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Hi, everybody. Thanks so much for coming along tonight and so soon after last night as well, really appreciate all of you for coming. So, I've got Fatima here with me today. He's gonna be giving the presentation on Children and elderly. Uh As ever, we'll just give it a couple of minutes for people to file through. Um As we have at the end of every session, we'll share a QR code at the end if you could scan it and just give some feedback, that would be really, really helpful. Uh Just to go to the research that we're doing alongside um er this healthcare series. So that would be really useful. Thank you. Um So, yeah, we'll just give it a few more minutes and then we'll get started. Ok. We'll get cracking then. Um I'll just flag up before we start uh tonight. Just our session next week. So next week we're gonna be looking at social factors. It's run by um Emily Ling who did the er reproduction and fertility session a few weeks ago. Um I'm gonna put the link in the chat for that one. So this is the registration form for next week. So it'll be the normal time. It'll be Wednesday um eight till nine. But anyway, I'll pass it over to Fatima. Um And thanks so much. Thank you, Alec. Uh So my name is Doctor Fatima Shani. I'm an fy one doctor at the Queen Elizabeth Hospital in Gateshead. Uh And tonight I'm gonna be presenting on uh Children Elderly for the LGBTQ Healthcare Series for mind the Bleep. So, the brief outline for today is we're gonna be understanding some of the issues that affect, affect LGBTQ, Children and elderly populations. We'll be talking about some communication skills, things that we can do to improve consultations and our interactions. Um with these groups, we'll be talking then about healthcare considerations that we, that we should be making. Um We'll talk a bit about cultural competency, things, things that kind of affect, affect these groups. We'll be talking about barriers to care for these groups. Um And then we'll be talking a little bit about support networks, both for both for groups, but also support resources that we can use as healthcare professionals also. So let's start with understanding, understanding some of the issues that affect LGBTQ Children and the elderly populations. There are some challenges that might affect, affect both both groups such as discrimination such as mental health. Um But there can be some unique challenges as well that can affect, affect the individual groups too. For example, Children in schools, for example, might experience bullying and discrimination which then might impact upon mental health issues. Um Whereas with elderly populations, they've lived, lived quite long lives where they, they might have lived through, for example, the criminalization of homosexuality and might experience things like social isolation, historical stigma and fears of coming out later in life. So we'll have a, we'll have a little bit more of a think about, about specific issues that affect these groups. So to start with, um according to the Stonewall School report of 2017 45% of LGBTQ peoples in the UK experience bullying in school. The report also shows that anti LGBT bullying and language has decreased since 2012, but there's still a lot more improvement to be made. So from the school reports, some of the quotes from, from the Children they interviewed, I felt like whatever I was doing was worthless. Even if I did well in school, it wouldn't matter because people um because all they would care about is me being gay. No one I've ever spoke to at school has ever known you met a trans person before or been taught anything about trans people and what we might need. Once in sex education, I asked about safe sex in same sex relationships. And I was told that it was inappropriate and that it was not suitable for classroom discussion and I was told to leave the room. So the Stone Wall School report 2017, I really recommend reading it, um it's, it has some really, really interesting statistics. Um And they've done a really thorough job. Um So we'll look, we'll look at some of some of what they talk about. So, in terms of bullying and language, nearly, nearly half half of the people's um including 64% of trans peoples are bullied for being LGBT at school. Half of LGBT peoples, 52% hear homophobic language frequently or often at school. More than a third hear biphobic language frequently or often, almost half hear transphobic language frequently. Often the majority uh 86% regularly hear phrases such as that's so gay or you're so okay in school, nearly one in 10 are subjected to death threats at school and almost half um of LGBT people who are bullied for being LGBT never actually tell anyone about the bullying and these are all really, really sad um Statistics. Um And it just, it goes to show that actually LGBT Children can be some, some of the most vulnerable Children um within schools. So if we look a little bit about what form the bullying took place in 42% it was verbal abuse. But actually there are also other other forms that it takes place in such as just gossip, being ignored and isolated, but actually other things like intimidating looks, but also physical abuse, stealing, um belongings, death threats, sexual assault, um et cetera. So just a quote from the report. So George who's 16 from a faith secondary school says I lost confidence and the power to succeed and get the best qualifications I left because I was scared and didn't belong in that environment. Um And I think, I think reading the testimonials is, is really interesting because it, it does really highlight some of the some of the real life consequences of of these issues. Um School being in an environment where Children should be empowered to learn and be educated and actually because of something that um is happening to them because of the way that other people are treating them, they are actually losing, losing this empowerment and this ability to get their education. Um And I think, I think we can, we can all um see that services and schools should all be, will be doing a lot better by these by these Children. So a few more statistics. So two and five LGBT pupils are actually never taught anything about the issues at school. One in five have nev have um one in five have learned about same sex, uh same sex in relation to same sex relationships. Three and four have never learnt about bisexuality at school. Three and four have never learnt about gender identity and what trans means at school. So looking a bit more at how schools respond. Fewer than a third um of bullied peoples say that t teachers intervened when they were present during the bullying. Um which means that actually two thirds and over two thirds, um, teachers did not intervene, um which, which is pretty shocking. Uh, seven and 10 report that teachers and staff only sometimes or actually.