Attracting, supporting and retaining a diverse NHS workforce

Attracting, supporting and retaining a diverse NHS workforce
Nuffield Trust 8 November 2021 

• This report examines the representation of under-served groups and provides a set of recommendations for change as the NHS strives to become an exemplar of equality, diversity and inclusion.

Reducing inequality in avoidable emergency admissions: Case studies of local health care systems in England

Reducing inequality in avoidable emergency admissions: Case studies of local health care systems in England using a realist approach.
J Health Serv Res Policy. 2021 Jul 21:13558196211021618. doi: 10.1177/13558196211021618.

• People in disadvantaged areas are more likely to have an avoidable emergency hospital admissions. This study used case studies of five CCGs with varying levels of socio-economic inequality to identify potential determinants of avoidable emergency admissions.

Abstract

COVID Wellbeing Inequalities Research Evidence Dashboard (Covid:WIRED)

COVID-19 Inequalities Dashboard (Covid:WIRED)
What Works Wellbeing 7 July 2021

• COVID Wellbeing Inequalities Research Evidence Dashboard (Covid:WIRED) is an online dashboard from looking at emerging research on the impact of the pandemic on different populations and on different outcomes starting with subjective wellbeing and its six drivers.

Increasing vaccine uptake - case studies

Increasing vaccine uptake
The Strategy Unit June 2021

• Examples of initiatives to increase local vaccine uptake. The examples focused on four target groups: place of residence, ethnicity, faith communities and health status.

What happened to English NHS hospital activity during the Covid-19 pandemic?

What happened to English NHS hospital activity during the COVID-19 pandemic?
Institute of Fiscal Studies 13 May 2021

• This briefing note uses administrative hospital data from across the NHS in England to describe how the use of inpatient (elective and emergency) and outpatient hospital care in 2020 compared with that in the previous year. It shows how overall levels of care changed in the period after the start of the pandemic in March until the end of December 2020 and then examines how changes in activity varied across regions and clinical specialties. Finally it examines how these patterns differ across patient age, ethnicity and local area deprivation.

Transgender health

Useful resources around transgender health.

Centers for Disease Control and Prevention: Transgender persons. Available at https://www.cdc.gov/lgbthealth/transgender.htm.

General Medical Council: Trans health. Available at: https://www.gmc-uk.org/ethical-guidance/learning-materials/trans-health

Royal College of General Practitioners: Transgender care. Available at: https://www.rcgp.org.uk/policy/rcgp-policy-areas/transgender-care.aspx

Royal College of Nursing: Fair care for trans and non-binary people: An RCN guide for nursing and health care professionals. Available from: https://www.rcn.org.uk/professional-development/publications/rcn-fair-care-trans-non-binary-uk-pub-009430

Royal College of Psychiatrists: Supporting transgender and gender-diverse people: Position statement. Available at: https://www.rcpsych.ac.uk/pdf/PS02_18.pdf

Professional associations, producing standards and policies:

European Professional Association for Transgender Health. Available at: http://epath.eu/.

World Professional Association for Transgender Health. Available at: https://www.wpath.org/.

NICE Evidence Search finds other items from the House of Commons Library and from the prison and probation service.

List compiled by Keith Nockels, Academic Librarian (medicine and allied health), University of Leicester, UK April 2021

Crisis, communities, change: demands for an equitable recovery

Crisis, Communities, Chang: demands for an equitable recovery
RSA (Royal Society for Arts, Manufactures and Commerce), 12 April 2021

• This report explores how communities have fared during the pandemic. The survey of 2,600 people in Great Britain, including a weighted sample of 1,000 people from ethnic minority backgrounds, was carried out by Savanta ComRes for the RSA. Among the findings was that discrimination in local services was twice as high among ethnic minorities: 52 per cent of Asian and 50 per cent of black respondents have faced discrimination when accessing local services – compared with 19 per cent of the white population. The data suggests that institutional distrust because of discrimination may play a role in vaccine hesitancy.

The Data Divide

The Data Divide
Ada Lovelace Institute 25 March 2021

• Public attitudes to tackling social and health inequalities in the COVID-19 pandemic and beyond.
•  Findings of a telephone-based, nationally representative survey of 2,023 UK British adults, to explore public attitudes towards a range of technologies deployed during the COVID-19 pandemic for health outcomes, including mental and physical-health apps, symptom-tracking apps, digital contact-tracing apps and vaccine passports.

The NHS’s role in tackling poverty

The NHS’s role in tackling poverty
Kings Fund 18 March 2021

• This report sets out what the NHS, as the largest economic institution in the country, needs to maximise its contribution to tackling poverty, within its resources and with its partners.

