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LGBTQ KITEMARK CONSULTATION The LGBT Health and Inclusion Project Brighton and Hove NHS Clinical Commissioning Group (BH CCG) and Brighton and Hove City Council (BHCC) have commissioned the LGBT Health and Inclusion Project at Brighton and Hove LGBT Switchboard to conduct a series of consultation and engagement activities with local lesbian, gay, bisexual, trans and queer (LGBTQ) communities. The aim is to use the information gathered to feed into local service commissioning, planning and delivery. Please note, the following report presents information about the consultation and engagement work conducted by LGBT HIP, and should not be taken as a position statement of Brighton and Hove LGBT Switchboard or of any participating organisation. 1. INTRODUCTION The need for an LGBT kitemark has been evidenced in several reports from consultations with LGBT communities in Brighton and Hove. In LGBT HIP’s 2015 report on LGBT People’s Views on Changes to Primary Care, we found that having a certified standard of LGBTQ awareness in services was a high priority for respondents. This need was again highlighted in our report on LGBT People’s Experiences and Opinions on the Wellbeing Service (2016), where a key recommendation was for the Wellbeing Service to develop a scheme for LGBT people to easily identify LGBT-inclusive practitioners. Further to this, a recurring recommendation in most of our consultations is for clinical and non-clinical staff to undertake LGBT awareness training, which could be monitored under a quality assurance scheme. In addition to the needs highlighted above, the Trans Alliance has recently received funding to develop a trans-specific kitemark for Brighton and Hove. Through discussions with the Trans Alliance, it was decided that LGBT HIP and the Trans Alliance would work together to develop an LGBT kitemark, with trans-specific criteria for statutory and private sector in Brighton and Hove. This report documents the findings from our consultations with LGBT communities in Brighton and Hove to shape the kitemark scheme. 1.2 Background Research: Quality Assurance Schemes As part of this consultation, we have undertaken a thorough review of existing LGBT quality assurance schemes in the UK. We have detailed a summary of findings from three of these schemes in Table 1. All of the schemes included sit within LGBT organisation and are supported by paid workers. Two of the schemes charge a fee for participating service providers and the third scheme is looking to introduce this. All of the awards require review and renewal after a set period of time, although this ranges from one to three years. Two of the existing schemes have a bronze, silver and gold level, and one has a single level for the award. All of the schemes follow the same model of having a list of criteria for services to meet. 1 September 2016 Table 1 Existing LGBT Kitemark Schemes Pride in Practice LGB&T Quality Mark LGBT Charter of Rights Design Organisation/ LGBT Foundation Lancashire LGBT LGBT Youth Scotland Group Fee for members Free in for practices in Greater £250- £350 Currently Free – although under review at Manchester. GPs outside of Greater the moment due to the amount of Manchester pay £350. Discounts for administration groups of 5 GPs or groups of 10. Expiry 1 Year (Possibly extending to 3 years) 3 years 1 Year Levels Bronze, Silver, Gold Single level Foundation, Bronze, Silver, Gold Process Surgeries apply to take part in the scheme Organisations receive an application form Organisations apply to become part of the and will receive a training session, and audit tool. Organisations complete a scheme and undergo training which enables supported assessment and areas for free audit tool and submit with evidence. them to join the scheme. Whilst joining the improvement. At the end of the They then work with Lancashire LGBT to scheme is free, however, the organisation assessment, surgeries decide whether develop an Action Plan- at which stage pays for the training they have to undertake. they would like to go for a bronze, silver they are awarded a ‘Working Towards…’ or gold award. They receive support from charter mark (valid 2 yrs) On successful a worker for 12 months. After 12 months, completion, they are awarded a full it is recommended that they have kitemark. refresher training. 