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Found 136 results
  1. Content Article
    In this BMJ Opinion piece, Amali Lokugamage and Alice Meredith propose that the foundation of any translation of Cultural Safety education to maternity services should consider these five key ingredients: A catalogue of patient experience videos explaining their encounters with structural inequity in healthcare from a diverse group of patients The creation of a basic module of education in decolonising the history of health, raising awareness of lingering colonial racial bias An educational tool is required to enhance healthcare professional’s reflective practice Access to continuity of care models for disadvantaged women Part of the Cultural Safety model is that when vulnerable patients feel culturally unsafe (due to racial discrimination), they can request carers from a similar ethnic background as themselves. In relation to the final point, the authors note: "There may not be enough numbers of appropriately trained personnel from the same cultural background requiring affirmative action in recruitment. An additional confounding consequence may be to cause “auto segregation” in society and could limit personal development in all healthcare personnel or systems in order to produce equitable healthcare for all. Also, the global phenomenon of disrespectful maternity care, described by the World Health Organisation in their document on the prevention and elimination of disrespect and abuse during childbirth, points to the existence of unjust interactions in countries where care is delivered by professionals from a similar background to their patients. Furthermore, by potentially allowing such requests to become day-to-day practice, there are recognised pitfalls as described recently by Roger Kline, including increased segregation towards healthcare providers, and even racism against doctors from ethnic minorities. So, this final element could be thorny when considering possible translation to a UK setting."
  2. News Article
    People with learning disabilities have been "at the back of the queue" during the coronavirus pandemic, a panel of MPs has been told. Those living in supported accommodation were left waiting weeks for guidance on testing and visits. MPs were also told long-term social factors were likely to be more important than biology when it came to ethnic divides in the virus's impact. The panel focused on what lessons could be learned. Read full story Source: BBC News, 1 December 2020
  3. Content Article
    What will the Observatory aim to do? It will seek to achieve not only equality of access to services, but equal health outcomes irrespective of race. While discussions as to its functions and structure have only just begun, the Observatory’s aims are clear, and build on lessons of successes and failure from the past. It will provide a unified source of policy relevant evidence and information which would explain how and why racial disparities in health occur. While the evidence would be principally aimed at enhancing the knowledge and understanding of healthcare leaders, its outputs are intended to be publicly accessible. target outcomes, by translating the research into practical guidance, so that new and existing policy and programmes are renewed, designed and delivered to reduce disparities and begin with reviewing the impact of policy practice and programmes on the health and wellbeing of the ethnic minority health workforce, in collaboration with NHS England’s Workforce Race Equality Strategy. Eliminating the adverse outcomes of racism and discrimination in the NHS’s own workforce is not optional, if the Observatory is to be a credible authority in race equality into the future.
  4. Event
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    The institution of medicine has always excluded women. From ancient beliefs that the womb wandered through the body causing 'humours' to 19th century Freudian hysteria, female bodies have been marked as unruly, defective, and lesser. We are still feeling the effects of these beliefs today. In 2008, a study of over 16,000 images in anatomy textbooks found that the white, heterosexual male was presented as the ‘universal model’ of a human being. We see this play out in medical research, when it isn't considered necessary to include women's experiences: approximately 70% of people who experience chronic pain are women, and yet 80% of pain study participants are men or male rats. We also see these beliefs inform clinical decisions. When experiencing pain, women are more likely to be given sedatives than painkillers, in a nod to the stereotype that women are more emotional and are therefore probably exaggerating the nature of their pain. This phenomenon is known as the gender pain gap, which describes the disparities in medical care that men and women receive purely due to their gender. But while awareness has risen over the last few years, how close are we to really closing the gender pain gap? Join The Femedic and Hysterical Women in discussion with Dr Omon Imohi, Dr Hannah Short, and research charity Wellbeing of Women as we consider how far medicine has come and how far we still have to go. Register
  5. Event
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    The advancing mental health equalities strategy published in September 2020 outlines the core enabling actions NHS England and NHS Improvement will take with the support of the Advancing Mental Health Equalities Taskforce – an alliance of sector experts, including patients and carers, who are committed to creating more equitable access, experience and outcomes in mental health services in England. It sits alongside the NHS Mental Health Implementation Plan 2019/20–2023/24 and as such is similarly focused in scope. This strategy is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to COVID-19. This webinar lead by Dr Jacqui Dyer MBE will introduce advancing mental health equalities strategy and summarise the core actions that NHS England and NHS Improvement will take to bridge the gaps for communities fairing worse than others in mental health services. Register
  6. Event
