Reflecting on LGBTQ+ Inclusion in Health Policy: Our Response to New Research

Reflecting on LGBTQ+ Inclusion in Health Policy: Our Response to New Research
By The Eddystone Trust

We recently read an important article published in the International Journal for Equity in Health titled “The inclusion of LGBTQ+ people within UK health policy: a critical discourse analysis” by Braybrook et al. (2025). The paper explores how LGBTQ+ identities are reflected — or sometimes not — in current UK health policy.

At The Eddystone Trust, inclusion is central to our work, so the findings prompted some thoughtful internal conversations. We wanted to share a few reflections and practical suggestions for how health systems might build on the findings to become more inclusive of LGBTQ+ communities.

1. Sexual Health: A Central Focus, But Not the Whole Picture

The research shows that LGBTQ+ health is often viewed narrowly through the lens of sexual health and HIV. While these are crucial areas — and ones we’re proud to work in — they don’t capture the full spectrum of LGBTQ+ health needs.

Even within this focus, there remain clear gaps in access, outcomes, and visibility. This suggests a need to rethink how sexual health services are promoted and delivered. People may be more likely to engage with support if it’s linked to other aspects of wellbeing — such as mental health or fitness — or offered in familiar, non-clinical settings. That’s a vital insight for the future of service design.

2. Overlapping Identities Matter

A key theme in the paper is that LGBTQ+ people don’t exist in a vacuum — they also navigate other identities and experiences. Many are parents, carers, working class, neurodiverse, disabled, migrants — and more. These overlapping identities shape how individuals experience and access healthcare.

Recognising this complexity is essential. Intersectionality must be central to both service design and policy development.

3. Inclusion Must Go Beyond Representation

The study also highlights that LGBTQ+ people are often spoken about — but not spoken with — when it comes to shaping health services and policy.

Meaningful co-design is beginning to shift this dynamic. It’s encouraging to see more services involving communities in decision-making through feedback loops and engagement processes. We’d love to see this mindset grow — not only in healthcare, but across sectors. It’s something we’re committed to strengthening in our own organisation, too.

4. Digital Gaps Need Urgent Attention

In today’s connected world, digital access to healthcare is essential. Yet the research points out that digital solutions often fall short for LGBTQ+ people — particularly in rural or marginalised areas, where online services could help reduce stigma and improve access.

There’s real opportunity to develop more inclusive, accessible digital models — and ensure no one is left behind.

5. Inclusion in Practice: What We’re Doing

At The Eddystone Trust, we aim to embed sexual health within a broader vision of wellbeing. Through services like our free online HIV testing kits, Condoms Direct scheme, and community-based outreach, we try to meet people where they are — both physically and emotionally.

We view sexual health as just one part of overall health. It’s not only about testing or treatment — it’s about feeling supported, empowered, and confident in your body and identity.

6. What More Can Be Done?

Based on both this research and our community experience, we believe the following steps can strengthen LGBTQ+ inclusion in health:

• Make co-design standard practice, not an afterthought.

• Reflect the full diversity of LGBTQ+ identities in service design and messaging.

• Take a holistic approach — link sexual health with mental, physical, and social wellbeing.

• Use digital tools creatively and inclusively, ensuring they reduce stigma rather than reinforce it.

• Centre LGBTQ+ voices at every level, especially in leadership and decision-making spaces.

A Final Thought

LGBTQ+ people are not just a population to serve — they are part of the fabric of our communities. True inclusion means recognising this, and building health systems that reflect the richness, diversity, and complexity of all our lives.