Episode 86: Taking action on health and healthcare inequalities
RCP Medicine Podcast
In this episode RCP Medicine Podcast, we are joined by Dr John Dean, Clinical Vice President at the Royal College of Physicians and a physician in East Lancashire, and Dr John Ford, an academic public health doctor and Senior Clinical Lecturer at Queen Mary University. Together. They explore the multifaceted nature of health inequalities and discuss actionable steps physicians can take to address these disparities. Both share their personal experiences and professional insights into health inequalities and how it shaped their understanding of social and economic disadvantages. They discuss the structural factors within society that lead to health inequalities and emphasise the importance of creating a fairer, more inclusive society. The conversation focusses on the role of clinicians in addressing health care inequalities and the need for continuous improvement in healthcare design and delivery.
Resources
Bridging the gap: a guide to making health inequalities a strategic priority for NHS leaders
A snapshot of UK doctors: experiences of health inequalities
Supporting clinicians to address health inequalities in practice
RCP view on health inequalities: a call to action for a cross-government strategy
Funding
This episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had no involvement in the creation and elaboration of this episode and all views and opinions expressed by the presenter and guests are solely their own.
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Music:
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Episodes 1 - 49 Nicolai Heidlas
Episode 79: Understanding Behavioural Science to Address Health Inequalities
RCP Medicine Podcast
In this episode of the RCP Medicine Podcast, Dr. Rohan Mehra, an Infectious Diseases/Microbiology SPR, discusses the critical role of behavioural science in addressing health inequalities. Decreased vaccine uptake and lack of engagement with healthcare services are pressing issues, particularly among those affected by health disparities. To shed light on these challenges, Rohan is joined by Professor Susan Michie, a leading expert in health psychology and behaviour change from University College London. With her extensive research and practical expertise, Professor Michie explores how we can apply behavioural science to improve healthcare engagement and design effective interventions. Tune in to discover how understanding human behaviour can drive meaningful change in health outcomes.
References:
A synthesis of evidence for policy from behavioural science during COVID-19, Ruggeri et al.
https://www.nature.com/articles/s41586-023-06840-9
The human behaviour change project
Complex Systems for Sustainability and Health
https://www.ucl.ac.uk/complex-urban-systems/cussh.
Behaviour Change Wheel: A Guide to Designing Interventions
WHO behavioural science group
https://www.who.int/initiatives/behavioural-sciences
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Music:
Episode 50 onward - Bensound.com
Episodes 1 - 49 Nicolai Heidlas
Episode 76: Smoking and vaping
RCP Medicine Podcast
In this episode of RCP Medicine podcasts, Dr Rebecca Kuruvilla discusses e-cigarettes and vaping with the RCP’s special advisor on Tobacco, Professor Sanjay Agrawal. It is an area that many physicians are unclear on how to advise their patients on. In this episode, Sanjay aims to shed a light on e-cigarettes and their role on health and he will also discuss the recent report he has co-authored “E-cigarettes and harm reduction: an evidence review” for the RCP. Sanjay will explain how we should be advising our patients on e-cigarettes looking at the current evidence.
Sanjay is a Consultant in Respiratory and Critical care medicine at the University Hospitals of Leicester NHS Trust. He has a specialist interest in treatment of tobacco dependency and NHS financial management, alongside clinical care for patients with interstitial lung disease, lung cancer and patients with critical illness. Sanjay Chairs the RCP Tobacco advisory group and is the National Speciality Advisor on Tobacco to NHS England.
This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.
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Episode 75: Health Inequalities and Corporate Influence: Unveiling the Food Industry's Impact
RCP Medicine Podcast
In this episode of the RCP Medicine podcast's Health Inequalities series, Dr. Rohan Mehra delves into the commercial determinants of health—how private sector activities influence health outcomes and deepen inequalities. This episode focuses on the food industry, examining how corporate actions like product design, marketing, and lobbying can negatively impact public health.
