The LGBT Public Health Outcomes Framework Companion Document

The Lesbian, Gay, Bisexual and Trans Public Health Outcomes Framework Companion Document is a resource for all those commissioning and delivering healthcare services in order to support the delivery of an equitable public health system. The Companion Document was first published in 2013 and this 2016 update reflects PHOF indicators that have been refreshed since first publication. 

The Public Health Outcomes Framework (PHOF) published by Public Health England is based on national data collected through NHS monitoring and national surveys. Because sexual orientation and gender identity are not routinely monitored, the PHOF does not contain data related to LGB&T communities and so their health needs are not recognised in the document.

However, there is a substantial body of evidence demonstrating that LGB&T people experience significant health inequalities, which impact both on their health outcomes and their experiences of the healthcare system.

The LGB&T PHOF Companion Document has been developed by a group of volunteer experts from across the LGB&T community working with the Department of Health, to increase understanding of LGB&T health and make sure that the public health system tackles inequality related to sexual orientation and gender identity and promotes equality for everybody. The working group was formed following an LGB&T consultation event held by the Department of Health and Public Health England in October 2012, and has been co-ordinated by The Lesbian & Gay Foundation.

The LGB&T PHOF Companion Document is intended primarily for Health and Wellbeing Boards and public health teams, as well as local authorities, the NHS, and voluntary and community organisations that commission and provide services, as a resource to improve the health and wellbeing of the diverse LGB&T communities they serve.

The document follows the structure of the PHOF, providing data and evidence on LGB&T communities for each indicator and domain. It makes recommendations for actions to address inequalities in outcomes for LGB&T people and communities. Reference documents highlight best practice case studies and resources to support organisations in implementing these recommendations, as well as the evidence relating to minority groups within LGB&T.


Public Health Outcomes Framework LGB&T Companion

Supporting documents

Working Group

Heather Williams, Policy & Research Manager, The Lesbian & Gay Foundation

Dr Justin Varney, Consultant in Public Health Medicine, GLADD

James Taylor, Senior Health Officer, Stonewall

Dr Julie Fish, Reader in Social Work and Health Inequalities, De Montfort University

Patricia Durr, Head of Communications and Public Relations, Metro

Christie Elan-Cane, Non-gendered: Fighting for legal Recognition

PHOF partners