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Sexual orientation, gender identity and access to health care

Last quality assured: 02/09/2025
25-minute read

Who is this resource for?

This resource is aimed at nurses and nursing support workers across all settings and levels of practice, including students of health, social work and care professions.

Resource lead

Contact details for this resource lead:

M

Maria

Symeonaki

Professional Lead for Midwifery and Women's Health

Acknowledgements

Resource contents

Below is an interactive list of resource contents, clicking will navigate you to that resource page.

Increase your understanding around the latest facts, research and advice on equality, diversity and inclusion in women’s health. Read more about health inequalities, inclusive language and intersectionality.

Intersectionality explains how discrimination and disadvantages impact individuals or groups. It takes into account peoples’ overlapping identities and experiences to understand health inequalities and prejudices (King's Fund, 2022).

Sexual orientation and gender identity should not affect access to the right health care, but some people may face extra challenges in getting the right help and information.

Implementing approaches that are anti-oppressive, intersectional, and culturally and contextually adapted can address many factors contributing to the sexual health of LGBTQIA+ people (lesbian, gay, bisexual, transgender, queer or questioning, intersex, or asexual).

Anyone who produces oestrogen and progesterone may experience declining hormone levels. Transgender, non-binary and intersex people may also experience the menopause, either due to age-related hormonal changes or hormone treatments and surgeries.

NHS screening programmes aim to prevent ill health, save lives and allow people to make informed choices about their health. But eligible people are not being invited, causing inequalities to remain.

Neurodiversity is a term used to describe a range of neurological differences.

Reasonable adjustments are a legal requirement to ensure that health services are accessible to people with disabilities.

Minority ethnic groups include people from Black, Asian, mixed ethnicity groups and other backgrounds such as Gypsy, Traveller or Roma communities.

Although there is no internationally accepted legal definition of a migrant, a migrant may move countries to work, study, and for humanitarian purposes. They may feel they have no other choice due to gang violence, poverty, natural disasters, political unrest or other serious circumstances.

Many homeless or displaced women, including those living in temporary accommodation experience problems and stigma when trying to access health care, in particular primary care services.

The RCN delivers quality-assured and up-to-date resources for the nursing workforce. Reviewed annually, RCN Learn resources meet the RCN Nine Quality Standards.

Resource last reviewed 02/09/2025

Related courses and resources

Downloaded content date

PDF created on: 17 Apr 2026.
Downloaded from: https://rcnlearn.rcn.org.uk/Testing/Sexual-orientation-gender-identity-and-access-to-health-care.
Please check: https://rcnlearn.rcn.org.uk for a more up-to-date version of this content.

Last reviewed: 02/09/2025

Last quality assured: 02/09/2025
25-minute read