Massive health inequalities also exist in the LGBT community, largely as a by-product of marginalisation. Andrew Gilliver, Community Involvement Coordinator for the LGBT Foundation , said:“Many LGBT people face really challenging situations such as self- harm, alcohol, substance use, hate crime – especially in bisexual and transgender communities – and there remain significant health inequalities for us all.“Lesbian and bisexual women are still largely invisible, gay and bisexual men are still dealing with HIV and all of us have multiple identities so we need to be aware of the intersectionality within our communities.”The story of gay rights has, up until now, been about ending demonization and blatant discrimination. There’s still a lot of work to be done to get some parts of the world even to this level – but the next step is even more challenging.As equal as we may be on paper, the LGBT community is still seen by the mainstream as “other” – to be tolerated, but not fully accepted. Andrew went on to say:“We need to be visible and included but to really end discrimination and ensure full acceptance we have to go beyond tolerance.“Understanding of the needs of different communities and making sure we do not presume either an individual’s sexual orientation or gender identity/trans status is a start towards recognising and celebrating that we are all unique and we all have something valuable to contribute.”