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Found 1,186 results
  1. Content Article
    This report, published by the National Child Mortality Database, is based on data for children who died between April 2019 and March 2020 in England, and finds a clear association between the risk of child death and the level of deprivation (for all categories of death except cancer). More specifically, Child Mortality and Social Deprivation states that over a fifth of all child deaths might be avoided if children living in the most deprived areas had the same mortality risk as those living in the least deprived – which translates to over 700 fewer children dying per year in England. The report’s authors are now calling on policy makers and those involved in planning and commissioning public health services as well as health and social care professionals to use the data in this report to develop, implement and monitor the impact of strategies and initiatives to reduce social deprivation and inequalities.
  2. Content Article
    Health inequalities are avoidable, unfair and systematic differences in health between different groups of people. There are many kinds of health inequality, and many ways in which the term is used. This means that when we talk about ‘health inequality’, it is useful to be clear on which measure is unequally distributed, and between which people.  The King's Fund have created a webpage to help people understand what health inequalities are.
  3. Content Article
    This article in the British Journal of General Practice looks at what will happen to public engagement in healthcare following the Covid-19 vaccine rollout. The author, Datapwa Mujong, argues that the successes of community-centred approaches employed in response to the pandemic could be lost without sustained funding and policy to embed these services in healthcare provision. He warns of the dangers of 'initiative decay' and expresses concern that disadvantaged groups may be further disenfranchised by the short-term nature of engagement for the purpose of the vaccine rollout. He argues that in order to tackle inequalities, sustainable solutions are needed, rather than short-term interventions, even though these may require fewer resources.
  4. Content Article
    This is the recording of a webinar given on 19 January 2022 for the International Shared Decision Making Society by Professor Kirsten McCaffery from the University of Sydney and Marie Anne Durand from the University of Lausanne. It covers the following topics: What is health literacy and why does it matter Conceptualising health literacy and shared decision making Findings from recent health literacy and shared decision making reserach What can we do better?
  5. Content Article
    This report looks at research commissioned by the Juvenile Diabetes Research Foundation (JDRF) to understand the varying pandemic experiences of different people affected by type 1 diabetes in the UK. It highlights an enormous withdrawal of NHS services during the pandemic, leading to highly unequal access to type 1 diabetes care.
  6. Content Article
    This report by The Health Foundation looks at the relationship between debt problems and health, and the impact of the Covid-19 pandemic on increasing the burden of debt that UK households experience. The authors highlight the two-way relationship between debt burden and health issues, with poor health likely to cause an increase in debt, and debt having an impact on health and wellbeing. Those most exposed to deprivation are more likely to experience a higher burden of debt, adding to health inequalities. The report also demonstrates that the pandemic has particularly affected those on low incomes and the self-employed, in terms of debt burden, and public sector debt collection has added to debt pressures for many. They argue that resilience to future financial shocks has been reduced for a significant proportion of the population and that taking action to offset the impact of rising energy bills should be an immediate priority.
  7. Content Article
    In this article for The Independent, Hannah Fearn looks at the issues women face when seeking treatment for urinary tract infections (UTIs). New research from Garmin has found that 40% of young women say they have been accused of over-exaggerating symptoms or being “over dramatic” about their wellbeing when seeing a doctor. The author highlights several personal stories of women who have experienced debilitating recurring urinary tract infections (UTIs), describing dismissive and discriminatory treatment from both GPs and secondary care doctors. She also looks at the work of the UK's only dedicated research centre focused on recurrent UTIs for women, based at London’s Whittington Hospital, and highlights new treatments that are becoming available for women with recurrent UTIs.
  8. Content Article
    This report describes the findings of the Care Quality Commission (CQC) review of children and young people’s mental health services. The report focuses on three main aspects of the mental health system for children and young people: People’s experience of and involvement in care How partners plan and deliver services that offer high quality care that can be accessed in a timely fashion How partners in the local area identify mental health needs and what they do to start the process of getting the right support for children and young people The CQC spoke with staff working across different parts of the system, children, young people, parents, families and carers. They also reviewed policies and procedures, and used ‘case-tracking’ to examine in detail how individual children and young people with mental health problems moved through the system.
