Lesbian, Bisexual and Trans Women’s Health Inequalities

Debate between Kate Osborne and Martyn Day

Tuesday 10th March 2020 Commons Chamber

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

It is a pleasure to take part in today’s important and informative debate on health inequalities faced by lesbian, bisexual and trans women. I am grateful to my hon. Friend the Member for Livingston (Hannah Bardell) and the hon. Member for Reigate (Crispin Blunt) for securing today’s debate.

The aim of LBT Women’s Health Week is to raise awareness of lesbian, gay, bisexual, trans and queer women’s health inequalities, to make it easier for service providers to empower service users and for communities to support LGBTQ women. It is important for a range of reasons that we eliminate LBT health inequality and improve LBT health, to ensure that all individuals can lead long and healthy lives. It is worth considering Public Health England’s review of health inequalities for lesbian and bisexual women, which reported:

“There is consistent evidence from the UK and internationally that there has been a paucity of attention, concern and research on lesbian and bisexual women’s health inequalities.”

That emphasises the importance of today’s debate.

As we have heard today, the LBT community experience significant health inequalities and specific barriers to services and support. The many benefits of addressing these health concerns and reducing inequality include reducing disease transmission and progression, increased mental and physical wellbeing, reduced healthcare costs and, of course, increased longevity for the people involved.

We have heard from a range of speakers today, with some powerful testimony. My hon. Friend the Member for Livingston made many good points, talking about her own life experience and the value of her supportive network, which not everyone in the community benefits from. She said that coming out can be more traumatic for trans people than gay and bi people. I had not given that much consideration, and we should all remember that point. She highlighted a whole range of issues around safe sex and gave us details of dental dams. I go away informed—every day is a school day!

The hon. Member for Reigate talked about his personal experience of coming out in 2010. I am grateful for his work on the APPG on global LGBT rights. He informed us that this Parliament has more LGBT MPs than any other. As I say, every day is a school day, and it is a pleasure to take part in debates where we go away having learned more than we came in knowing. He also said that we have delivered equality in law, and we now need to deliver in outcomes, and I wholeheartedly agree with that profound point.

The hon. Member for Sheffield, Hallam (Olivia Blake) gave us some interesting statistics, including that 34% of advice workers said they were not confident dealing with trans people. That is a really important figure. In my research for today’s debate, I had been looking at it from the other side, and that backs up what trans people are saying—Stonewall Scotland says that one in four LGBT people have experienced healthcare staff having a lack of understanding of their specific needs.

[Kate Osborne]

Does the hon. Member agree with me that it is essential to ensure that all NHS mental health services train all staff on the mental health needs of LGBT people, including the specific experiences and inequalities faced by LBT women?

[Martyn Day]

I thank the hon. Lady, and she has read my mind because that is exactly the point I was coming to. We are hearing it from both sides—from the healthcare workers and from the community—and both feel that there is a gap, so there is clearly a training requirement that we need to address as a society.

The hon. Member for Runnymede and Weybridge (Dr Spencer) spoke about stigma, and he used a phrase, “minorities within the minority”, which probably sums things up and really gets to the crux of it for the people we are discussing. Latterly, we heard from the hon. Member for North Down (Stephen Farry), who gave us the Northern Ireland perspective. I think we can echo the issues of bias being ingrained in society and concerns about homophobic bullying throughout the rest of the United Kingdom, and I will touch on some of the Scottish perspectives.

Of course, no debate on health goes by without my mentioning that health is devolved and that in Scotland we do some things a little bit differently. Scotland has a really high record of health funding—up by over 60% under the SNP—and frontline health spending in Scotland is £136 per person higher than in England. In our recent budget, which has been termed the equality budget, we will continue to maintain Scotland’s position as one of the most LGBTI-progressive countries in Europe. The budget’s investment in mental health will have a positive impact on LGBTI people, who have higher rates of attempted suicide, self-harm, depression and anxiety.

Tackling hate crime also continues to be a top priority for the Scottish Government, and they will work with LGBTI stakeholders to challenge discrimination and to encourage understanding. An important point that we should take home is that every individual is some mother’s son or daughter, and we need to be far more accepting of one another in our own society.

The definition of gender identity and transgender used in the Offences (Aggravation by Prejudice) (Scotland) Act 2009 is considered to be one of the most inclusive definitions in use. The Scottish Government will continue to work to reduce the stigma of HIV, raise awareness of the condition and reduce its transmission. Scotland is the first country in the UK to make PrEP available free of charge to those at the very highest risk of acquiring HIV.

It is clear that this is one area where our nations face many of the same challenges. In Scotland, LGBT people are at a higher risk of experiencing common mental health problems than the general population. Stonewall Scotland’s survey of LGBT people in Scotland found, as we have heard, that almost half of LGBT people—49% on its figures—have experienced depression over the last year. My hon. Friend the Member for Livingston went through the whole range of figures, so I will not repeat them, but they bring home the very powerful point that there are real questions about inequality.

Scotland is an open and welcoming country. Prejudice, hate and discrimination will never be tolerated, and I believe that diversity makes Scotland richer and stronger, as well as happier and, I hope, healthier. The SNP Government are clear about the central equality of human rights to Scotland’s future and the importance of inclusive growth, fair work and social justice to our economic success and our social wellbeing. Scotland is considered one of the most progressive countries in Europe in terms of lesbian, gay, bisexual, transgender and intersex equality, and we aim to preserve and advance Scotland’s reputation as one of the most progressive countries in Europe for LGBTI equality.

In its 2015 rainbow map, the European Region of the International Lesbian, Gay, Bisexual, Trans and Intersex Association ranked Scotland as the most inclusive for LGBTI equality and human rights legislation: it met 92% of the ILGA’s 48-point criteria. Changes by the SNP mean that Scotland has been named the best country in Europe for LGBTI legal equality by Pink News. Those are all achievements of which we can be proud. However, there remains much that needs doing, and we must continue tackling homophobia, biphobia, transphobia and all forms of discrimination, stigma and inequality.

This debate goes some way to highlighting these issues, and I would just end as I began by once again thanking the hon. Members responsible for bringing it here today.