#Caring4NHSPeople - virtual wellbeing session 24 June 2020 about our LGBTQI+ people's wellbeing

1. How can we support the Health and
Wellbeing of our LGBTQ+ people during and
beyond COVID-19
Celebrating Virtual Pride
Virtual Community Meeting
24th June 4pm
#Caring4NHSpeople
Welcome to our weekly wellbeing session:
The health and wellbeing of our NHS people during the Covid-19 response

2. Introduce yourself in the chat box
Say:
• Who you are
• Where you are today
• Your job role
• Share one memorable moment from
these wellbeing sessions / What does
‘pride’ mean to you?
• Send to “all participants”
To join the wellbeing community list, click on
the link at
http://horizonsnhs.com/caring4nhspeople/
#Caring4NHSpeople

4. Our Wellbeing Community: https://tribe.horizonsnhs.com/
#Caring4NHSpeople

5. With Pride events being cancelled this year NHS
England and NHS Improvement’s LGBT+ Staff Network is
organising ‘NHS Virtual Pride’ on Friday 26th June. We
are extending this celebration to the whole of the NHS,
through all NHS LGBT+ staff networks in regions
and Trusts, for all LGBT NHS staff and allies.
To get involved in the lead up to NHS Virtual Pride
please follow @VirtualNHSPride, and use the hashtag
#NHSVirtualPride to join the conversation
The link to watch the broadcast will be posted on
@VirtualNHSPride (Twitter) and
https://www.facebook.com/NHSVirtualPride/
(Facebook)
Join the broadcast from 6pm on 26th June, on Microsoft
Teams (can click the link to open in your browser, you
do not need to have MS Teams installed). It will include
music acts, drag, poetry, DJs and a few messages of
support from some familiar faces!
Please spread the word!

6. Introduce yourself in the chat box
Say:
• Who you are
• Where you are today
• Your job role
• Share one memorable moment from
these wellbeing sessions / What does
‘pride’ mean to you?
• Send to “all participants”
To join the wellbeing community list, click on
the link at
http://horizonsnhs.com/caring4nhspeople/
#Caring4NHSpeople

7. How can we support the Health and
Wellbeing of our LGBTQ+ people during and
beyond COVID-19
Celebrating Virtual Pride
Virtual Community Meeting
24th June 4pm
#Caring4NHSpeople
Welcome to our weekly wellbeing session:
The health and wellbeing of our NHS people during the Covid-19 response

8. What does LGBTQ+ mean?
• LGBTQ+ is a term relating to sexual
orientation or gender identity, and is often
used in a united way to represent many
communities of people.
• Each letter represents the following:
– Lesbian
– Gay
– Bisexual
– Transgender
– Queer or Questioning
• ‘+’ represents other sexual identities
including pansexual, asexual, omnisexual
and intersexuality

9. Aims of our Wednesday wellbeing community events
• Offer support, ideas, knowledge and
wisdom to those with a role in
supporting the health and wellbeing of
our staff
• Share the range of wellbeing support
activities that are available
• Connect with each other and
collectively build our community of
those who support the health and
wellbeing of our health and care staff Photo by Petr Macháček on Unsplash

10. • Welcome – Prerana Issar
• Update on the National Support Offer – Sonya Wallbank
• Hidden Figures - COVID-19 impact on the community – Olivia Butterworth
• Leading an LGBTQ+ NHS Network – Dr Paul Gilluley
• Supporting the LGBTQ+ Community as a Leader – Dame Jackie Daniel
• Achieving equality: beyond the LGBT+…. – Dr Michael Brady
• Conversation with – Olivia, Paul, Jackie, Michael & Jacqueline Davies
• Call to action & closing remarks - Elizabeth Nyawade & Zoe Lord
#Caring4NHSpeople

11. The team today
Contributors
Zoe Lord
Facilitators
Elizabeth Nyawade
Chatbox hosts
Jessica Payne
Dr Sonya
Wallbank
Olivia
Butterworth
Louise Pratt
Prerana
Issar
Jacqueline
Davies
#Caring4NHSpeople
Dr Paul
Gilluley
Dame Jackie
Daniel
Dr Michael
Brady
Adam Turner

