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Showing results for tags 'Health inequalities'.
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Content Article
How can we make birth safer for Black women?
PatientSafetyLearning Team posted an article in Maternity
"My voice didn't matter. I felt like I was being gas lit, and that I wasn't important." Black women report being dismissed and neglected by healthcare professionals throughout pregnancy, childbirth and beyond - and are four times more likely to die in childbirth than women of other ethnicities. Prominent medical committee, NICE, has proposed that inducing pregnant Black women, bringing their birth forward early, could go some way to addressing the problem. The host of this podcast from The Fourcast speaks to a doctor who says it’ll make birth safer for mums and babies, and campaigner Sandra Igwe who says that early induction is not the solution to a deep and complex issue, rooted in racism and inadequate healthcare for Black mothers-to-be. *Content warning: This episode includes discussion about maternal death and stillbirth. -
Content ArticleThe Good Things Foundation has published a new paper on digital exclusion and its impact on people’s health, social life and economic potential. To support the Health Foundation’s COVID-19 impact inquiry, the Good Things Foundation, the Health Foundation and the King’s Fund came together earlier this year, to focus on tackling digital exclusion and health inequalities. The resulting report from the workshop and meeting provides an overview of digital exclusion and who is affected by it, as well as the impact of the pandemic on this, and some of the policy responses so far.
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This joint letter calls on Nadine Dorries MP, Minister for Patient Safety, Suicide Prevention and Mental Health, to urgently fund a confidential enquiry into the deaths of Asian and Asian British babies. It is signed by the Chief Executives of Sands, The Royal College of Midwives, NCT and the President of the Royal College of Obstetricians and Gynaecologists. -
Content Article"The biggest struggle I had to overcome was the lack of confidence caused by microaggressions over time", says Samantha Tross, the first Black female orthopaedic surgeon in Britain. In the latest episode of the Royal College of Surgeons of England Health inequalities podcast series, Samantha considers how diverse leadership can be better developed and supported within surgery, with a focus on widening opportunities and creating a more positive training environment.
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Content ArticleThis opinion piece from The Guardian highlights the vaccine inequalities currently faced by low-income countries. The article discusses the percentage of people who have received the first dose in comparison to those living in richer countries such as the U.K. and U.S.A. and how a more strategic and equitable approach is needed to help ensure the world emerges sustainably from the crisis.
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Content Article
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People from Black and minority ethnic groups experience inequalities in health outcomes as well as inequalities in access to and experience of health services compared to White groups. This report, published by the NHS Race and Health Observatory, argues that the NHS has not made significant progress in reducing ethnic health inequalities in recent years because it has not acted on this issue as a clear priority. There has also been a lack of progress made in ensuring equality of experience and opportunity for the NHS workforce. Authors go on to argue that there is now an opportunity to address this by taking urgent action to address critical gaps in the NHS’s capabilities to tackle ethnic health inequalities, and by building a broad health inequalities focus into new healthcare structures as a key priority, while supporting NHS staff to drive change. Read the report in full Suggested further reading: Health inequalities and safety resources -
Content ArticlePeople who identify as LGBTQ+ experience disproportionately worse health outcomes and have poorer experiences when accessing health services. In this King's Fund podcast, Helen McKenna sits down with Dr Michael Brady, National Advisor for LGBT Health at NHS England, and Michelle Ross, Co-Founder and Director of Holistic Wellbeing services at cliniQ to explore the health inequalities LGBTQ+ people face and what needs to happen to make sure health services are inclusive.
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Content ArticleThe use of digital health services has risen over the course of the COVID-19 pandemic. The digital divide and the resulting impact on people’s experiences of the pandemic have disproportionately affected certain groups of society. Age UK analysis suggested that only 24% of those aged 75+ were using the internet more during the pandemic, and 9% were using it less. And although the population has become better connected since the start of the pandemic, still 6% of homes (around 1.5 million households) in the UK lack home internet access. People in the poorest households are four times more likely to not use the internet at home than those in the wealthiest households. Disability, impairment, and health conditions also correlate with lower levels of digital access and use. In this article, Emma Stone, Director of design, research and communications at the Good Things Foundation, discusses the implications of digital health services on inequalities.