  9. Content Article
    Providers led by GPs of an ethnic minority background have raised with the Care Quality Commission (CQC) concerns that they do not receive the same regulatory outcomes from CQC as providers led by GPs of a non-ethnic minority background. To investigate and respond to these concerns, CQC started a programme of work in February 2021. The focus of this has been on how CQC's regulatory approach affects ethnic minority-led GP practices and how it can improve its methods to address any inequalities identified.
  10. Content Article
    This study in Social Science & Medicine looked at access to mental healthcare services in the UK during the Covid-19 pandemic. It examined changes to the idea of candidacy, a concept used to describe people's perceptions about their eligibility and entitlement to care. The authors found that the pandemic had a significant effect on patients' ideas about their candidacy, and state that their findings affirm the value of the candidacy framework for mental health contexts.
  11. Content Article
    This report looks at lessons that can be learned from the Covid-19 pandemic around developing culturally relevant health information for South Asian communities. The authors conclude that there is an urgent need for culturally appropriate health information for South Asian communities to help reduce inequalities in health outcomes seen prior to the pandemic and exacerbated during it. They also highlight a lack of research into optimal ways of developing culturally relevant health information resources.
  12. Content Article
    This study in JAMA Network Open sought to determine whether limited English proficiency (LEP) is associated with not reporting a history of cardiovascular disease among patients with angina symptoms. The study found that patients reporting symptoms of angina were more likely to not report having cardiovascular disease if they had limited English proficiency. This discrepancy may be because of higher rates of undiagnosed cardiovascular disease or lower awareness of such diagnoses among individuals with LEP. The authors highlight the importance of finding effective communication strategies for people with LEP in order to make prevention and treatment for cardiovascular disease more effective.
  13. Content Article
    Sunday 16 January 2022 marked World Religion Day. Around half of the UK population identify with a faith tradition, and in this blog, Jeremy Simmons, Policy and Programme Officer at FaithAction, highlights the important role of faith-based organisations in addressing health inequalities and helping people access healthcare. FaithAction is a national network of faith-based and community organisations seeking to serve their communities through social action and by offering services such as health and social care, childcare, housing and welfare to work.
  14. Content Article
    The Homecare Association calls on central government to invest properly in homecare, so we can address unmet need, reduce inequalities, extend healthy life expectancy of older and disabled people and reduce pressure on the NHS.  To gain an up-to-date view of the additional funding required for homecare to ensure an adequate supply of good quality, sustainable services, the Homecare Association submitted enquiries under Freedom of Information legislation to 340 public organisations which purchase homecare across the United Kingdom. These consisted of local authorities, Health and Social Care (HSC) Trusts in Northern Ireland and NHS bodies. Each public organisation was asked to provide several pieces of information, including the prices (lowest, highest, average) it pays to independent and voluntary sector homecare providers for the provision of regulated homecare services, delivered to people aged 65 years or above in their own home, during a sample week in April 2021.  The Homecare Deficit 2021 report presents the analysis of the data received, and thus exposes the continued deficit in funding for homecare services in the United Kingdom.   
  15. Content Article
    This article in The Lancet Haematology examines the impact of having different anaemia thresholds for men and for women at different life stages. It challenges the data that current medical assumptions are based on, arguing that they have been extrapolated from healthy, predominantly white populations that are not representative of real-world populations. The authors look at the arguments that has been used to determine sex-based differences in haemoglobin concentrations, and argue that there is limited evidence to justify having different anaemia thresholds for men and women. They suggest that removing sex-specific reference ranges for haemoglobin and ferritin may improve the health of women and their offspring.
  16. Content Article
    Movements change the world. Throughout history, loosely organised networks of individuals and organisations have sought changes to societies – and won. From the abolitionist struggle and campaigns for voting rights to #MeToo and #BlackLivesMatter, the impact of movements can be seen everywhere.