12. Paul Woodley
Technical hosts
Zarah Mowhabuth
Tej Riat
Social Media
Leigh Kendall
YouTube host
Lynsey OgilvieIan Baines
#Caring4NHSpeople
The team today
Tom
Underwood
Pardeep
Bains
#Caring4NHSpeople

13. Welcome
Prerana Issar
NHS Chief People Officer
NHS England & Improvement
#Caring4NHSpeople

14. An update on
the National
Wellbeing Offer
Dr Sonya Wallbank
Health and Wellbeing Clinical Lead,
NHS England & Improvement
#Caring4NHSpeople

15. National Helpline National Text line Apps and self help People.nhs.uk
website
Number of calls:
3627 & 2093 to
Samaritans line
Number of
conversations:
1601
Downloads: 128,011 Downloads: 167,416
• Most visited pages during June
• Coaching and mentoring for leaders
• Support now
• Support for working carers
• Bereavement support during COVID-19
• Communicating with children about COVID-19
• Creating a 10-minute pause space
Frequent issues:
• Have I failed because I need help?
• Relationships/family worries
• Summer and how to cope with children off
• Anxiety/stress
• Money/practical concerns
• Mental and physical health concerns
• Loss/bereavement issues
Coming up:
- Guide for individuals and teams returning from
yesterday and working on a specific 1-1 support
staff returning to work
- Recovery framework and resources to support
discussions
- How to talk to your children about Black Lives
- Partnership with Invictus Games – series of
Uptake and information 24th June 20

16. The evidence base relating to responses from trauma guides our intervention strategy. The purpose of our evaluation strategy is to learn who and how people
are using the interventions, what difference they are making and any gaps that are specific to C19. All of our evidence tells us that the peak in demand for
support is yet to come.
National Helpline National Text line Apps and self
help
Weekly
webinars
People.nhs.uk
website
Support sessions from Hospice UK
& Primary Care Coaching
Monitoring uptake, demographics
where discussed during calls, the
themes of calls and satisfaction
rates
Monitoring uptake and
experience of calls via
satisfaction texts
Monitoring uptake
and usage
118,268
Downloads
Monitoring who
attends, what they
learn and then
what they do with it
10,767 Participants
Monitoring visitors,
where the come
from downloads of
info
134,169
Downloads of
materials
Monitoring uptake, demographics and
satisfaction
1021 support sessions to date
30% BAME uptake
Range of primary care staff accessing the
offer
Coming next:
• Each guide downloaded has evaluation comments – ABC resillience guide 631 comments showing 90% satisfaction and 70% putting something into
practice today – Ramdan guide – 852 comments – 95% Overwhelming praise for the content itself in terms of being informative, comprehensive,
compassionate, respectful and practical
• Sensemaker survey from Horizons webinars – what are you doing with what you learn each week
• AHSN regional based user survey – what have you taken up and how has it helped? Will also help us determine who is accessing the help and what they
are using it for
• Secondary stressors are featuring more than in other disaster responses as C19 impacting on families (locked down); financial (job losses) and
relationships.
• NHS Check survey data (Prof Simon Wessley & team) – triangulated back to the offer
Evaluation Data & Strategy June’20

17. Our Wellbeing Community:
https://tribe.horizonsnhs.com/
#Caring4NHSpeople
To join the mailing list of people who get
the information about this community:
http://horizonsnhs.com/caring4nhspeople/
#Caring4NHSpeople
Staying in touch…
To share what you’ve learnt or what’s inspired
you during these sessions or even suggest
new topics… Get in touch with Zoe!
Zoelord@nhs.net

18. To be entered into a draw for
a 30 minute coaching session
with one of the presenters
We have a survey asking
about your experience
supporting staff wellbeing
during Covid-19
*survey takes
just 10 minutes!*
The survey will be posted in the chat box
during this webinar and will also be
emailed to those on our mailing list.
#Caring4NHSpeople

20. Hidden Figures -
COVID-19 impact
on the community
Olivia Butterworth,
Co-Chair of LGBT Foundation and
Head of Public Participation NHS
England and NHS Improvement
#Caring4NHSpeople

