Homelessness among the young lesbian, gay, bisexual and trans à (LGBTþ) population is becoming an increasing societal concern, with alarmist reporting of high rates of homelessness compared to heterosexual people. This paper presents qualitative evidence from research with 20 LGBT þ people who had experienced homelessness in Scotland. Significantly, it moves discussion of LGBT þ homelessness out of a concern with public health and social work, to understand it in terms of homelessness research and housing theory. The analysis also brings in queer theory to our discussions of homelessness and housing. As a result, rather than understanding our participants as passive victims of a homophobic or transphobic society, we focus on their agency in developing a queer identity alongside their experiences of insecure accommodation. In their experiences of homelessness people were carrying out 'edgework' at the margins of heteronormative society. Routes out of homelessness were thus associated with people becoming more comfortable within their identities. We conclude by arguing that experiences of homelessness interacted in complex ways with sexual and gender identity, and that tailored mainstream housing provision is required for LGBT þ homeless people.

This paper discusses the potential impact of viewing public performances of an orchestra comprising people with dementia, family members, student volunteers and professional symphony orchestra members in contributing to challenging negative perceptions of dementia. Negative perceptions of dementia abound despite recent policy attempts to challenge the stigma associated with the condition. This paper reports on the findings from the performance element of a music project for people with dementia, known as the BUDI Orchestra, designed to replicate the traditional rehearse and perform cycle of musicians. Data were collected via self-completion questionnaires from audience members ( N = 109) at three public performances. The performances exceeded the expectations of the general public, and findings suggest a positive impact on perceptions of dementia, demonstrating the power and potential of participatory approaches showcasing the achievements of those living with dementia when attempting to raise awareness of dementia and challenge negative perceptions.

IntroductionLiver cirrhosis is the fifth largest cause of adult deaths, and a major complication, variceal bleeding is associated with a 1-year mortality of 40%. There is uncertainty on the first-line therapy for prevention of variceal bleeding owing to a lack of adequately powered trials comparing non-selective beta blockers, in particular carvedilol, with variceal band ligation.Methods and analysisCALIBRE is a multicentre, pragmatic, randomised controlled, open-label trial with an internal pilot. The two interventions are carvedilol 12.5 mg od or variceal band ligation (VBL). Patients with liver cirrhosis and medium to large oesophageal varices that have never bled are eligible for inclusion. The primary outcome is any variceal bleeding within 1 year of randomisation. Secondary endpoints include time to variceal bleed, mortality, transplant-free survival, adverse events, complications of cirrhosis, health-related quality of life, use of healthcare resources, patient preference and use of alternative or crossover therapies. The sample size is 2630 patients over a 4-year recruitment period, across 66 hospitals in the UK.Ethics and disseminationThe study has been approved by a National Health Service (NHS) Research Ethics Committee (REC) (reference number 18/NE/0296). The results of this trial will be submitted for publication in a peer reviewed journal. Participants will be informed via a link to a preview of the publication. A lay summary will also be provided via email or posted to participants prior to publication (ISRCTN reference number: 73887615).

Research in urban studies on lesbian, gay bisexual and trans (LGBT+) people and their housing choices has focused on economic choices and the role of exclusion, or conversely higher household disposable income, in residential location. Evidence on lived experiences has focused on residence in so-called "gaybourhoods" with high concentrations of non-heterosexual households, or experiences within the home. Contrasting to this scholarship, in this paper we focus on LGBT+ people who live in socially-rented housing in deprived neighbourhoods that are geographically, socially and economically marginal. Our evidence shows how complex experiences of exclusion for LGBT+ people, not always directly connected to their sexual or gender identity led to individuals living in these neighbourhoods. Using the theoretical approach of housing pathways, we further suggest that these neighbourhoods offer limited affordances for wellbeing for LGBT+ individuals that need to be recognised by housing and other service providers. We also argue that mainstream housing and urban studies needs to use sexual and identity as a category of analysis in research so we can better understand the lived experiences of non-heterosexual individuals and households.

AimTo examine public perspectives on lateral flow testing (LFT) for COVID-19.DesignOnline survey with nested semi-structured interviews.SettingBirmingham, UK.Participants220 Birmingham residents, 21 of whom took part in an interview.ResultsFifty-six per cent of respondents had taken an LFT. Reasons for not testing included adherence to other government COVID-19 guidance, having had a vaccination and not thinking LFTs were accurate. In 16% of households with children nobody, including children, was testing. In households where children were testing, their parents or other adults were often not. Those who were testing and eligible for workplace and school testing were more likely to be testing twice weekly. In other settings, respondents were more likely to be testing on a one-off or ad hoc basis. Approximately half of respondents said that they were likely to visit friends and family after a negative test result and 10% that they were unlikely to self-isolate following a positive test result. In interviews, participants who were testing described the peace of mind that testing afforded them prior to activities or interactions with family and friends, including those they considered to be vulnerable. Interviewees who were not testing described concerns about test accuracy and also cited a lack of face-to-face interaction with others precluding the need to test. Participants were often testing flexibly according to circumstances and perceived risk of COVID-19 transmission.ConclusionsWhile some choose not to test, others are doing so in order to provide peace of mind to engage in personal interactions they might otherwise have avoided. This peace of mind may be a necessary pre-requisite for some to more fully re-engage in pre-pandemic activities. Despite clear concerns about test accuracy among those not testing, those who are testing held generally positive attitudes towards the continued use of LFTs.