46. Rosie Murphy - addressing health inequalities in maternity
Description
Rosie Murphy is a midwife doing fantastic work around health inequalities, including the coproduction workshop we co-led in Croydon.
Our conversation builds on Episode 45 with Noreen Bukhari. I hope Rosie and Noreen will connect and exchange notes on their excellent work in Coventry and Croydon, supporting women from black and ethnic minority communities.
I met and became friends with Rosie through her prestigious Darzi fellowship – Rosie's work was rated as exceptional.
Lemon lightbulbs 🍋💡🍋
- Racism is not just about shouting expletives - it is complex
- We all have unconscious bias
- There is unwillingness to acknowledge systemic racism
- UK institutions are largely built around the needs and understandings of white middle class men
- We need to be culturally aware to understand what matters to people
- Whose Shoes uses imaginative ways to listen to ALL voices
- Trust, being listened to, being taken seriously MATTER
- Education, socio-economic status, ethnicity, body, size affect how likely to be taken seriously
- There is mistrust and distrust of the NHS/ maternity services among some groups
- Maternity services are difficult to navigate!
- The NHS doesn’t need to fix all problems itself
- Use informal communication channels that people trust - hairdressers!
- Social deprivation has many impacts – services need to flex more
- White allyship includes owning our own biases
- Call people in, not call them out
- Lived and learned experience - work TOGETHER for safety of mother and baby
- Women who've had a negative experience find it harder to speak out next time
- HEARD campaign, Croydon – Health, Equity And Racial Disparity
- Find simple ways to show women they are being taken seriously
- Creative ways for people to feedback
- Croydon BME Forum / Asian Resource Centre reach people in imaginative ways - eg community healthcare drop-in session
- Share the learning eg infographics, blogs, Steller Stories , Sway reports
- Connect and learn from others
Links and resources
- Rosie's blogs: Partnering with minoritised women and birthing people to improve maternal and perinatal outcomes: a Darzi journey - Health Innovation Network
- Film - Highly acclaimed Whose Shoes event in Croydon, focusing on health inequalities affecting women and families from Black, Asian and ethnic minority communities
- Gill Phillips' presentation at ‘Birthing with colour’ Nov 2020 -championed by Lewisham and Greenwich maternity team
- Nobody's Patient' project
- Family Integrated Care report
- The Obs Pod - CQC Maternity Survey 2022
- Gill Phillips' article Patient Experience Library, Jan 2023 capturing 'Whose Shoes' tips and lemon lightbulbs.
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