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Content Article
Health equity resource series
PatientSafetyLearning Team posted an article in Health inequalities
To support hospitals and health systems starting from different points on their journey to strengthen health equity, the American Health Association's Institute for Diversity and Health Equity (IFDHE) is preparing four new guidance and resource toolkits to share evidence-based practices to inform organisational next steps. -
Content ArticleThis report, No Patient Left Behind, has been published by The APPG on Stem Cell Transplantation and Advanced Cellular Therapies, following an inquiry into barriers which patients face when accessing treatment and care.
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Content Article
‘Mistreatment’ due to the colour of your skin
Becky T posted an article in Health inequalities
A blog highlighting the barriers in healthcare faced by patients due to the colour of their skin.- Posted
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Content Article
Citizens Online
Patient Safety Learning posted an article in Suggest a useful website
Citizens Online promote an inclusive and equal society, reducing the digital divide by helping organisations and communities ensure the switch to online doesn’t exclude people. To implement successful digital transformation, inclusion and accessibility must sit at the heart of any changes. Citizens Online help to ensure that clients, residents and service users are supported to participate in the digital age, leading to increased take-up of your digital services. -
Content ArticleResearch in women's health deserves more attention, and not only for conditions related to reproduction. Clinical and pre-clinical studies alike tend to focus on men: for example, only one-third of people participating in clinical trials relating to cardiovascular disease are women, and an analysis of neuroscience studies published in six journals in 2014 found that 40% of them used only male animals. Although progress can be made when women’s health challenges are brought to the fore, women’s health advocates caution that the field is often still viewed too narrowly. The study of health and disease in women should not be limited to conditions that affect only women. Conditions such as type 2 diabetes, Alzheimer’s disease and heart disease affect men and women differently. Such diseases must be studied in both men and women, with the recognition that diagnosis, prognosis and treatment might need to be different between the sexes.
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Content ArticleThe Health Foundation’s COVID-19 impact inquiry has drawn on a broad range of available evidence to consider two main questions: How were people’s experiences of the pandemic influenced by their pre-existing health and health inequalities? What is the likely impact of actions taken in response to the pandemic on the nation’s health and health inequalities – now and in the future?
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Content ArticleThis blog, published in The Journal of Medical Ethics, is authored by individuals from New Zealand, Australia and the UK. They draw on their co-produced Cultural Safety framework to address structural iatrogenesis where patients are harmed by unconscious or conscious racist power imbalances in the bureaucratic and cultural systems within healthcare systems, including those systems originally intended to help them. Included is an infographic to illustrate the Cultural Safety Tree Model and how to translate Cultural Safety to the UK. Person-centred care, staff reflexivity, structural reflexivity and listening to the voices of the recipients of healthcare are the crucial roots to this model.
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Content ArticleAt the start of 2020, NHS England and NHS Improvement commissioned The King’s Fund to provide independent support to consider how the NHS can better tackle poverty in England as part of the commitments it made to reducing health inequalities in the NHS Long Term Plan (NHS England 2019). This discussion paper sets out findings from a process of engagement with stakeholders and wider literature and evidence, in particular: how more needs to be done to raise awareness of the NHS’s role in tackling poverty what further actions the NHS can take how the NHS can be a stronger advocate for poverty reduction underpinning these three specific roles, the NHS has a partnership and leadership role that will help support them.
