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Still Complicated > NHS services

Report Chapters
  1. Acknowledgements
  2. Foreword
  3. Introduction
  4. Methodology
  5. How we define bi+
  6. Demographics
  7. Key findings
  8. Community and belonging
  9. Belonging to the LGBT+ community
  10. Belonging to a bi+ community
  11. Belonging to a ‘straight community’
  12. Summary (Community and belonging)
  13. Bi+ experiences in LGBTI+ services
  14. Biphobia in LGBTI+ spaces
  15. Other barriers to participation in LGBTI+ spaces
  16. Mainstream public services and the bi+ experience
  17. NHS services
  18. Sexual health services
  19. Police services
  20. Religious services
  21. Other services
  22. Summary (Mainstream public services and the bi+ experience)
  23. Bi+ intersectionality
  24. Employment
  25. Covid-19 pandemic and the bi+ experience
  26. Covid-19 related healthcare
  27. Social challenges
  28. Financial hardships
  29. Bi+ community groups
  30. Summary (Covid-19 pandemic and the bi+ experience)
  31. Good practice
  32. Recommendations
  33. Increased knowledge and understanding
  34. Avoiding assumptions and generalising
  35. Dealing with discrimination
  36. Bi+ specific support and inclusion
  37. Increase representation of bi+ people
  38. Resources and further reading
  39. Bibliography
  40. Glossary

NHS services

The majority of respondents who used NHS services, 46%, said that they ‘sometimes’ feel comfortable sharing their sexual orientation with this service, with a further 23% saying they are ‘usually’ comfortable. This may seem positive at first glance; however, this means that almost 1 in 4 people often do not feel confident sharing their orientation.

Comments under this question suggest that people are carefully assessing the situation before coming out, to keep themselves as safe as possible.

“[I] would only usually disclose to individuals if it was appropriate and I felt safe.”

“Kinda depends more on whether or not the person in front of me seems queer. Or even a woman. (…) I tend to feel more open around women.”

Other people commented about discrimination from NHS staff when they had come out:

“I’ve worked in the NHS and found many parts of it intrinsically homophobic.”

“With the context of NHS mental health services I’ve been told ‘we both know you’re not bisexual’ and other similar denials/judgements of my sexuality.”

As the demographic data for this survey show, the bi+ community has a high proportion of people with chronic illnesses or disabilities[18]. This means many will use the NHS regularly. Not feeling safe when you need medical care adds more stress to an already difficult situation, and so people rely on their instincts to decide whether they can safely disclose information about themselves even when it may be relevant to their health.

“All depends on how my gut says the person or people will react.”


Footnotes

  1. Disabled World (2022) ‘LGBT and Disability: Information, News, Fact Sheets’ (Return to reference [18])

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