Advancing mental health equalities, is a priority outlined in the Mental Health Implementation Plan 2019/20 to 2023/24. All local health systems are expected to set out how they will specifically reduce health inequalities by 2023/24. Local clinical commissioning groups (CCGs) are responsible for commissioning health services which meet the needs of their communities. The majority of CCGs in the West Midlands are part of the Rainbow Badge initiative and actively encourage partners to engage as non-judgemental and inclusive places for people that identify as LGBTQ+. The CCGs are working with general practitioner practices and other partners, to ensure that people who identify as LGBTQ+ feel safe and supported when seeking out general medical care, including mental health support. All providers and commissioners in the West Midlands are committed to undertaking Equality Impact Assessments as part of the service redesign and planning process. CCGs make decisions within a formal commissioning cycle that includes population needs analysis and public engagement.