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Content ArticleThis review was undertaken as part of the remit of MBRRACE-UK to ensure that key learning and recommendations for changes to care and services for pregnant women during the second wave of the SARS-CoV-2 infection in the UK are identified in a timely manner in order to implement rapid change. The report’s authors reviewed the care of all pregnant and postnatal women who died with SARS-CoV-2 infection, and women who died and whose care or engagement with care was influenced by changes as a consequence of the pandemic between 1 June 2020 and 1 March this year. Fourteen women died with SARS-CoV-2 infection, ten from COVID-19 and four from other causes, three further women's deaths were influenced by changes as a consequence of the pandemic. The report identifies several themes affecting the care of pregnant and postpartum women in the context of the pandemic and suggests that there needs to be wider awareness of how best to treat pregnant and postnatal women with COVID-19.
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Content ArticleThis article is an open letter in the BMJ to the secretary of state describing ways to address past mistakes and suggesting 10 urgent actions.
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Content ArticleIn this episode of Radio 4's Women's Hour, presenter Emma Barnett discusses the health inequalities impacting on women in relation to medical understanding, funding and research. Guests include: Women's Health Minister, Nadine Dorries Dr Elinor Cleghorn, cultural historian and author of 'Unwell Women - A journey through medicine and myth in a man-made world' Listener Judi who suffers from pelvic mesh complications Prof Hashim Hashim, a urological surgeon with specialist skill in mesh removal. Listen to the full episode here (you'll need a BBC Sounds account) Further reading Regulatory flaws: Women were catastrophically failed in the mesh, Primodos and Sodium Valproate tragediesDangerous exclusions: The risk to patient safety of sex and gender bias (Patient Safety Learning) Gender bias: A threat to women’s health (Sarah Graham) The normalisation of women’s pain (Lisa Rampersad) ‘Women are being dismissed, disbelieved and shut out’ (Stephanie O’Donohue) Women’s Health Strategy: Call for evidence (Department of Health and Social Care) Improving hysteroscopy safety (Patient Safety Learning, November 2020)
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Content Article"In Unwell Women Elinor Cleghorn unpacks the roots of the perpetual misunderstanding, mystification and misdiagnosis of women's bodies, and traces the journey from the 'wandering womb' of ancient Greece, the rise of witch trials in Medieval Europe, through the dawn of Hysteria, to modern day understandings of autoimmune diseases, the menopause and conditions like endometriosis. Packed with character studies of women who have suffered, challenged and rewritten medical orthodoxy - and drawing on her own experience of un-diagnosed Lupus disease - this is a ground-breaking and timely exposé of the medical world and woman's place within it." Follow the link below to more information on the Amazon website.
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Content ArticleIn midwifery practice, skin assessment is an important element of any physical examination of women. Fundamentally, key practice recommendations are centred on visual and tactile cues to assist with the identification of changes in skin appearance. Although visual signals are more readily discernible in women with light skin tones, they may be more challenging to detect in women with darker skin tones. As a means of decolonising midwifery theory and practice, this article published in The Practising Midwife, highlights ways in which midwives can develop confidence in skin assessment when caring for women with dark skin tones. Read the full article Related content – Decolonising midwifery education part 2: neonatal assessment
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Content ArticleThe NHS Race and Health Observatory, supported by three regulators, has called on healthcare leaders to ensure that policies and processes are fair, inclusive and in line with the 2010 Equality Act. Leaders should ensure that health and care staff across the country are protected from racism, or any other form of discrimination, as they go about their vital work. Read the statement in link below.
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Content Article
Assessment of the skin is an important element of neonatal examination. Midwives need to develop knowledge and skills in this area to recognise changes in the skin and understand what these signify. Historically, teaching in this area has been skewed towards changes seen in newborns with light skin tones, resulting in a gap in clinical knowledge and resources on the assessment of skin in newborns with darker skin tones. This article, published in The Practising Midwife, on the decolonisation of midwifery education and practice, focuses on clinical assessment of the skin when examining newborns. -
Content ArticleHelen McKenna talks with Dr Bola Owolabi, Director of Health Inequalities at NHS England and NHS Improvement, about the NHS's spheres of influence, the power of gathering around a common cause, and whether the experience of the pandemic will lead to a step change in tackling health inequalities.
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Content ArticleThis 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.
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