  17. Content Article
    In this article for Forbes, Dana Brownlee looks at individuals who are promoting inclusion in healthcare in practical, tangible ways. She looks at the work of Nigerian medical illustrator Chidiebere Ibe, who is depicting black skin in his medical illustrations, and of Toby Meisenheimer, who developed a business selling plasters of different skin tones. She highlights the importance of individuals who disrupt the norms of healthcare to make it more representative of the populations it serves. She also talks about the dangers to patient safety caused by lack of representation, particularly in fields such as dermatology that rely on images of skin for accurate diagnosis.
  18. Content Article
    The National Early Inflammatory Arthritis Audit (NEIAA) aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments in England and Wales. This NEIAA report presents data describing the association between ethnicity, experience of care and clinician and patient-reported outcomes. It found that Black, Asian and ethnic minority patients were less likely to achieve remission at three months (30% compared to 37%) and were more likely to report symptoms of anxiety or depression compared to white patients (33% compared to 30%), despite faster referrals and assessments than white patients.
  19. Content Article
    People in England’s most deprived neighbourhoods work longer hours than those in the rest of the country but live shorter lives with more years in ill health costing an estimated £29.8bn a year to the economy in lost productivity. People living in these communities were also 46% more likely to die from COVID-19 than those in the rest of England. The findings, revealed in a joint report released today by the All-Parliamentary Party Group for ‘left behind’ neighbourhoods and Northern Health Science Alliance, shows the devastating impact of poor health for those living in deprived areas and left behind neighbourhoods (LBNs) and makes a number of recommendations to overcome the health inequalities faced by people living in these places. Those living in local authorities that contain ‘left behind’ neighbourhoods have a further £2bn gap in lost productivity compared to those areas with a similar rate of deprivation but with more civic assets, connectedness and an active and engaged community. Across most measures people in these areas fair even worse than those in deprived neighbourhoods.
  20. Content Article
    In this second podcast focusing on the Care Quality Commission's (CQC) GP Inequalities Project, Annabelle Stigwood, joint project lead, talks to Dr Faizan Ahmed, National Clinical Advisor at the CQC, and Dr Bola Olowabi, Director - Health Inequalities at NHS England and NHS Improvement. The guests discuss health inequalities and how they impact on the ability of GP practices to do their job. They discuss what we mean by health inequalities, why it's so important to focus on them in health and social care, and the role of providers, systems and regulators in addressing them. Listen to the first episode which introduces the project
  21. Content Article
    In this podcast for the Care Quality Commission (CQC), Dr Ayisha Ashmore and Dr Faizan Ahmed discuss the CQC's GP Inequalities Project which is investigating the concern that GPs from an ethnic minority background receive poorer CQC ratings or regulatory outcomes.
  22. Content Article
    This report of a roundtable held by the Arthritis and Musculoskeletal Alliance (ARMA) highlights inequalities in relation to the prevalence of, and access to treatment for musculoskeletal conditions (MSKs). MSKs include a broad range of health conditions affecting the bones, joints, muscles and spine, as well as rarer autoimmune conditions such as lupus. Their incidence is correlated with deprivation, age, sex and ethnicity.
  23. Content Article
    In this blog for the website Cysters, Kiran Chalke and Hayle Davis share their experiences of accessing gynaecology and reproductive services as a lesbian couple. They describe the barriers they have faced to accessing IVF and highlight disparities in the treatment of heterosexual and same-sex couples on the NHS. They also discuss the impact that bias in the system and from individual healthcare workers has had on both of their experiences of gynaecology treatment. The attitudes of staff and failure to read their notes fully has resulted in the couple feeling uncomfortable in healthcare settings and in treatment delays that have had a real impact on their quality of life.
  24. Content Article
    This report for the World Health Organisation outlines concepts and principles for policy action to tackle social inequities that impact on health outcomes.
  25. Content Article
    This report for the World Health Organisation outlines approaches to promoting greater equity in health between different social and occupational groups. It follows of from the report 'Concepts and principles for tackling social inequities in health: Levelling up part 1' and draws on the work of WHO advisory groups, together with practical examples from industrialised countries where strategies have been put into action.
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