2 September 2016 Pride in Practice LGB&T Quality Mark LGBT Charter of Rights How is it audited/ The scheme started off based on self- Organisations submit an audit, along with The audit itself is completed by service users maintained? assessment but has developed to be evidence that they meet the criteria. of the organisation, these young people are supported by a worker. Now a worker will Evidence can include copies of policies or asked to write a review of the service based visit the surgery for joint- assessment to procedures, photos of waiting rooms, on their experience of the setting, this takes ensure quality and consistency for content of training or copies of into account location of building, practices. communication with LGBT content. accessibility, LGBT materials in the waiting Examples of types of evidence are included area, LGBT awareness amongst staff etc... in the application pack. The service user writes a review and this is then fed back to the organisation by a staff The administrator will go through the member at LGBT Youth Scotland. evidence and work with the service to develop an action plan to improve- whilst they are working towards this, they can use a ‘Working Towards’ kite mark. Once they have met all the actions in the action plan they can use the quality mark. Content/ Criteria [Currently being updated] Audit covers The audit covers HR, welcoming This is being reviewed at the moment. policies, reception environment, medical environment, monitoring, feedback Currently it focuses primarily on the consultation, legislation, patient voice & mechanisms, HIV, health screening, fertility environment of the service and the way staff sexual orientation monitoring. referrals, staff development, changing treat and respond to users. records/names, equality act and public sector duties. There is also a question about whether the service has had a claim for discrimination around gender identity or sexual orientation in the past five years. Workers Two full-time workers One part-time administrator 19 staff work on the project part & full time. 3 September 2016 1.3 Background: Other relevant LGBT Audits London Friend London Friend have a range of self-audit tools for commissioners and service providers (pg. 89 of report). They are designed to identify any areas that need immediate attention within the service, as well as identifying any policies that may need re-designing as a result of issues found within the self- audit. The audit is broad, and covers polices, operational planning, personal objectives for team members as well as team objectives. London Friend also supply a guidance document to go alongside the checklist which provides the rationale of the audit. The audit is part of a package of LGB&T support interventions and the charity actively encourage people to get in touch with them if they need support with the audit. The key headings/topics of the LGB&T audit for substance misuse providers are: - Creating an LGB&T welcoming environment - Interventions and referral pathways - Demographic monitoring - Professional Development - Compliance with public sector duties Stonewall Equality Index The Stonewall Equality Index uses an index tool to benchmark the top LGB&T employers; it has been in place for 12 years with 2016 being the first year that trans inclusion was built into the Index. The Index has 100 employers listed in order of inclusiveness alongside several ‘star’ performers who are deemed to have shown consistent and outstanding levels of commitment to inclusiveness. It is free for employers to enter the index and involves each entrant submitting a demonstration of their inclusion against Stonewalls best practice guide. The headings in the guide cover the following areas: - Employee policy - Training - Employee network group - All-staff engagement - Career development - Line managers - Monitoring - Procurement - Community engagement - Additional work 3D Third Sector Support for Derbyshire 3D is a consortium of voluntary and community support agencies who work together to support the Third Sector community in Derbyshire. They have an equalities and diversity tool. The tool is not exclusive to LGB&T people as it covers different areas of diversity such as BME, learning disabilities etc. It was developed by the consortium and is available to all Third Sector agencies in the area. They suggest that it should be in used throughout the sector and in particular for all commissioning processes. The Equalities & Diversity Checklist is designed as a self-checklist with a basic list of things that should be in place for each diverse client base. It’s been in place since 2010. 4 September 2016 LGBT Health & Wellbeing LGBT Health & Wellbeing have an audit tool designed for people caring for older people who may be LGBT. It’s called LGBT Age and was produced in 2015. The audit comes with a resource pack as well as a document with the research and context behind the audit. The audit is based on a points model and has five categories: - Category One: Staff providing the service are supported to develop an awareness of working with LGBT people - Category Two: The service is safe and accessible for LGBT people - Category Three: The service has relevant policies and procedures to support LGBT inclusive practice - Category Four: The service undertakes relevant equality monitoring with sexual orientation and gender identity included - Category Five: The service is proactive in developing promotion, publicity and engagement 2. METHOD 2.1 Focus Groups We held two general focus groups for LGBT community members.

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