21. Hidden Figures:
The Impact of the COVID-19
pandemic on LGBT communities in
the UK
Olivia Butterworth
Co-Chair, LGBT Foundation

22. As of 11 May there were 555 respondents:
• 26% identified as lesbian
• 42% identified as gay
• 13% identified as bisexual
• 1% identified as heterosexual
• 6% identified in another way, including as queer or pansexual
• 44% were men
• 41% were women
• 10% were non-binary
• 4% identified in another way
• 23% were trans
• 3% were intersex
• 8% were black, Asian or minority ethnic
• 27% were disabled
• 24% were aged 50 or over
You can download a full copy of the survey here

23. Key Findings from the Survey
LGBT Foundation’s Covid-19 community survey of LGBT people living in the UK
has found that:
• 42% would like to access support for their mental
health at this time.
• This rises to 66% of BAME LGBT people, 48% of
disabled LGBT people, 57% of trans people and 60% of
non-binary people.
• 30% are living alone at this time.
• This rises to 40% of LGBT people aged 50+.
• 25% would like support to reduce their isolation, such as
a befriending service.
• 18% are concerned that this situation is going to lead to
substance or alcohol misuse or trigger a relapse.
• This rises to 20% of BAME LGBT people, 23% of
disabled people, 22% of trans people and 24% of non-
binary people.
• 8% do not feel safe where they are currently staying
• This includes 9% of BAME LGBT people, 15% of
disabled LGBT people, 17% of trans people and 17% of
non-binary people.
I can’t be myself, I can’t
come out & is hurting
inside. Prior to the covid19
crisis I was due to move
out into supported living
where I can gain access
with my mental health but
now this lockdown I’m
stuck in limbo.

24. Key Findings from the Survey
LGBT Foundation’s Covid-19 community survey of LGBT people living in the UK
has found that:• 16% had been unable to access healthcare for non-Covid
related issues
• This rises to 22% of BAME LGBT people, 26% of disabled
LGBT people, 27% of trans people, 27% of non-binary
people, and 18% of LGBT people aged 50+.
• 34% have had a medical appointment cancelled
• This rises to 39% of BAME LGBT people, 42% of disabled
LGBT people, 38% of trans people, 37% of non-binary
people, and 42% of LGBT people aged 50+.
• 23% were unable to access medication or were worried that
they might not be able to access medication
• This includes 37% of BAME LGBT people, 36% of
disabled LGBT people, 45% of trans people, 21% of non-
binary people, and 21% of LGBT people aged 50+.
• 64% said that they would rather receive support during this
time from an LGBT specific organisation
• This rises to 71% of BAME LGBT people, 69% of disabled
LGBT people, 76% trans people and 74% of non-binary
people.
I am queer, black and
disabled and I am really
worried about the
health inequalities I will
face if I get ill. I do not
want to die because of
structural oppressions

25. As an LGBT Muslim family
relationships are already
strained so relying on
family during this time can
be difficult if not
impossible.
I’m not able to contact my
family and don’t know if
they are well or not due to
their reluctance to speak to
me because of my identity.

26. What can we do?
Understand Intersectionality – our identities and experiences are complex
and multi-layered
We are LGBT – how we support our staff is critical – visible leadership is
powerful
Allies are hugely important
Improving services – Pride in Practice is one example of how we can
address issues of inclusion and improve quality of care in health services
Personal development, building understanding – online ‘Pride in Practice
Training Academy’ 10 modules and opportunity to become an accredited
Pride in Practice Champion
Don’t forget that we’re here if you need us – helpline available 9am-9pm

27. WE’RE HERE IF YOU NEED US
#EqualityWins

28. Leading an LGBTQ+
NHS Network
Dr Paul Gilluley, Chief Medical
Officer, Psychiatrist, and Executive
Lead for the LGBTQ staff network,
East London NHS FT
#Caring4NHSpeople

29. Supporting the
LGBTQ+ Community
as a Leader
Dame Jackie Daniel, CEO Newcastle
Upon Tyne Hospitals and NHS
Employers LGBT Advisory Board
#Caring4NHSpeople

