This survey is part of a Health Needs Assessment (HNA) for the trans and gender diverse (TGD) population of Lancashire, including Blackburn with Darwen and Blackpool. It is being co-produced by the local authorities of Blackburn with Darwen, Blackpool and Lancashire County Council, with Lancashire LGBT and other voluntary sector partners.


We are using the term TGD to include anyone whose gender identity differs from that which was recorded at birth, including trans, non-binary and gender fluid people, or those who define their gender in another way.


We will be looking at the health needs and challenges experienced by TGD people in Lancashire. This includes levels of physical and mental health and wellbeing as well as activities that contribute to good or bad health, for example smoking, drinking alcohol and physical activity. We will also look at things like housing, employment and education, which affect how healthy people are able to be, and at healthcare and other services.


There is research from the UK and other countries that suggests that TGD people face particular health challenges. These are not just the needs that may be connected directly with gender identity, like Gender Identity Services. TGD people also face barriers to getting to services, including healthcare, and experience discrimination and harassment.


However, there is much that we don’t know about TGD health needs, especially locally. The aim of this project is to better understand the situation in Lancashire so that we can effectively target efforts to improve health for TGD people.