In April 2025, the Secretary of State for Health and Social Care commissioned NHS England to undertake an LGBT+ health evidence review. The goal is to:

• better understand LGBT+ healthcare needs
• provide expert insight and recommendations
• build a foundation for future action on health inequalities

The review is led by Dr Michael Brady and launched in July 2025.

It will conclude in December 2025 with a final report and recommendations for the Secretary of State for Health and Social Care.

Objectives

1. Identify barriers to accessing healthcare services for LGBT+ people.
2. Explore experiences of healthcare, notably areas of poorer experience.
3. Understand the impact of LGBT+ health inequalities on outcomes and patient safety.
4. Clarify the specific health needs of LGBT+ people and how they should best be met, especially where there is evidence of poorer outcomes.

The review will examine high-need and high-use services including mental health, sexual and reproductive health, HIV, perinatal care, primary care, cancer screening and wellbeing and prevention (for example, smoking, alcohol use and drug use).

It will align with the 10 Year Health Plan and the Darzi review’s 3 core shifts:

• sickness to prevention
• hospital to community
• analogue to digital

We are gathering insights through:

• a literature review
• analysis of relevant datasets and surveys
• evidence submissions
• expert advisory group input and advice
• nationwide engagement events

Further information on the evidence submission process, including how to contribute, can be found on the Submitting evidence for the LGBT+ health evidence review page of this website.

Our engagement events will run in September and October, after we have completed the review of data and evidence.

Contact us: england.LGBTEvidenceReview@nhs.net