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Found 779 results
  1. Content Article
    The RCM Podcast is a podcast by the Royal College of Midwives focusing on the work the RCM is doing with and on behalf of its midwife and maternity support worker members. In this episode, Gemma Murphy talks to midwife Vlora Purchase from Greenwich and Lewisham NHS Trust and safeguarding midwife Wendy Warrington from Pennine Care NHS Foundation, to gain insight into the important work they do. Gemma also catches up with RCM staff who developed a new RCM position statement on supporting women with severe and multiple disadvantage during pregnancy.
  2. Content Article
    While men over 50 tend to suffer the most acute symptoms of coronavirus, women who get Long Covid outnumber men by as much as four to one.
  3. Content Article
    This campaign by the independent statutory body Healthwatch aims to help make sure more people get healthcare information in the way they need it. Patients need clear, accessible information in order to make informed decisions about their health and care. The Accessible Information Standard gives disabled people and people with a sensory loss the legal right to get health and social care information they can understand and communications support if they need it. 'Your Care, Your Way' is asking whether the standard is being delivered by services, and whether it goes far enough. The campaign aims to: Find out how well health and care services are delivering the Accessible Information Standard. Make sure that, if the standard covers you, you know your rights. Find out who else has problems understanding information about their healthcare and needs to be covered by the standard.
  4. Content Article
    A new report by the NHS Race and Health Observatory makes robust recommendations—we must act on them, write Mohammad S Razai and colleagues in this BMJ opinion piece. The magnitude of racial health inequalities reported in the NHS Race and Health Observatory’s recent review comes as no surprise. It highlighted the overwhelming, stark, widespread, and longstanding inequalities that people from ethnic minorities in the UK experience in access to healthcare and outcomes. The report found that this occurs “at every stage, throughout the life course, from birth to death” and is “rooted in experiences of structural, institutional, and interpersonal racism.” This evidence has been known for a long time, with the disproportionate impacts of Covid-19 on people from ethnic minorities drawing even greater attention to and wider recognition of these facts. Will evidence, however, be enough to compel those charged with the nation’s health to acknowledge and take urgent action to redress these egregious inequalities?
  5. Content Article
    In this blog for the British Journal of General Practice comment and opinion website, BJGP Life, GP Will Mackintosh discusses the impact of health inequalities on patients' ability to play an active role in their care. He calls for training for all GPs to understand the constraints and pressures that may be affecting their patients, so that they can better assess the causes of health issues and therefore treat them more effectively. The article examines concepts of freedom for both GP and patient, and argues that a purely evidence-based approach does not help patients from deprived backgrounds overcome health issues. The author highlights that GPs operate in a 'grey zone' between the medical and the non-medical, and argues that this means they are well placed to understand and help tackle the root causes of health disparities.
  6. Content Article
    This blog explores men's mental health – how men are reluctant to seek support when they are struggling, why the suicide rate is so high, what initiatives exist to encourage men to seek help and what more could be done.
  7. Content Article
    As well as a moral issue, tackling racism affecting NHS staff is a crucial part of improving patient safety and care, says MDX Research Fellow Roger Kline. In this blog, Roger looks at the risks of racism on patient safety.
  8. Content Article
    Pulmonary arterial hypertension (PAH) is a rare disease characterised by pulmonary vascular remodelling and elevated pulmonary pressure, which eventually leads to right heart failure and death. Registries worldwide have noted a female predominance of the disease, spurring particular interest in hormonal involvement in the disease pathobiology. Several experimental models have shown both protective and deleterious effects of oestrogens, suggesting that complex mechanisms participate in PAH pathogenesis. In fact, oestrogen metabolites as well as receptors and enzymes implicated in oestrogen signalling pathways and associated conditions such as BMPR2 mutation contribute to PAH penetrance more specifically in women. Conversely, females have better right ventricular function, translating to a better prognosis. Along with right ventricular adaptation, women tend to respond to PAH treatment differently from men. As some young women suffer from PAH, contraception is of particular importance, considering that pregnancy in patients with PAH is strongly discouraged due to high risk of death. When contraception measures fail, pregnant women need a multidisciplinary team-based approach. This article from Cheron et al. aims to review epidemiology, mechanisms underlying the higher female predominance, but better prognosis and the intricacies in management of women affected by PAH.
