Older lesbian, gay, bisexual, trans and queer (LGBTQ) people are concerned that their needs will not be recognised, understood or met in older age care spaces. Some are especially worried about care provided by religious care organisations and/or staff with negative beliefs about LGBTQ people and their lives. While these issues have been raised at the margins of previous research, there has not, until now, been a study which has focussed upon them. This article reports on a recent UK preliminary scoping consultation research project, which explored older LGBTQ people’s views about possible care from religious organisations and/or carers. The findings highlight four key fears about: 1) inferior care quality; 2) a lack of affirmative, anti-oppressive care; 3) religious-based prejudice and discrimination; 4) religious conversion attempts. Each theme is considered in relation to social justice, i.e., equality of resources, recognition, representation, and relationality. The need for open dialogue and debate is highlighted and a research agenda is proposed. There is an urgent need to understand what happens in the delivery of care to LGBTQ people by religious care organisations and/or staff, place the concerns identified here in their proper context and determine the appropriate responses.