Joining Rohan is Dr. Chris Van Tulleken, an infectious diseases consultant at the Hospital for Tropical Diseases in London, associate professor at University College London, and an acclaimed researcher and BAFTA wining broadcaster. Chris’ work, including his bestselling book Ultra-Processed People, shines a light on how corporations, particularly in the food industry, affect health, especially in the context of child nutrition. Together, they explore the pressing issue of corporate influence on health and discuss practical ways to address these challenges.
Resources:
Lancet commercial determinants of health series:
https://www.thelancet.com/series/commercial-determinants-health
Commercial determinants of health- WHO fact sheet
https://www.who.int/news-room/fact-sheets/detail/commercial-determinants-of-health
LSHTM research on commercial determinants of health (CDRG workgroup)
https://www.lshtm.ac.uk/research/centres-projects-groups/cdrg
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Music:
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Episodes 1 - 49 Nicolai Heidlas
Episode 70: Health inequalities and Race
RCP Medicine Podcast
Listen to Dr Rohan Mehra, RCP clinical education fellow, (Infectious diseases/microbiology SPR) and Professor Habib Naqvi as they highlight health inequalities that exist due to race and what you can do to improve this situation. Sadly, racism is still pervasive in society and healthcare is not immune from this and needs urgently addressed. They explore some of the inequalities that exist due to race, how they need to be tackled and what you can do in your daily practice to try and address these ongoing challenges.
Professor Habib Naqviis Chief Executive of the NHS Race and Health Observatory in the UK, which works to identify and tackle ethnic inequalities in healthcare by facilitating evidence, making health policy recommendations, and enabling long-term transformational change. Habib has worked in healthcare for 25 years, he’s spoken and written widely on health equity and was awarded an MBE in the 2019 Queen’s Birthday Honours for services to equality and diversity in the NHS. Habib is listed in the Health Service Journal’s ‘100 most influential people in health’.
Further information on the NHS Race and Health Observatory can be found here: https://www.nhsrho.org/
Funding
This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.
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Music:
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Episodes 1 - 49 Nicolai Heidlas
Episode 69: Medical practice in adults with a learning disability
RCP Medicine Podcast
Listen to Dr Charly Annesley (Consultant Learning Disability physician) and Dr Rebecca Kuruvilla (RCP clinical education fellow and Clinical Pharmacology and GIM registrar) discuss health inequalities in the population of patients living with a learning disability and why we need more physicians who are trained in this area of medicine. They also talk to Dr Alex Tyler who is an ST6 registrar in Geriatrics and GIM who is completing a PG certificate in Medical Practice in Adult Learning Disability.
Dr Charly Annesley is a consultant learning disability physician. She works at North Middlesex University hospital in London, having set up the first and only post of its kind in the country. She is also an honorary clinical lecturer and course lead for a postgraduate certificate in Learning Disability Medicine that is run with the RCP and Edge hill university.
Links:
Training Programme to meet the Medical Needs of Adults with a Learning Disability | RCP London
BTS clinical statement on aspiration pneumonia | Thorax (bmj.com)
BTS Clinical Statement on the prevention and management of community-acquired pneumonia in people with learning disability | Thorax (bmj.com)
Master LeDeR 2023 (2022 report) (kcl.ac.uk)
RCP Toolkit: Acute medical care for people with a learning disability
Funding
This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.
RCP Links
RCP Social Media
Music:
Episode 50 onward - Bensound.com
Episodes 1 - 49 Nicolai Heidlas
Episode 68: Inequalities in healthcare - differential attainment
RCP Medicine Podcast
Listen to Dr Rohan Mehra, RCP clinical education fellow, (Infectious diseases/microbiology SPR) and Dr Mumtaz Patel, as they shine a spotlight on differential attainment in healthcare. This is a pervasive issue within UK healthcare which requires work from everyone. Here Rohan and Mumtaz illustrate the issue, how it impacts people and what you can do to try and make a difference.