  9. Content Article
    Many devices in current use were marketed before the US Food and Drug Administration (FDA) began regulating devices in 1976. Thus, manufacturers of these devices were not required to demonstrate safety and effectiveness, which presents both clinical and ethical problem for patients, especially for women, as some of the most dangerous devices—such as implanted contraceptive devices— are used only in women. This article from Madris Kinard and Rita F. Redberg investigates whether and to what extent devices for women receive less rigorous scrutiny than devices for men. This article also suggests how the FDA Center for Devices and Radiological Health could more effectively ensure safety and effectiveness of devices that were marketed prior to 1976.
  10. Content Article
    This report by the British Red Cross highlights the impact of deprivation and inequality on high intensity use of accident and emergency services (A&E), and the additional cost and strain this puts on these services. It shows that people from the most deprived areas of the UK and people with mental health issues are more likely to be in poor health and are most likely to attend A&E frequently. The report calls for better support for people who frequently attend A&E because they feel they have 'nowhere else to turn'.
  11. Content Article
    This video by the charity Birthrights encourages women and birthing people to speak out when they experience poor quality care. It highlights the right to safe and appropriate maternity care that respects individuals' dignity, privacy and confidentiality and is given equally and without discrimination.
  12. Content Article
    Access to healthcare is a basic right, but refugees and people seeking asylum in the UK often face barriers to accessing health services. The Refugee Council has released this collection of guides and films for health professionals, decision-makers and NGOs to address health inequalities experienced by refugees and people seeking asylum.
  13. Content Article
    The National Maternity and Perinatal Audit (NMPA) has produced lay summaries covering three of its sprint audits into: perinatal mental health services maternity care for women with a body mass index of 30kg/m2 or above ethnic and socio-economic inequalities in NHS maternity care. The NMPA is a large-scale project established to provide data and information to those working in and using maternity services. The purpose of NMPA is to evaluate and improve NHS maternity services, as well as to support women, birthing people and their families to use the data in their decision-making.
  14. Content Article
    This report was triggered by the Coroner’s report into the death of Evan Nathan Smith in North Middlesex hospital. Evan was a young man with his whole life in front of him. The mistakes made in his treatment leading to his early and avoidable death brought into sharp focus the lack of understanding of sickle cell, the battles patients have to go through to get proper treatment and the terrible consequences which can come about as a result. Following the publication of the Coroner’s report, the All-Party Parliamentary Group (APPG) on Sickle Cell and Thalassaemia held three evidence sessions, hearing from patients, clinicians and politicians. This report is a result of that evidence. The findings in this report reveal a pattern of many years of sub-standard care, stigmatisation and lack of prioritisation which have resulted in sickle cell patients losing trust in the healthcare system that is there to help them, feeling scared to access hospitals, expecting poor treatment from some of those who are supposed to care for them and fearing that it is only a matter of time until they encounter serious care failings.
  15. Content Article
    This report from the National Maternity and Perinatal Audit assesses care inequalities using data from births between 1 April 2015 and 31 March 2018 across England, Scotland and Wales. The National Maternity and Perinatal Audit (NMPA) is led by the Royal College of Obstetricians and Gynaecologists (RCOG) in partnership with the Royal College of Midwives (RCM), the Royal College of Paediatrics and Child Health (RCPCH) and the London School of Hygiene and Tropical Medicine (LSHTM).
  16. Content Article
    Artificial intelligence (AI) is increasingly being used in medicine to help with the diagnosis of diseases such as skin cancer. To be able to assist with this, AI needs to be ‘trained’ by looking at data and images from a large number of patients where the diagnosis has already been established, so an AI programme depends heavily upon the information it is trained on. This review, published in The Lancet Digital Health, looked at all freely accessible sets of data on skin lesions around the world.
