The NHS provides a range of mental health services for individuals, including those from the LGBTQ community. However, navigating these services can be complex and daunting, particularly for those who have experienced discrimination or stigma in the past. This article aims to provide a comprehensive guide to accessing affirming mental health services in the NHS for LGBTQ patients.
Generally, the first step in accessing mental health services in the NHS is to visit a GP. GPs can provide an initial assessment and refer patients to specialist services, such as IAPT (Improving Access to Psychological Therapies) or specialist clinics. It is essential for LGBTQ patients to feel comfortable and supported throughout this process, and GPs play a crucial role in ensuring that patients receive affirming care.
Accessing IAPT Services
IAPT services provide a range of psychological therapies, including cognitive-behavioural therapy and psychodynamic therapy. These services are typically provided by trained therapists who have experience working with LGBTQ individuals. To access IAPT services, patients can self-refer or be referred by their GP. It is essential to note that waiting lists for IAPT services can be long, and patients may need to wait several weeks or even months for an appointment.
Specialist Clinics
For LGBTQ patients who require more specialized care, the NHS provides a range of specialist clinics. These clinics offer a range of services, including hormone therapy and gender-affirming surgery. Specialist clinics can be accessed through a GP referral or by self-referring. It is essential to note that eligibility criteria for specialist clinics may vary, and patients may need to meet specific criteria to access these services.
Self-Advocacy Strategies
Self-advocacy is critical for LGBTQ patients navigating the NHS mental health care system. Patients should feel empowered to ask questions and seek clarification on any aspect of their care. It is also essential to report any discriminatory experiences to the NHS or a patient advocacy organization. Patients can use the following script to report discriminatory experiences: ‘I feel that I have experienced discrimination in my care, and I would like to report this incident to ensure that it does not happen again in the future.’
In most cases, the NHS is committed to providing affirming care to LGBTQ patients. However, there may be instances where patients experience discrimination or stigma. In these cases, patients can complain to the NHS or seek support from a patient advocacy organization. The NHS Complaints Procedure provides a clear framework for patients to report complaints and seek resolution.