Mitigating ethnic disparities in covid-19 and beyond

Mitigating ethnic disparities in covid-19 and beyond [Analysis]
BMJ 15 January 2021; 372 :m4921

• Although socioeconomic status partly explains ethnic disparities seen with covid-19, cultural and structural racism also adversely affect health.

Inequalities in relation to COVID-19 and their effects on London

Inequalities in relation to COVID-19 and their effects on London
Greater London Authority 21 September 2020

• A rapid evidence review to document and understand the impact of COVID-19 (in terms of both health and the broader impacts on existing social and economic inequalities) on those with protected characteristics, as well as those living in poorer, or more precarious, socioeconomic circumstances, paying particular attention to its effect in London.

The Public Sector Equality Duty and Equality Impact Assessments

The Public Sector Equality Duty and Equality Impact Assessments
House of Commons Library Briefing 8 July 2020

• This briefing outlines the Public Sector Equality Duty contained in section 149 of the Equality Act 2010, which requires public authorities to have due regard to several equality considerations when exercising their functions.
• Section 149 replaced pre-existing duties concerning race, disability and sex. It extended coverage to the additional “protected characteristics” of age, gender reassignment, religion or belief, pregnancy and maternity, sexual orientation and, in certain circumstances, marriage and civil partnership.
• This briefing also provides an overview of Equality Impact Assessments. These are assessments that public authorities often carry out prior to implementing policies, with a view to predicting their impact on equality. The Equality Act 2010 does not specifically require them to be carried out, although they are a way of facilitating and evidencing compliance with the Public Sector Equality Duty.

Covid-19: the impacts of the pandemic on inequality

Covid-19: the impacts of the pandemic on inequality
IFS 11 June 2020

• The purpose of this report is to bring together what has emerged so far about the impacts of the crisis on inequalities across several key domains of life and, in doing so, to make a few overarching points.

Risk assessments for NHS staff

Risk assessments for staff
NHS Employers 28 May 2020

• This guidance for NHS organisations on how to enhance their existing risk assessments particularly for at-risk and vulnerable groups within their workforce. This includes workers returning to work for the NHS, and existing team members who are potentially more at risk due to their race and ethnicity, age, weight, underlying health condition, disability, or pregnancy. This guidance is applicable, with appropriate local adaptations, in all healthcare settings.

Health of the Nation National Strategy for Health of the Nation

Health of the Nation National Strategy for Health of the Nation
All Party Parliamentary Group for Longevity 12 February 2020

• A strategy and number of recommendations to meet the government ambition ‘for everyone to have five extra years of healthy, independent life by 2035 and to narrow the gap between the richest and poorest’.
• Recommendations include
• NHS must do more to prevent ill-health and manage its demand. The budget on prevention should increase from 5% to 15% by 2035. 
• Government needs to partner with the left behind places – to reduce health inequalities and support all places to agree health improvement goals with their public.

NHS Widening Digital Participation

NHS Widening Digital Participation
Good Things Foundation and NHS Digital

• The aim of the programme is to design, test and iterate 20 different ways to embed digital inclusion into healthcare over 12 months that, if successful, can be scaled across other areas of the country.

Digital inclusion for health and social care

Digital inclusion for health and social care
NHS Digital updated 4 July 2019

• A guide to help healthcare providers, commissioners, and designers ensure that services delivered digitally are as inclusive as possible, meeting the needs of all sections of the population.

Gypsies and Travellers

Gypsies and Travellers
House of Commons Library briefing paper, updated 9 May 2019

• An overview of the key issues and policies relating to Gypsy and Traveller communities in England. The paper examines a range of issues including: inequalities, racial discrimination, accommodation needs, illegal encampments, health and education outcomes, employment rates, welfare reform and evidence of over-representation in the criminal justice system.

Exploring the UK’s digital divide

Exploring the UK’s digital divide
ONS 4 March 2019

• The scale of digital exclusion in the UK; those who aren’t currently using the internet, how digital skills vary for different groups of the population (including gender, age, disabled people, ethnic groups) and some of the barriers to digital inclusion.
• Regional level data only.

Equality and Health Inequality NHS RightCare Packs

Equality and Health Inequality NHS RightCare Packs
NHS England December 2018

• The Equality and Health Inequalities RightCare Pack considers measures of health inequality and aims to support CCGs and health systems to identify areas of improvement in promoting equality and reducing health inequalities.
• Each pack contains data on a number of healthcare areas in a CCG to demonstrate where there are potential opportunities for addressing equality and tackling health inequalities.