3. 4. 5. 6. community and how they differ to the population at large. It’s not about treating everyone exactly the same; it is about understanding differences and responding accordingly. An urgent need is for health professionals to understand that lesbian women are still at risk from cervical cancer and need to be screened. The need for GPs to understand that lesbian women do not want to be asked repeatedly about contraception. This can lead to them feeling alienated and not listened too which will discourage them from attending doctor’s surgeries for serious problems. The need for health staff to recognise and understand the impact of hidden and institutional homophobia Health staff to recognise and understand that the LGBT population has a higher prevalence of mental health issues, as result of the pressures society can place on them because of their sexual orientation or gender. Also there are lifestyle choices associated with being LGB such as smoking, drinking and recreational use of drugs. GPs and maternity services need to accommodate and understand the rise in same-sex couples wanting to have babies, and how this relates to recent legislative changes. The forum also stated that the above issues raised were only a starting point and that there were more needs unidentified – for instance at this particular meeting there has been a low attendance of gay men and transgender individuals. Both Stonewall and Terrence Higgins trust undertake national consultations, which could be helpful to the PCT in the absence off a needs assessment locally. Also to engage with the LGBT community the most appropriate method would be to go to them via groups that already exist. 4. Discussion on LGBT priorities in the draft Corporate Equality Scheme Merton Council has been working to refresh the old Corporate Equality Scheme, which has now become out of date with the emergence of a new government set Equality Framework. The Equality Framework replaces the Equality Standard used to asses how equal and diverse Councils are in England. The new Equality Framework takes into account the recent changes to the law with the creation of a Single Equalities Bill to replace and gather together a range of previous legislation. Mertons Corporate Equality Scheme will look substantially different following its refresh with chapters divided into the various equality strands to make the document more transparent and highlight the actions that need to take place in all the different areas of equality. incorporated into educational event for GP practices, PCT induction training and other training for clinicians e.g. screening workshops. PCT equalities and diversity champions group to review feedback from forum at June meeting. LGBT community needs to be considered in mental health commissioning and the LGBT forum contacted if appropriate. LMO posters and information to be circulated to GP surgeries and put up. LMO to circulate via Frances Newell. PCT to consider wider research on experience of local LGBT community in Sutton and Merton in use of health services. At this meeting we would like feedback regarding the draft chapter about the LGBT community. Comments: Page 5 – Information about the trans community should be included in the gender section and not the sexual orientation section. Page 18 – Would like to see a commitment about ensuring transgender people equality in access to goods, facilities and services. Would like the right of transgender people to be recognised as their re-assigned gender, to include transgender people who have not yet got a gender recognition certificate. Overall the LGBT Forum were happier with the new format of the document and felt that it made actions to be taken much clearer. Note – any further comments about the draft Corporate Equality Scheme can be sent to Maureen Branch-Davis by 15 June, which is when the draft must be finished. 5. LGBT History Month Report Report shared with LGBT Forum. 6. Meeting Plan No issues raised with proposed plan and questionnaire to be sent for ideas about future meeting topics. 7. AOB 1. End of the first year of the LGBT Forum, therefore we will be asking about your views regarding how the forum is run and a questionnaire will be sent to the LGBT Forum with the minutes. 2. London Pride will be taking place on Saturday 4 July and volunteers are needed, see www.pridelondon.org More consultation to take place before next year’s history month. Older peoples coordinator to be invited to next meeting.