  17. Content Article
    This manifesto was created by the Community Rehabilitation Alliance, a collective of 50 charities, trade unions and professional bodies coming together to call on all political parties to ensure there is equal access to high quality community rehabilitation services for all patients.
  18. Content Article
    This is the recording of a Royal College of Nursing (RCN) online event with actor David Harewood in conversation with mental health workers Simon Arday and Kojo Bonsu. Drawing on expertise from Black health care professionals and those with lived experience, the event explored what needs to be done to improve black people's experiences of mental health services. The event was chaired by Catherine Gamble RCN Fellow and Associate Director of Nursing Education South West London and St George's Mental Health NHS Trust.
  19. Content Article
    The Global Drug Policy Index provides a score and ranking for each country to show how much their drug policies and their implementation align with the UN principles of human rights, health and development. It offers an important accountability and evaluation mechanism in the field of drug policy.
  20. Content Article
    This study published in The Lancet analysed patient comments gathered from freely available websites using the Patient Experience Platform. It examined comments to identify disparity in care experiences of people who identified as overweight or living with obesity across all NHS Acute and Specialist Trusts and all general practitioners (GPs) in England from 1 January 2018 to 31 December 2020.  The study found that: across all regions, perceptions of the quality of care in the categories ‘Effective Treatment’ and ‘Emotional Support’ were significantly lower for people who identified as living with obesity compared to people who did not. people who identified as living with obesity in the negative behavioural cluster have a lower overall perceived quality of care score. barriers to quality care experienced by people who identified as living with obesity include speed of access, effective treatment, emotional support and stigmatising healthcare experiences.
  21. Content Article
    In this blog, Dr Meghan Leaver, cofounder of PEP Health discusses factors that may prevent people living with obesity and overweight disease conditions from accessing high quality care. She argues that the current NHS focus on healthcare equality should extend to improving access and satisfaction amongst patients living with obesity. The author makes the case that the NHS is not weight inclusive, referring to a recent study in The Lancet that showed that people who identified as being overweight had significantly lower perceptions of the quality of care they were receiving compared with those who didn’t. She highlights that the issue disproportionately affects people from lower socio-economic backgrounds and calls for policy that empowers people to live healthier lifestyles.
  22. Content Article
    This nationwide study of over 1 million births in the English NHS between 2015 and 2017, published in The Lancet, has found large inequalities in pregnancy outcomes between ethnic and socioeconomic groups in England. The findings from Jardine et al. suggest that current national programmes to make pregnancy safer, which focus on individual women's risk and behaviour and their antenatal care, will not be enough to improve outcomes for babies born in England. The authors say that to reduce disparities in birth outcomes at a national level, politicians, public health professionals, and healthcare providers must work together to address racism and discrimination and improve women's social circumstances, social support, and health throughout their lives.
  23. Content Article
    This report by the Royal College of Occupational Therapists (RCOT) sets out practical ways in which decision-makers and system designers can use the skills offered by occupational therapy to ensure all patients get access to the support they need. Health equity is one of RCOT’s priorities for 2022 and this report looks at the role of occupational therapists in widening access to care in the following areas: Primary care Housing Children, young people, and families Community rehabilitation Community mental health Criminal justice system
  24. Content Article
    Racial and ethnic disparities in health and healthcare continue to be widespread. Research has repeatedly confirmed that members of racial and ethnic minority groups in the US are more likely to experience disparities in care, including having an increased risk of being uninsured or underinsured, lacking access to care, and experiencing worse health outcomes for treatable and preventable conditions. This brief from the Emergency Care Research Institute (ECRI) outlines strategies for understanding, detecting and reducing disparities. It demonstrates that alongside the moral case for addressing racial and ethnic disparities in care, there are further benefits for staff and healthcare organisations.
  25. Content Article
    Many prisoners still struggle to access hospital services despite their significant health care needs, and early data suggests the pandemic has worsened access further. This report by the Nuffield Trust considers new evidence relating to pre-existing health conditions before prison, the use of remote consultation, different ethnic groups' use of health services and the early impact of the Covid-19 pandemic.
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