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Found 803 results
  1. Content Article
    This study in the British Journal of General Practice aims to identify and understand the unintended consequences of online consultations in primary care. The authors interviewed 19 patients and 18 general practice staff at eight general practices using online consultation tools in South West and North West England between February 2019 and January 2020. The study found the following unintended consequences of online consultation: Creation of difficulties for some patients in communicating effectively with a GP. The system disadvantaged digitally-excluded patients. Patient uncertainty about how their queries were dealt with, and whether practices used online consultations as their preferred method for patients to contact the practice. Creation of additional work for some staff. Isolation and dissatisfaction for some staff.
  2. Content Article
    This is the recording of a webinar about inequalities in maternity care hosted by the National Maternity and Perinatal Audit (NMPA). The webinar features presentations on a Lancet article 'Adverse pregnancy outcomes attributable to socioeconomic and ethnic inequalities in England: a national cohort study' and on the NMPA report 'Ethnic and socio-economic inequalities in NHS maternity and perinatal care for women and their babies'. The Q&A panel features: Professor Eddie Morris Clo and Tinuke, Five X more Bell Ribeiro-Addy MP Professor Jacqui Dunkley-Bent Professor Marian Knight Professor Asma Khalil
  3. Content Article
    This report provides an update on cross-government work to address the disparities highlighted by the Public Health England report 'COVID-19: review of disparities in risks and outcomes', published in June 2020. It sets out how the Government's understanding of and response to the pandemic changed over the lifecycle of this work. The report also includes a summary of progress against recommendations from previous reports, lessons learned from this work and an action plan for addressing some of the longer-term issues identified.
  4. Content Article
    In this blog Dr Peter Green, CVDPREVENT Workstream Clinical Lead for the NHS Benchmarking Network, looks at the importance of understanding how demographic factors impact the risk of cardiovascular disease, which is a leading risk factor for premature death. He discusses how the CVDPREVENT audit will help primary care healthcare professionals work with their patients to achieve better outcomes for all.
  5. Content Article
    The Cardiovascular Disease Prevention Audit (CVDPREVENT) is a national primary care audit that automatically extracts routinely held GP data. This tool provides open access to the data, with clear, actionable insights for those tasked with improving cardiovascular health in England.
  6. Content Article
    In this blog, David Buck and Toby Lewis of the King's Fund describe NHS England and NHS Improvement's new 'Core20plus5' approach to tackling health inequalities. They identify risks to the effectiveness of the strategy and highlight the importance of a partnership approach to tackling health inequalities.
  7. Content Article
    The emergence of the omicron variant has raised concerns that the pandemic is not yet over. In this BMJ opinion piece, William et al. outline four key lessons that governments need to learn from to protect against future pandemics
  8. Content Article
    This is the third of a short series of blogs in which we take a look back at our work in five areas of patient safety during 2021. In this blog we look at how we’ve been highlighting patient safety concerns relating to health inequalities. Through our work, Patient Safety Learning seeks to harness the knowledge, insights, enthusiasm and commitment of health and social care organisations, professionals and patients for system-wide change and the reduction of avoidable harm. We believe patient safety is not just another priority; it is a core purpose of health and social care. Patient safety should not be negotiable.
  9. Content Article
    In this opinion piece for the BMJ, David Oliver, a consultant in geriatrics and acute general medicine, draws lessons from the Grenfell Tower disaster and subsequent public inquiry. 72 people lost their lives in the fire that destroyed Grenfell Tower in 2017. Evidence to the public inquiry has shown that several residents had raised concerns about the building's safety over many years, and that architects, building contractors, and providers and fitters of cladding material had also expressed concerns about the safety of the exterior cladding used on Grenfell Tower. David Oliver highlights that had these concerns been listened to and acted on, the disaster could have been avoided and many lives saved. He draws parallels with concerns being raised by patients about the safety of the healthcare system and highlights the role of staff in repeatedly raising and keeping a record of concerns. He states that NHS leaders must create a culture where no one is afraid to speak out and act to mitigate safety issues. Leaders must expect to be held accountable for their response - or lack of response - to safety issues raised.
  10. Content Article
    This training documentary by the South East Perinatal Mental Health team explores race inequalities within the NHS maternity system. It uncovers the stories behind the MBRRACE report figures and looks for answers from leading race and diversity health professionals and campaigners. In the film, midwives and mothers talk frankly about the issues and how individuals can make a difference to create a positive impact on race inequality outcomes for mothers and within maternity teams.
  11. Content Article
    In this article for the Maternity & Midwifery Forum, Kirstin Webster, NMPA Neonatal Clinical Fellow, describes the role of the National Maternity and Perinatal Audit. She presents results from research using the audit’s data on births during the major period of the pandemic, and the recent audit report of the effects of ethnicity and socio-economic deprivation on maternity and perinatal care. She highlights inequalities in outcomes and joins the call to investigate the causes of these disparities.
  12. Content Article
    It is easy to underestimate people’s health literacy needs, because those needs can be hidden or people can be reluctant to admit that they haven’t understood the information they have been given. This toolkit by The Health Literacy Place contains a range of resources to help healthcare professionals better understand and meet the health literacy needs of their patients.
  13. Content Article
    The NHS Race & Health Observatory (RHO) has published a rapid review into ethnic health inequalities across a range of areas. This report is the first of its kind to analyse the overwhelming evidence of ethnic health inequality through the lens of racism. The NHS has longstanding problems with ethnic inequalities in terms of access to, experiences of, and outcomes of healthcare. These issues are rooted in experiences of structural, institutional and interpersonal racism. The review focussed on priorities set by the RHO relating to ethnic inequalities in: mental healthcare maternal and neonatal healthcare digital access to healthcare genetic testing and genomic medicine the NHS workforce.
