Working with trans people in physiotherapy practice

New CSP professional guidance can help you respond to the needs of transgender patients accessing physiotherapy. Get familiar with some of the key reminders in the guidance

FL Feb 2025 In detail feature Working with trans people in physiotherapy practice
[Illustrations: Paul Oakley]

Knowledge and understanding

It should not fall to transgender people to educate their clinicians about transgender matters. It is your responsibility as a healthcare professional to be aware of the topic and develop sufficient knowledge and competency that is relevant and appropriate for your role.  

Service managers

Check out the guidance for advice on record keeping and confidentiality, team training, facilities and space, service documentation and service development.

Sensitive questioning

Subjective questioning is a complex part of any examination. Poor communication can impact patient experiences and outcomes.

Pronoun use

Ask each patient which form of address they would like used and which personal pronouns they use.  Equity, diversity and belonging glossary.

Consultation experience

There is no expectation for you to be an expert in all transgender-related matters, however all patients must be treated with dignity, compassion, and care.

Removal of clothing

Be aware a physical examination may be an extremely vulnerable experience for many transgender people.

Allyship

Treat each patient with respect and support the LGBTQIA+ community in your workplace. Log in to access CSP ‘Be a workplace trans ally’ leaflets.

CSP LGBTQIA+ Network

The CSP’s LGBTQIA+ Network supports and empowers lesbian, gay, bisexual, transgender, queer, intersex, and asexual members in the physiotherapy profession. Join the network.

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