Issue - meetings

Health Inequalities

Meeting: 24/03/2022 - Overview and Scrutiny Committee (Item 4)

4 Health Inequalities pdf icon PDF 489 KB

Wards: All

 

Report Authorised by: Andrew Eyres: Strategic Director of Adults and Health

 

Contact for enquiries: Ruth Hutt, Director of Public Health, 020 7926 7196, rhutt@lambeth.gov.uk; and, Bimpe Oki, Consultant, Public Health 020 7926 9678, boki@lambeth.gov.uk

 

Additional documents:

Minutes:

During discussion of this item the guillotine fell at 9.00 pm.

 

RESOLVED: That the meeting continue for a further period of up to 30 minutes.

 

Councillor Jim Dickson, Cabinet Member for Health and Social Care (job-share), Chair of the Health and Wellbeing Board (HWB), and co-Chair of Lambeth Together Partnership (LTP); Andrew Eyres, Strategic Director for Integrated Health and Care; Ruth Hutt, Director of Public Health; and Bimpe Oki, Public Health Consultant, introduced the item and stated:

·           Health inequalities ran through all activities, such as the Delivery Alliance for Neighbourhoods and Young People and mental health; and had been a specific focus over the past decade.

·           Varied health outcomes for parts of Lambeth’s communities was indefensible.

·           Covid-19 had further exacerbated and highlighted embedded inequalities.

·           The recently established Lambeth Together Equality Diversity and Inclusion (EDI) group supported and enabled work across all health and care programmes.

·           This report set out the growing understanding of inequalities, particularly for those conditions that most impacted residents such as maternity, hypotension, diabetes, and mental health. In turn, this information was being used to shape the Joint Strategic Needs Assessment and the Health and Wellbeing Board (HWB) Strategy and healthcare priorities.

·           Further improvement was needed, but the Government had acknowledged Lambeth’s progress with the new Office for Improvement and Disparities opening in Lambeth, work with Black Thrive, taking the lead on Black Londoner’s health, and on drugs and alcohol.

 

The Committee next heard from Bell Ribeiro-Addy MP as follows:

·           Ethnic minority communities were on average poorer and reported worse local support and treatment from GPs; which compounded stress and consequently their health and wellbeing.

·           Black people statistically presented with symptoms of persons 20 years older and were four times more likely to be detained under the Mental Health Act. Black males were 70 times more likely to have serious mental health issues, 60 times more likely to be a mental health facility in-patient, and 40 times more likely to access services via the Police or criminal justice route, than white people.

·           The Health Secretary only recently announced plans to remove the discriminatory question on sexual activity for sub-Saharan African blood donations, needed for those with sickle cell.

·           Ethnic minorities had higher instances of hypotension, stroke, diabetes, and prostate cancer mortality, which were not genetically based, but resulted from institutional racism.

·           Issues in Black maternal health were also prevalent, with mortality during pregnancy and childbirth being four times higher; and increased rates of 121% for stillbirth and 50% for neonatal death. A key problem was that many Black women were not listened to during pregnancy.

·           A disproportionately higher number of Black, Asian and minority ethnic males died from Covid-19, which had been highlighted from their likely occupations in key worker roles.

·           These issues were longstanding and exacerbated by an unwillingness to acknowledge institutional racism in the healthcare system, and culturally sensitive services and data collection were needed.

 

The Committee then heard from Livia Whyte, Head of Special Projects and Legacy at Black Thrive:

·           Thanks were given to  ...  view the full minutes text for item 4