  14. Content Article
    This report was commissioned by the Royal College of Obstetricians and Gynaecologists, with research led by Leeds Beckett University in collaboration with the University of Sheffield and the University of Oxford. It aims to inform those involved in the care of pregnant women in the UK about the relationship between social determinants of health and the risk of maternal death.
  15. Content Article
    In this blog, Gwen Nightingale and Katherine Merrifield from The Health Foundation highlight measures to tackle health inequalities that they would like to see included in the government's White Paper on health disparities, due to be published in Spring 2022. They argue that significant investment and ambitious policy are needed to tackle differences in health outcomes. They highlight five areas of focus: Tackle the wider determinants of health head on A new, whole-government approach to improving health Policy ideas backed with immediate investment Meaningfully measuring success Learning from the past
  16. Content Article
    This free e-learning course by the World Health Organization (WHO) examines the five general steps of inequality monitoring in the context of immunisation programmes. The 'WHO Immunization Agenda 2030: a global strategy to leave no one behind' envisions “a world where everyone, everywhere, at every age, fully benefits from vaccines for good health and well-being.” The course is approximately two hours long and is primarily aimed at monitoring and evaluation officers for immunisation, and people who have basic knowledge and experience working with immunisation data.
  17. Content Article
    This study in Social Science & Medicine aimed to fill a gap in existing research by exploring public views of health inequalities and potential policy responses in three UK cities in July 2016. This involved a nationally representative survey and three two-day citizens' juries that took place in Glasgow, Manchester and Liverpool. The results of the study demonstrate significant public support for proposals that aim to tackle health inequalities through improvements to living and working conditions. There is more limited support for proposals targeting individual behaviour change,
  18. Content Article
    This resource from the Health Foundation includes data, insights and analysis exploring how the circumstances in which people in the UK live shape their health.
  19. Content Article
    This article in Translational and Clinical Pharmacology aims to highlight the need to reconsider current medication dosing strategies in reproductive women. It uses the example of schizophrenia to illustrate how a woman's clinical symptoms can change throughout the ovulatory cycle, leading to fluctuations in medication responses. The authors found that healthcare professionals need to consider hormonal and clinical changes that occur with the menstrual cycle when prescribing treatments. They also call for further research to increase knowledge of the issues and find better treatment strategies in women whose symptoms change with cyclical changes in ovarian hormones. However, they warn that results from such studies should never override the symptoms and treatment responses experienced by individual clinical patients.
  20. Content Article
    This study in Pain Research and Management reviewed available literature about gender bias in the treatment of pain and gendered norms towards patients with chronic pain. The authors found that gendered norms about men and women with pain are present in research from different scientific fields. They highlight that awareness of the issue can help counteract gender bias in healthcare and support healthcare professionals to provide more equitable care.
  21. Content Article
    This guidance will help Local Maternity Systems align their Equality and Equality Action Plans with Integrated Care Systems health inequalities work. The guidance includes an analysis of the evidence, interventions to improve equity and equality, resources, indicators and metrics.
  22. Content Article
    In this blog, Dr Charlotte Paddison, Senior Fellow at the Nuffield Trust, discusses whether the shift towards digital primary care risks making access easier for people with less need and harder for those more likely to be in poorer health. She also describes the actions that would help make access to primary care easier for different groups of patients.
  23. Content Article
    Core20PLUS5 is a national NHS England and NHS Improvement approach to support the reduction of health inequalities at both national and system level. The approach defines a target population cohort – the ‘Core20PLUS’ – and identifies ‘5’ focus clinical areas requiring accelerated improvement. Supporting information about Core20PLUS5
  24. Content Article
    Patient safety is an integral component of high-quality and effective medical care. The stakes are especially high in oncology, where avoiding errors is imperative to delivering safe and effective radiation therapy, chemotherapy, and other high-risk treatments. Changing paradigms in cancer treatment, including oral chemotherapy, personalised medicine, biosimilars, and immunotherapy, create evolving safety challenges for the oncology community. Moreover, shifting federal healthcare policies could have significant implications for the safety and access to high-quality and effective cancer care for millions of patients with cancer. Challenges and opportunities in ensuring patient access to safe, affordable, and high-quality cancer care remain significant within the policy landscape. To explore current patient safety and access issues in oncology, the National Comprehensive Cancer Network (NCCN) convened the NCCN Policy Summit: Ensuring Safety and Access in Cancer Care in Washington, DC, on June 15, 2017. Oncology stakeholders gathered to discuss pertinent patient safety issues and access implications under the Trump administration, as well as policy and advocacy strategies to address these gaps and build on opportunities moving forward. The programme consisted of presentations and two roundtable discussions with vigorous dialogue and audience comments and questions.
  25. Content Article
    In this blog for the Hospital Times, Tracy Bignall, Senior Policy and Practice Officer at the Race Equality Foundation, writes about how ethnicity impacts on women's health experiences. She argues that the The Department for Health and Social Care (DHSC) Vision for the Women's Health Strategy released in December 2021 does not give adequate attention to the influence that ethnicity has on women's experience of, and outcomes in healthcare. The article outlines instances in healthcare where ethnicity has an impact on women's health and calls for specific action to address how ethnicity influences health inequalities.
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