Aaliya 💙 Profile picture
Jul 8 5 tweets 3 min read
Discussion - What works in reducing
race inequality in healthcare?

Engender trust & create trust
Make data publicly available
Redistribute power to communities
Centre communities & let them lead
Be accountable to pledges to foster
equity
Incentivise AND disincentivise
#RHOConf22
How do we elevate conversation from
analysis to action & policy to practice?
Moral & ethical imperative
Not all feel moral duty, find key lever
Disaggregation of data gives actionable
insight to drive change
Power of appreciative enquiry not deficit
@BolaOwolabi8 #RHOConf22
Translating resources doesn't mean they are
culturally competent
The messenger is just as important as the
message
Leadership asking questions
@BolaOwolabi8 #RHOConf22
#RHOConf22 @DrHNaqvi
We know what to do:
📌Turn rhetoric into action
📌Use data to produce solutions
📌Sustained & meaningful engagement with communities, patients & workforce
📌Accountability for everyone
📌Point moral compass in the right direction
📌Leadership
Remove excuses!

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More from @Aaliya_UK

Jul 8
What works in Reducing Race Inequality in Health and Healthcare? #RHOConf22

📌Recognise the problem - racism is the fundamental cause of inequity
📌Understand how racism shapes our lives
📌Overcoming racism is a call to action not an impossible target
📌Lack of policy
📌Stigma
Types of #racism
📌Structural racism
📌Interpersonal racism - everyday verbal/physical abuse which are ALL forms of violence
📌Institutional racism - from orgs which shape our access to resources & amplify inequality

Institutions are the place for action
#RHOConf22 @JamesNazroo
Public sector organisations describe themselves as anchor institutions

Change the employment conditions of staff & transform lives - ethnic minorities overrepresented

Experiences of racism impact our biology & health directly

Functions embedded in colonialism #RHOConf22
Read 5 tweets
Jul 8
The importance of cultural safety to improve outcomes: Lessons from mental
healthcare

#RHOConf22 @HatchStephani

There are racial inequalities and inequities in mental health services

It’s a common issue globally - driven by a lack of acknowledgement/understanding/involvement
What do we mean by culture? #RHOConf22 @HatchStephani

📌 Definitions & conceptual frameworks vary across disciplines
📌 Culture is socially constructed, linked to identities & evolves over place
& time
📌 Culture is DYNAMIC & entrenched in social and historical contexts
Actionable insights #RHOConf22 @HatchStephani

📌Address structural racism
📌 Culturally safe & appropriate mental healthcare
📌An explicit anti-racist practice in mental healthcare
📌Work with communities, carers & service users

#PCREF
Read 5 tweets
Jul 7
The impact of #racism on maternal health & early life #RHOConf22

@LaurieZephyrin

Systemic & structural determinants of health & effect of #intersectionality for women of colour #SDOH

Black mothers more likely to die than white mothers for >100yrs

The five whys as a framework
#RHOConf22 the landscape is changing
@LaurieZephyrin

Imp of community partners, integration of social needs - new opportunities for the #ICS

Introducing panel @TeamCMidO, Dr Daghni Rajasingam, @MumsandTea and @BenashNaz 💙

Take the woman with you & have the will to act
Data obscures the human experience

Strategy based on #ProportionateUniversalism at scale and intensity equal to the level of need

Focus on #racist behaviour and who listens to who @TeamCMidO

@MumsandTea recommends data sets and ethnic coding “what gets measured gets done”
Read 8 tweets
Jul 7
The @NHS_RHO is a do-tank not a think-tank #RHOConf22.

It’s a place where things get done @Voa1234

How an org values it’s ethnic minority staff is a good barometer of how well patients are likely to feel irrespective of skin colour

It’s about #leadership
Now @DrHNaqvi starting with a quote from #JRRTolkein #RHOConf22

We must break down #inequalities

The @NHS_RHO set up to:
Synthesise insight
Inform policy
Enable transformation

Work programme uses global data driven evidence

Year 1 report:
tinyurl.com/4znax229
What drives racial inequities? @D_R_Williams1 #RHOConf22

Socioeconomic status SES matters
In the UK for every £1 a white person has, a Black/Bangladeshi has 10p

But after SES taken into account, it’s about race
Not about “trying harder”
Neighbourhood opportunity matters
#Racism
Read 7 tweets

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