30. Achieving
equality: beyond
the LGBT+….
Dr Michael Brady,
National Advisor for LGBT Health, NHS
England and NHS Improvement.
Medical Director, Terrence Higgins Trust.
Consultant, HIV and Sexual Health, Kings
College Hospital NHS Foundation Trust.
#Caring4NHSpeople

31. 33 |
Significant progress has been made towards LGBT equality.
However………
LGBT people face considerable barriers to leading happy, healthy, and fulfilling lives
LGBT people face discrimination, bullying, and harassment in education, at work
in the media and on the streets. The NHS workforce is no different
LGBT people face greater inequalities in health satisfaction, access, experience and
outcomes and this has been exacerbated by COVID-19

32. 34 |
NHS Staff Survey: theme scores by sexual orientation
Exploring inequalities in the NHS Staff Survey
0
1
2
3
4
5
6
7
8
9
10
Equality, diversity &
inclusion
Health & wellbeing Immediate managers Morale Quality of appraisals Quality of care Safe environment -
Bullying & harassment
Safe environment -
Violence
Safety culture Staff engagement
Heterosexual (straight) Bisexual Gay Man
Gay Woman (lesbian) Other I would prefer not to say ~480000 heterosexual
~4000 lesbian
~5000 bisexual
~6000 gay men
~1800 other
~31000 prefer not to say

33. Intersectionality
We need a better understanding
of the relationship between our
characteristics and how that
impacts on marginalised
individuals.
We need to ensure our efforts at
addressing inequalities for one group
is not at the expense of others and
recognises and responds to these
often complex interactions
Intersectionality describes how
aspects of our experience and
identities might combine to
create both discrimination and
privilege.

34. 36 |
Creating a truly inclusive workplace
• Committed and meaningful leadership
• Visible and clear commitment to affecting change
• Data collection and monitoring
If you don’t
count me,
I don’t count

35. 37 |
Creating a truly inclusive workplace
• Impactful LGBT diversity training
• Ensuring our organisations are explicitly inclusive
• Support effective staff networks

36. NHS England and NHS Improvement
Contact us……
Twitter:@drmbrady
E-mail: england.lgbtadvisor@nhs.net

37. In Conversation with…
#Caring4NHSpeople
Olivia Butterworth,
Co-Chair of LGBT
Foundation and Head of
Public Participation NHS
England and NHS
Improvement
Dr Paul Gilluley, Chief
Medical Officer,
Psychiatrist, and Executive
Lead for the LGBTQ staff
network, East London NHS
FT
Dame Jackie Daniel, CEO
Newcastle Upon Tyne
Hospitals and NHS
Employers LGBT
Advisory Board
Dr Michael Brady,
National Advisor for
LGBT Health, NHS
England and NHS
Improvement, and
Medical Director,
Terrence Higgins Trust
Jacqueline Davies
Director of Leadership
Development and
Lifelong Learning,
NHSE&I

38. Very helpfulNot helpful
To what extent has today’s session been useful in
your own role supporting staff health and wellbeing
during and after Covid-19?
POLL
If you are on YouTube or the poll doesn’t work for you on Zoom, write your number in the chatbox

40. With Pride events being cancelled this year NHS
England and NHS Improvement’s LGBT+ Staff Network
is organising ‘NHS Virtual Pride’ on Friday 26th June.
We are extending this celebration to the whole of the
NHS, through all NHS LGBT+ staff networks in regions
and Trusts, for all LGBT NHS staff and allies.
To get involved in the lead up to NHS Virtual Pride
please follow @VirtualNHSPride, and use the hashtag
#NHSVirtualPride to join the conversation
The link to watch the broadcast will be posted on
@VirtualNHSPride (Twitter) and
https://www.facebook.com/NHSVirtualPride/
(Facebook)
Join the broadcast from 6pm on 26th June, on Microsoft
Teams (can click the link to open in your browser, you
do not need to have MS Teams installed). It will include
music acts, drag, poetry, DJs and a few messages of
support from some familiar faces!
Please spread the word!