Click here to view ‘Churchill Recommendations’ - a community advocacy tool and is derived from the full Churchill Fellowship report which includes a range of principles, values and ethical standards that underpin best practice in developing, establishing and delivering health care services to trans and gender diverse communities.
Key components of a best practice model:
- Trans and gender diverse community needs to ne empowered to lead in a meaningful way that is enabled by transparent and accountable governance structures.
- Non-TGD organisations (including LGBTI orgs and mainstream orgs) who receive government funding to deliver TGD health services need to be accountable to the TGD community and provide evidence that their service design and delivery is TGD led.
- Organisations need to provide appropriate support for the skills development of trans and gender diverse staff and develop a professional peer workforce.
- The work and skills of trans and gender diverse workers need to be appropriately remunerated, rewarded and recognised.
- Organisations need to operate on a human rights based and trauma informed care model that works to reduce the unnecessary barriers to access equitable and quality health care.
- Programs and services need ongoing review and evaluation with accessible reporting mechanisms to the communities they serve.
- Access to hormone therapy and surgeries should be de-pathologised and unnecessary psychiatric assessments removed, and trans and gender diverse health care reoriented into primary health.
- Program design needs to incorporate a whole of life experience, with responses and services that support trans and gender diverse people throughout their lifespan.
- Program design needs to involve family of origin, family of choice and wider support and peer networks.
- Services need to create intentional trans and gender diverse spaces and campaigns that address safety and inclusions within health settings.
- Complaint pathways need to be clear, simple, supported and communicated to trans and gender diverse clients so that their rights are understood and protected.
- Peer support and psycho-social support programs and services need to be integrated into the gender affirmation process.
- Programs and services need to recognise the diversity within the trans and gender diverse communities, such as people from faith-based backgrounds, Aboriginal and First Nations people, people of colour, people living with HIV, people with a disability and people living with mental illness or drug and alcohol issues. Nobody should be turned away from accessing a gender affirmation process that is based on their desires and relationship to their culture and identity.
- Programs and services need to be free or affordably low cost.
- Health care pathways need consumer guidelines for clients to have access to in order to understand the care and treatment they should expect
- Australia needs the formation of a new national advocacy group for all TGD issues, with TGD people involved/TGD-led. Increasing trans membership of existing groups such as ANZPATH and making it more accessible and adopting a co-design framework to every level of developing policy needs to be a priority.
Keywords: Trans and Gender Diverse, Transgender, LGBTQ, advocacy, human rights, health care, diversity