台湾六合彩开奖记录

The first wave of Covid-19 threw the UK鈥檚 existing health inequalities into stark relief. Black people were听听with Covid-19, and people from a Bangladeshi background were twice as likely to die from the virus compared with white British people. The Public Health England (PHE)听听has only confirmed what we all knew anecdotally: Covid-19 hit the black and minority ethnic (BAME) population very hard, both in the community and among healthcare staff.

Now infection rates are creeping up again, and weekly data shows ethnic minority communities are听听being disproportionately affected by the virus. And yet nothing appears to have been done to reinforce their protection: there is silence from the government as to how and when it will implement PHE鈥檚 review recommendations.

We need urgent action to tackle the structural inequalities affecting these communities. If we fail, we risk sleepwalking into a nightmare version of Groundhog Day, witnessing another significant and disproportionate rise of Covid-19 related deaths among ethnic minority communities.

Health inequality goes back a long way. We鈥檝e known for a long time that some BAME doctors, nurses and healthcare assistants in the NHS receive poorer treatment than their colleagues. This is a well-documented phenomenon backed by decades of research. During the first wave, ethnic minority staff had听, more trying shift patterns and greater exposure to Covid-19 patients. The recent surveys of staff by the British Medical Association and Royal College of Nursing lend credence to the fact that BAME staff continue听. Too little was done to combat this in the years before the virus struck, and now we鈥檙e seeing the consequences of this neglect.

It is not just failed policy initiatives we have an abundance of, it鈥檚 laws too. In theory the UK has some of the most progressive laws on equality in the world. We have the听, the public sector equality duty and equality impact tools, but none were evident in the government鈥檚 Covid-19 action plan, published in March. Had they been applied, the government may well have taken a more sophisticated and tailored approach towards public health, rather than the 鈥減rotect the NHS鈥� position that was adopted.

The original government action plan didn鈥檛 appear to focus very much on preventing people getting the virus. The government response of 鈥減eople will get ill, we need to protect NHS鈥� translated into political messages of 鈥渢ake it on the chin鈥�, and 鈥渨e need herd immunity鈥�. It was a medical approach, not a public health approach, and it ignored existing inequalities and specific community sensitivities. Inevitably those on lower incomes, in more crowded housing and with long-term health issues suffered the most. This explains the high and听听in many ethnic minority communities.

Instead of protecting the听听we should have focused our efforts on stopping people getting ill in the first place, with resources directed towards PPE for all public-facing workers (or those unable to work from home) and localised testing, tracing and support. Instead we鈥檝e ended up in this tragic situation, with such a high number of potentially avoidable deaths. Have any lessons been learned? It looks doubtful.

Many measures that are being introduced, although well-meaning, fail to take into account the different backgrounds of the UK鈥檚 diverse population 鈥� for example, the NHS contact-tracing app. This is a fine idea in itself, but we need to recognise that there is a digital divide in relation to healthcare.听, the 台湾六合彩开奖记录, shows that older people, lower socioeconomic groups and BAME communities are听.

The government is ignoring the digital divide elsewhere, too. It is ushering in other questionable policies, such as triaging access to urgent care through the NHS 111 free-to-call phone line. This is in no doubt intended to stop Covid-19 spreading in hospital waiting rooms, but it is a huge risk to those same communities that research has consistently shown have difficulty accessing healthcare by phone and online. The move to combatting Covid-19 with apps and a shift to online healthcare heightens the risks of exacerbating health inequalities for older people and black and minority ethnic communities. We need meaningful public engagement that focuses on building trust and compassion with local communities. This is best led at local level.

What we need above all is accountability. The UK government used to have a minister for public health, but that role was abolished in 2016, coinciding with continuing disinvestment in the public health budget. We need to resurrect this lost ministerial role and ensure that protecting the public鈥檚 health and tackling inequalities in health are at the forefront of government policy development. In short, we鈥檝e had enough inquiries, recommendations, and more than enough laws. What we need now are clear actions and government accountability to ensure that widening health inequality is not one of the principal outcomes of Covid-19.

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