Abstract

Public policy on responding to the ageing “crisis” typically involves a focus on preventative interventions in primary care, tackling inequalities and increasing use of informal and voluntary care networks. Yet at present, the experiences of lesbian, gay, bisexual and trans (LGB&T) older people remains under-researched, despite evidence of increased risk of mortality and morbidity in LGBT populations (Williams et al., 2013; Addis et. al, 2009). Voluntary sector surveys (River, 2011; Guasp, undated) highlights fear of discrimination and perceived lack of sensitivity to needs. However, there remains a lack of research into older LGB&T patients as active participants within general practice, and on the diversity of perspectives on general practice care among older LGB&T people.
My research explores older LGB&T people’s perspectives and experiences of general practice, covering issues such as disclosing sexuality/gender identity; involvement in decision making; the practitioner-patient relationship and the role of community support. The research is focused around in-depth qualitative interviews, being undertaken throughout the UK, in both urban and rural areas. These are preliminary findings, based on initial analysis.
Exploring older LGB&T people’s perspectives on general practice care provides a greater understanding of patient experience and needs, and addresses questions of how health services can practically support older LGB&T service users