This guide offers practical advice to help services meet the needs of older lesbian, gay, bisexual and transgender (LGBT) people and highlights why being LGBT continues to be important in terms of person-centred care and support. It outlines some of the barriers to good practice in care for older LGBT people, what managers and staff can to improve practice, and provides an overview of the current equalities and anti-discrimination legislative framework. The guide also provides checklist of good practice pointers for organisations. It also includes case studies which can be used in training sessions and staff discussion. The resource will be useful for anyone working or volunteering in health, social care or the voluntary sector who would like to support older people who are lesbian, gay, bi or trans. It will also be helpful for training providers to ensure courses integrate discussions and scenarios relating to the needs of people who are LGBT. The guide has been developed in partnership between Age UK the national organisation and Opening Doors London.