    This Westminster Health Forum conference will discuss the priorities for improving the health outcomes in babies and young children and the next steps for policy. It is taking place as The Rt Hon Andrea Leadsom MP, Government's Early Years Health Adviser - who is a keynote speaker at this conference - leads a review into improving health outcomes in babies and young children as part of the Government’s levelling up policy agenda. With the first phase of the review expected in early 2021, this conference will be an opportunity for stakeholders to discuss the priorities and latest thinking on improving health outcomes. The discussion is bringing together stakeholders with key policy officials who are due to attend from DHSC and the DfE. The agenda: The priorities for improving health outcomes for babies and young children. Understanding the importance of the first 1,000 days in child development' Improving child public health, reducing inequalities and the impact of social adversity in childhood. Identifying measures for supporting vulnerable and disadvantaged young children and families - and learning from the COVID-19 pandemic. Priorities for system-wide collaboration to address underlying health inequalities and key opportunities for improving health outcomes in young children going forward. Next steps for the commissioning of health services for children in the early stages of life. Improving health outcomes for young children across health and care - integrating services, care pathways, workforce training, and partnership working. Register
  7. News Article
    Older women could be less likely to receive ovarian cancer treatment. A new report analysed data from more than 17,000 cases of ovarian cancer diagnosed across England between 2016 and 2018. Three in five (60%) of women with ovarian cancer over the age of 79 did not receive either chemotherapy or surgery, while 37% of women over the age of 70 did not receive any treatment. The nature of ovarian cancer means surgery is essential in the large majority of cases to remove the tumour. The researchers cautioned that with an ageing population it is vital that women of all ages have access to the best possible treatments. Researchers also examined the various rates of treatments for ovarian cancer among women in different parts of England. They found the probability of receiving any treatment fell below the average in the East Midlands, the East of England, Greater Manchester and Kent and Medway. The report was jointly funded by The British Gynaecological Cancer Society, Ovarian Cancer Action, Target Ovarian Cancer and delivered by analysts at the National Cancer Registration and Analysis Service. Commenting on the report, Cary Wakefield, chief executive of Ovarian Cancer Action, said: "Neither your age nor location should decide your chance of survival if you are diagnosed with ovarian cancer." "Our audit is the first step in addressing the health inequalities women across England face, so we can begin to dismantle them." Read full story Source: The Independent, 11 November 2020
  8. Content Article
    Key findings The more deprived the area that a person lives in, the less likely they are to report a positive experience of accessing general practice and a good overall experience of general practice. Older patients tend to report better access to general practice – they are more satisfied with their experiences making appointments and find it easier to get through to their practice by phone. However, they are less likely to have used online services. Asian patients report poorer experiences making appointments and more difficulty getting through to their GP practice by phone. Black patients are the least likely to have used any online services. Differences in experience of and access to general practice observed between demographic groups have been consistent over the past 3 years of survey data (changes in survey method mean that we can’t look any further back).
  9. Content Article
    With a concerted effort that encompasses multiple sectors, Egede and Walker suggest we can change the fabric of structural racism and social risk that leads to disparities in health. In this New England Journal of Medicine article, they propose that to be effective, change must occur within federal, state, county, and city governments; within private and nonprofit businesses and in the health care, food, housing, education, and justice arenas; and at the individual level. If everyone took a stand to stop racism and found a way to participate in sustainable change in one of the six suggested areas below, the result could be transformational. Recommended action items for mitigating structural racism: Change policies that keep structural racism in place. Break down silos and create cross-sector partnerships. Institute policies to increase economic empowerment. Fund community programs that enhance neighborhood stability. Be consistent in efforts by health systems to build trust in vulnerable communities. Test and deploy targeted interventions that address social risk factors.
  10. Event
    Westminster Health Forum policy conference. The agenda: Assessing the impact of COVID-19 on the ethnic minority community, and priorities for improving health outcomes. The health and social care response to inequality through the pandemic and taking forward new initiatives. Understanding the data and risk factors for COVID-19 in ethnic minority groups. Wider health inequalities faced by people in ethnic minorities - addressing underlying factors, and the role of COVID-19 recovery strategies in supporting long-term change. Priorities for providing leadership in tackling health inequalities in the workforce. Driving forward and ensuring race equality in the NHS. Providing support to the ethnic minority health workforce and taking forward key learnings from COVID-19. Next steps for action in race disparity in healthcare. Book
  11. Event
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    It is impossible in the year 2020 to ignore the glaring inequalities in our healthcare system. The disproportionate impact of COVID-19 on Black, Asian and minority ethnic communities, coupled with local Black Lives Matter activity following the killing of George Floyd, underscore the threat systemic racism poses to lives in the UK as well as the US. Though these events have prompted much discussion in the medical community, this injustice is not new: data has long demonstrated a link between ethnicity and health outcomes. What can we, as doctors and medical managers, do to close this health gap and ensure all patients can expect the same quality of care, treatment and outcomes in the future? Seeking to answer this question, the BMA committee for medical managers (CMM) are hosting a free, online panel discussion to explore how increasing diversity in medical leadership can lead to better outcomes for all. Register
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