Transforming Outcomes – A review of the needs and assets of the trans community


Transforming Outcomes Spread image

Click the image above to  download the report for free.
If you would like a paper copy of the report, or have any questions about healthcare for trans people, please email or call 0345 3 30 30 30.

The Transforming Outcomes report has been produced following a large-scale literature review and through community consultation and asset mapping exercises with community groups and individuals.

It brings together evidence and data from many different sources including large-scale general population studies, smaller scale community studies and qualitative research to paint a vivid picture of the health needs of trans people and of their experiences of accessing health care and other services.

The report also offers insight into trans community strengths and assets which we can learn from and engage with in order to better meet the needs of trans communities.

The health needs of trans people are often hidden – both from within general health information and information on the health needs of the lesbian, gay, bisexual and transgender community in general.

Transforming Outcomes is the first large-scale, national report which tries to bring together all the available evidence to address this invisibility.




As well as bringing together evidence, this report makes six clear over-arching recommendations.
These are:

Educate EDUCATE all staff through comprehensive trans awareness training, delivered by professionals. Prioritise further research into the needs of trans people, focusing on gaps highlighted by this report and following guidance on involving trans participants.
Include INCLUDE trans people in the design and delivery of all services, using available evidence to inform plans and involving trans communities in consultations. Work with trans community and voluntary organisations to co-produce services, valuing their expertise and identifying opportunities to increase the representation of trans people in service delivery.
Target TARGET trans people with specific information and campaigns to manage their wellbeing and remove barriers to taking up opportunities, for example in employment and public life. Work with trans community and voluntary organisations to meet this recommendation.
Develop DEVELOP services which are holistic and person-centred, to meet trans people’s specific needs in all areas where they experience inequalities. This should include the development of a new model for gender identity services which are locally-based and learn from innovation within the trans community.
Challenge CHALLENGE all instances of transphobia and discrimination. Ensure your organisation’s policies are inclusive of trans people and that action is taken where breaches occur to both protect trans people and ensure that individuals and the organisation learn from such incidents.
Monitor MONITOR gender identity and trans status as part of equalities monitoring. Use this data to understand the access, experience and outcomes of your staff and service users or research participants. Best practice guidance on monitoring is available at:

If you would like a paper copy of the report, or have any questions about healthcare for trans people, please email or call 0845 330 30 30.