Healthwatch England has released a report that reveals many trans and non-binary people continue to face significant challenges when accessing GP care. We contributed voices from Kirklees and Calderdale. Despite recent progress in awareness and equality, the findings reveal that patients encounter barriers at every stage, from booking an appointment to receiving ongoing care.
What was found
- Difficulties registering with a GP – Some people reported being refused registration or facing confusion over the name and gender marker they want to use.
- Lack of understanding and training – Many participants said that some staff, including reception teams and clinicians, lacked basic knowledge about trans and non-binary healthcare needs.
- Inappropriate questioning – Patients share experiences of being asked unnecessary or intrusive questions that made them feel uncomfortable or unwelcome.
- Delays and poor communication – Trans an non-binary people often experience longer waits or difficulties in getting referrals to gender identity services or specialists.
- Fears of discrimination – Some avoid visiting their GP altogether due to past negative experiences or fear of being judged.
Why this needs to change
Healthwatch is calling for:
- Better training for all primary care staff on the experiences and needs of trans and non-binary patients.
- Clear policies to ensure people can use their chosen name and pronouns.
- Improved systems to make referrals and treatment pathways smoother and more transparent.
- Stronger communication between GP practices and patients, with respect and dignity at the hear of all interactions.