Tuesday, January 15, 2019

Supporting adult transgender service users

Following a Twitter discussion about our guidance on supporting adult transgender service users we would like to thank people for their feedback and address a few of the issues raised.

When we admit any patient we carefully consider their individual experience and history which can often be complex. Our clinical experts assess and plan care together with our patients. This process routinely addresses the patient’s own needs and those of others already on the ward. We recognise the fundamental need for our wards to be safe spaces for all our patients. Admission assessments for adult transgender service users are made on a case by case basis.

We advise staff that our guidance on adult transgender service users should be used in conjunction with our other policies, for example clinical risk assessment and management of harm policy, the safeguarding adult policy and the privacy and dignity policy. Together, these policies ensure that we safeguard all our patients regardless of gender. This is our primary concern.

Since the policy was published in 2015, our Patient Experience Data Intelligence Centre (PEDIC) data shows that females and males have reported similar levels of feeling safe on a ward. There have been no recorded incidents involving patients who identify as transgender that have affected other patients or service users, and there have been no recorded complaints from other patients following a decision made under this policy.

Transgender service users report lower feelings of safety than cisgender service users. It’s therefore important that we continue working to improve the quality of care for transgender service users, including addressing any prejudice they may experience in our services. Our guidance aims to support staff to put this commitment into practice. It has been developed in line with the Equality Act 2010 statutory codes of practice and RCN guidance on fair care for transgender people.

All our trust policies are regularly reviewed and updated and this guidance is currently under review. The comments which have been raised on Twitter are valuable and will be taken into consideration during this process. We will also be working with service users and carers as part of the review.

Our current guidance, which is being updated, can be found here:
Guidance on supporting adult transgender service users
CAMHS

Communications and Media Team
communications@slam.nhs.uk



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