Dr Mumtaz Patel is a consultant in nephrology in Manchester as well as Senior censor and Vice President for education for the RCP. Mumtaz led nationally on the research around Differential Attainment for over 5 years and has led cross-collaborative research across organisations such as GMC, NHSE, royal colleges and within different specialties with a focus on earlier interventions and support to improve educational outcomes and trainee experience. Mumtaz has helped produce national guidance around supporting trainers and trainees in addressing and narrowing the Differential attainment gap. This work has had national and international recognition with presentations at multiple conferences.
Resources:
GMC: tackling differential attainment.
Academic papers highlighting differential attainment and steps that need taken:
Woolf K, Potts HW. Ethnicity and academic performance in UK-trained doctors and medical students: systematic review and meta-analysis. BMJ 2011;342:d901.
Woolfe K, Rich A, Viney R, Needleman S, Griffin A. Perceived causes of differential attainment in UK postgraduate medical training: a national qualitative study. BMJ Open 2016;6:e013429
https://www.gmc-uk.org/education/14105.asp
Hawkridge A, Molyneux D. (2019) A description and evaluation of an educational programme for North West England GP trainees who have multiple fails in the Clinical Skills Assessment (CSA). Education for Primary Care. 30(3):167-172.
Jeremy Brown, Liam Jenkins, John Sandars, Julie Bridson, Mumtaz Patel (2023) Evaluation of the Impact of the Workshop ‘EQiT – Embedding Compassionate, Courageous, Cross-cultural Conversations into Training’ General Medical Council
Jeremy Brown, Liam Jenkins, John Sandars, Julie Bridson, Mumtaz Patel (2023) Evaluation of the impact of the Royal College of Psych
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Episode 66: Health Inequalities- Homelessness
RCP Medicine Podcast
Listen to Dr Rohan Mehra (Infectious diseases/microbiology SPR), Dr Pippa Medcalf and Peter Bull as they discuss health inequalities for people experiencing homelessness. Pete shares some powerful accounts of times he has interacted with healthcare when he was without a permanent residence. He highlights the negatives, but also important steps healthcare professionals can take to make the situation better. Pippa describes how her hospital have introduced systems to best help those experiencing homelessness and what healthcare professionals can do to try and make a difference.
Dr Pippa Medcalf is a consultant in acute medicine in Gloucester Hospital where she established the hospital homeless healthcare team. She now advises the RCP and other organisations on the care of the homeless in hospital.
This resource has been funded by Novartis by the provision of a grant, Novartis has had no editorial input or control over the content of these materials.
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Episode 63: Health inequalities in the LGBTQIA+ Community what’s going on and what can you do?
RCP Medicine Podcast
Listen to Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR) and Professor Catherine Meads as they discuss the vast Health inequalities facing LGBTQIA+ communities. They outline practical steps that you as a clinician can take to ensure you do not contribute to or worsen health inequalities in your local environment as well as suggestions at national level to help tackle this issue.
Professor Catherine Meads is a senior systematic reviewer at Anglia Ruskin university and has published numerous systematic reviews and has been conducting research into lesbian, gay, bisexual and transgender (LGBT) health since 1992 and has published several ground-breaking papers in this area.
https://assets.publishing.service.gov.uk/media/5b39e91ee5274a0bbef01fd5/GEO-LGBT-Action-Plan.pdf
https://ec.europa.eu/assets/sante/health/videos/2018_lgbti_trainingvideo_en.mp4
https://www.stonewall.org.uk/system/files/lgbt_in_britain_health.pdf
https://www.stonewall.org.uk/resources-creating-lgbtq-inclusive-workplace
This resource has been funded by Novartis by the provision of a grant, Novartis has had no editorial input or control over the content of these materials.
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Episode 55: Professor Sir Michael Marmot on health inequity: Part 2
RCP Medicine Podcast
This episode continues the conversation between Professor Sir Michael Marmot and Dr Jasmine Lee as they discuss the challenges faced now following over a decade of growing health inequity and the current cost of living crisis.
Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions.
Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London.
This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.
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Episode 54: Professor Sir Michael Marmot on health inequity: Part 1
RCP Medicine Podcast
Listen to Professor Sir Michael Marmot and Dr Jasmine Lee discuss the impact of social determinants of health inequity looking at research and policies over the years, the important relationship they have to the health of our population and the impact of the Coronavirus-19 pandemic.
Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions.
Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London.
This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.
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Episode 50: Health Inequalities (Drug Addiction)
RCP Medicine Podcast
Dr Seun Anyiam and Dr Molly Bradbury discuss the impact of drug abuse. Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in the specialty of, and studying for a PhD in, obesity medicine. Dr Molly Bradbury is a junior doctor with a special interest in inclusion health, health inequality and addiction
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Episode 49: Health Inequalities (Ethnicity and Health Inequalities)
RCP Medicine Podcast
Listen to Dr Veena Raleigh, epidemiologist and Senior Fellow of The King's Fund and Dr Ajay Verma, consultant gastroenterologist at Kettering General Hospital discuss ethnicity and health inequalities along with relevant statistics.
The relationship patterns between life expectancy and ethnicity may surprise you.
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Episode 48: Health Inequalities (Air Pollution)
RCP Medicine Podcast
Episode 47: Health Inequalities (Sustainability)
RCP Medicine Podcast
In this episode, Florence Wedmore, a junior doctor and education fellow, talks about sustainable healthcare with Jyoti Baharani, a renal physician.
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Episode 44: Health Inequalities (Obesity)
RCP Medicine Podcast
In this special episode for World Obesity Day, Dr Seun Anyiam and Professor John Wilding discuss all things obesity, including how to tackle the increasing prevalence of obesity in society and the increased risk of worse outcomes in COVID-19. They also tackle the important issue of obesity stigma, and how the existence of this among healthcare professionals can lead to inequality in the treatment of people living with obesity.
Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in, and studying a PHD in obesity medicine.
Professor John Wilding is a Professor of Medicine at the University of Liverpool, a specialist in obesity, diabetes and endocrinology, and is the President of the World Obesity Federation.
References:
Caterson et al 2019, Diabetes, Obesity and Metabolism
Flint Narrative NHS Long term plan
Bray Lancet review
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Episode 42: Health Inequalities
RCP Medicine Podcast
In this special episode, Dr Seun Anyiam and Professor Carol Brayne discuss the issue of health inequalities and explore how the unconscious biases of clinicians may be contributing to ongoing inequalities in the health outcomes of patients.
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Episodes 1 - 49 Nicolai Heidlas
Episode 86: Taking action on health and healthcare inequalities
51:34
Episode 79: Understanding Behavioural Science to Address Health Inequalities
1:19:42
Episode 76: Smoking and vaping
38:04
Episode 75: Health Inequalities and Corporate Influence: Unveiling the Food Industry's Impact
54:51
Episode 70: Health inequalities and Race
48:25
Episode 69: Medical practice in adults with a learning disability
30:20
Episode 68: Inequalities in healthcare - differential attainment
35:45
Episode 66: Health Inequalities- Homelessness
37:45
Episode 63: Health inequalities in the LGBTQIA+ Community what’s going on and what can you do?
39:07
Episode 55: Professor Sir Michael Marmot on health inequity: Part 2
26:21
Episode 54: Professor Sir Michael Marmot on health inequity: Part 1
31:03
Episode 50: Health Inequalities (Drug Addiction)
30:50
Episode 49: Health Inequalities (Ethnicity and Health Inequalities)
35:17
Episode 48: Health Inequalities (Air Pollution)
37:39
Episode 47: Health Inequalities (Sustainability)
25:10
Episode 46: Health Inequalities (Smoking)
27:38
Episode 44: Health Inequalities (Obesity)
34:27
Episode 42: Health Inequalities
29:41