The Adult Social Care Outcomes Framework LGBT Companion Document

The Adult Social Care Outcomes Framework (ASCOF) is the Department of Health’s key tool for measuring the progress of the adult social care system, supporting understanding of the outcomes and experiences of people who use care and support, and carers.

In 2014 the ASCOF, alongside the NHS Outcomes Framework aims to support the government’s ambition for joined-up services within, and between, health and social care. This companion document aims to assist commissioners to respond to their duty under the Health and Social Care Act 2012 for NHS England and CCGs to reduce health inequalities and promote integration between services for an often marginalised community.

This document brings together the existing evidence on the care and support needs of lesbian, gay, bisexual and trans* (LGBT) people, recognising that the picture it paints is necessarily incomplete.

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There are significant knowledge gaps in this area, in large part due to the lack of routine monitoring of patient sexual orientation and gender identity across services and a lack of data relating to the health of LGB&T communities derived from population- based studies and statistical datasets.

The LGB&T ASCOF Companion Document is aimed at strategic commissioners, care and support service providers and local authority providers. The document sets out the evidence on LGB&T communities in relation to each of the indicators under the four domains of the ASCOF. It makes recommendations for actions to address inequalities in outcomes for LGB&T people and communities.

The Case Studies and list of Resources presented of each domain chapter provide further best practice examples and toolkits to support organisations in implementation of the recommendations in this document. We hope that future editions of the Companion Document will share more good practice and show improved experiences of LGB&T people and communities when they access social care.

The document has been developed by the National LGB&T Partnership working with the Department of Health, with thanks to experts from across the LGB&T community.

Working Group

The LGB&T ASCOF Companion Document has been developed by the National LGB&T Partnership working with the Department of Health, with thanks to experts from across the LGB&T community.

The National LGB&T Partnership is a member of the Department of Health, NHS England, and Public Health England’s Health and Care Voluntary Sector Strategic Partner Programme. The National LGB&T Partnership is an England-wide group of LGB&T voluntary and community service delivery organisations that are committed to reducing health inequalities and challenging homophobia, biphobia and transphobia within public services.

The member organisations of the National LGB&T Partnership are:

  • LGBT Foundation 

  • East London Out Project (ELOP)

  • Gay Advice Darlington and Durham (GADD)

  • Gender Identity Research and Education Society (GIRES)

  • GMFA

  • Consortium of LGB&T Voluntary and Community Organisations

  • London Friend

  • PACE

  • Stonewall Housing

  • Yorkshire MESMAC

  • Metro

  • Birmingham LGB&T

  • BiUK