Driving racial equity in health and care

Developed by the NHS Race and Health Observatory, the Health Action Resource Platform (HARP) allows users to explore NHS performance data broken down by ethnicity across regions, systems, or providers. It aims to illustrate racial inequalities in health through data visualisation in an attempt to drive action in both policy and practice. 

Cardiovascular

24% all deaths in England and Wales in 2019 were caused by cardiovascular disease in Black and minority ethnic groups.

Mental Health

Between 2021-22 black people were almost 5 times as likely as white people to be detained under the Mental Health Act.

Cancer

In the UK, African Caribbean men are up to 3x more likely to develop prostate cancer than white men of the same age.

Who We Are

The NHS Race & Health Observatory are an independent expert body, established by the NHS to examine the health inequalities experienced by Black and minority ethnic communities in England.

We work as a proactive investigator by actioning evidence and insight, providing evidence-based health policy recommendations, and facilitating long-term transformational change across health and care.

Paediatrician with a child in a clinic – understanding racial equity in healthcare

Focus Areas

Reflecting the Observatory’s key priorities, the Health Action Resource Platform (HARP) currently focuses on data across the 10 domains listed below. While data is available across all 10 domains, at the moment there are only case studies for Maternal and Neonatal health. As the collection of ethnicity data improves, we aim to add more metrics and domains onto the site.

Case Studies

Case Study

York Travellers Trust 

This case study is drawn from a programme of research commissioned by the Race and Health Observatory and published in 2023. As part of this project, the team worked with six services in the UK and Ireland to understand good practice in mental health services for these communities.

Case Study

Lincolnshire Traveller Initiative  

Lincolnshire Traveller Initiative (LTI) is a charity based in Lincoln and has been established as a service since 1999. LTI is committed to creating opportunities, community cohesion and positive futures for Lincolnshire’s Traveller communities.

Case Study

Leeds GATE (Gypsy and Traveller Exchange) 

This case study is drawn from a programme of research commissioned by the Race and Health Observatory and published in 2023. As part of this project, the team worked with six services in the UK and Ireland to understand good practice in mental health services for these communities.

Case Study

GATE Herts  

This case study is drawn from a programme of research commissioned by the Race and Health Observatory and published in 2023. As part of this project, the team worked with six services in the UK and Ireland to understand good practice in mental health services for these communities.

Case Study

Exchange House Ireland – National Travellers Service 

Exchange House Ireland National Travellers Service is an organisation of Traveller and non-Travellers and a leading provider of front line and support services to some of the most marginalised Travellers in Ireland since 1980.

Case Study

NHS Race and Health Observatory’s Learning and Action Network

This case study summarises the NHS Race and Health Observatory’s Learning and Action Network programme, which focuses on developing an anti-racism focused Quality Improvement approach to address racial inequalities in maternal and neonatal health outcomes

Case Study

Maternity dashboard – Barts Health

This case study summarises Barts Health NHS Trust’s development of a comprehensive maternity dashboard to address ethnic inequities in maternal and neonatal health outcomes, particularly for their diverse population in London.

Case Study

Post Partum Haemorrhage (PPH)

This case study summarises the Post Partum Haemorrhage (PPH) initiative at Lancashire Teaching Hospital, which aimed to reduce health inequalities in PPH incidence, particularly among women and birthing people from Black and ethnic minority backgrounds.

Case Study

Better Outcomes Postnatally for Mums

This case study summarises Better Outcomes Postnatally for Mums project by the University of Oxford team, which aimed to improve postnatal health outcomes for women facing multiple disadvantages by co-producing accessible postnatal red flag symptom resources

Case Study

Achieving equity in maternity services

This case study summarises the guidance and recommendations from the 2021 NHS policy document entitled ‘Equity and equality: Guidance for local maternity systems’.

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