Background/introduction Locally there is a large transgender (trans) population. As part of a health inequalities initiative in 2012 a bespoke sexual health service for trans patients (Clinic-T) was set up. This included HCP training.

Aim(s)/objectives To evaluate the current service relating to care and management of trans patients within the Claude Nicol Centre.

Methods Online survey - emailed to all staff between February and March 2016.

Results 45 HCP completed the survey. Job roles were: Doctor 21/45 (47%), Nurse 17/45 (38%), Health Advisor 3/45 (7%), HCA 1/45 (2%), Admin/Reception staff 3/45 (7%). 31/45 (69%) of the respondents had been working in sexual health for at least 6 years. The majority of respondents, 36/44 (82%), do not see patients during Clinic-T. However, 16/45 (36%) see trans patients at least three monthly and 29/45 (64%) see trans patients less frequently than every 6 months. 33/43 (77%) of HCP did not feel confident about seeing trans patients in a clinical setting - specific aspects include: 21/42 (50%) understanding sexual health needs, 35/43 (81%) where to seek gender reassignment advice, 40/43 (93%) seeking hormonal replacement therapy advice, 32/43 (74%) addressing psychological issues, and 34/43 (79%) providing additional support in the community. The majority of HCP 26/45 (58%) would like further training to be delivered through small group teaching.

Discussion/conclusion The majority of HCP are not confident when approaching trans patients at work. With a significant number of HCP seeing trans patients in general clinics it is important to ensure that broader sexual health services are acceptable to the local trans population. Programmes of education are needed to underpin quality improvement.