Identifying and mitigating the impact of COVID-19 on inequalities experienced by people from BAME backgrounds working in health and social care

Lead Research Organisation: King's College London
Department Name: Psychological Medicine

Abstract

Black, Asian and minority ethnic (BAME) groups constitute 14 percent of the population in England and Wales. The NHS is the largest employer of BAME staff, comprising at least 20 percent of the workforce (45 percent in London). BAME healthcare staff, experience greater levels of workplace racism, harassment and discrimination than other staff. Discrimination, and bullying or abuse have persistent effects on mental health and occupational outcomes. Such workplace experiences (more commonly perpetrated by colleagues, managers than patients), have increased over the past five years, particularly in London NHS Trusts. BAME staff also have poorer working conditions (e.g., lower pay, less control in decision making, dis-empowered from complaining about working conditions). COVID-19 infections disproportionately affect BAME UK communities including healthcare workers (e.g., increased mortality among Black ethnic groups). Therefore, adverse working conditions faced by BAME NHS staff may be worsened by greater exposure to COVID-19 related disadvantages, within and outside of the workplace. These adversities place BAME staff in vulnerable positions (e.g. working in role that involve greater exposure to COVID-19 wards; heightened workplace stresses, stigma, fear and uncertainty around COVID-19 risks for themselves and their families). These ethnic inequalities must be addressed to avoid the social, economic, and moral costs of mental ill health and worse occupational outcomes for BAME staff.

This study aims to identify ethnic inequalities in mental health and occupational outcomes amongst NHS staff how COVID-19 exacerbates such inequalities, and the processes which inequalities are produced, maintained and resisted. We also aim to develop a Race Equality Assessment toolkit, as well as education and training resources targeted at improving BAME staff experiences, retention and relevant NHS policies. To address these aims we will involve service users and BAME staff representatives in deciding the content of the survey and interviews, co-leading interviews and in developing the toolkit; collect new quantitative (survey) and qualitative (interview) data on BAME staff experiences since COVID-19; develop the toolkit to help ensure BAME perspectives are prioritized in research and education for all NHS staff; and develop education and training resources targeted at improving BAME staff workplace experiences, job retention and reducing inequalities faced by BAME staff during and beyond COVID19. To do this, we will incorporate an ethnicity module into an ongoing national longitudinal study of NHS staff (NHS CHECK) to assess health and work outcomes by ethnicity over an 18-month period. With the additional ethnicity module, the NHS CHECK cohort will uniquely capture existing and emerging ethnic inequalities in mental health and occupational outcomes during and after COVID-19. We will also carry out interviews with BAME staff who take part in the NHS CHECK study; London based healthcare practitioners from difference ethnic backgrounds who have previously been interviewed before COVID-19 as part of the Tackling Inequalities and Discrimination Experiences in health services (TIDES) study; and NHS managers and senior staff nationally from BAME and non BAME groups.

Data will inform NHS Trusts, NHS England and the public through current initiatives tasked with making sustainable transformations for BAME staff within the workplace )e.g., NHS England Workforce Race Equality Standard) and communities (e.g., Black Thrive). Findings will be used to develop education and training materials to support BAME NHS staff nationally through collaboration with psychologists, medical educations and equality and diversity professionals. These will also be subsequently piloted prior to scale up through our collaborators, such as NHS England Workforce Race Equity Standard, NHS Confederation and Royal College of Nursing.

Publications

10 25 50

 
Description Despite general mistrust in research - our participatory, co-development and co-production approaches yielded committed involvement from our peer NHS researchers, advisory group, stakeholder opinion group and participants.

Main findings from publication "'They created a team of almost entirely the people who work and are like them': A qualitative study of organisational culture and racialised inequalities among healthcare staff." DOI: 10.1111/1467-9566.13414

• NHS staff operate in challenging environments, high workloads and short staffing. Staff social hierarchy is dictated by role and pay grade. Those lower feel less valued, important, respected, with less decision-making ability.
• Working environment affected staff health and well-being by exacerbating discrimination, bullying and harassment behaviours. This affected how staff were treated, career progression opportunities, feelings about work.
• Racism, discrimination and bullying and harassment behaviours, independently and in combination, exploit and maintain racialised hierarchies.
• High diversity-low inclusion dynamic shaped exclusion processes within teams.
• Racism is experienced with intersecting factors (migration, language, religion) and increases segregation within teams.
• Racially minoritised and migrant groups were more vulnerable to experiences of discrimination, bullying and harassment. Working harder to climb career ladders, resigned to unfair treatment, and tired of battling the system.
• Hierarchy and pressurised environment affected ability and willingness to report/challenge experiences of discrimination, with fears of being labelled a troublemaker, negative effects on career progression, upsetting team dynamics.
• To cope with bullying, prejudice, discrimination, and harassment some staff reported strategies such as maintaining closer working relationships with those from similar backgrounds, moving to more supportive teams or leaving the NHS.

Main findings from paper "Race, ethnicity and COVID-19 vaccination: a qualitative study of UK healthcare practitioner perspectives" DOI: 10.1080/13557858.2021.1936464.

• Staff had mistrust in how the vaccine was produced, trialled, and delivered, and whether the potential vaccine side effects outweighed benefits.
• Religious beliefs made some staff unsure or refuse to take the vaccine.
• Vaccinated staff focussed on potential benefits including protection, not spreading COVID-19, and returning to pre-COVID life.
• Hesitant staff focused on too much misinformation and confusing messages; not enough clear, trustworthy information on vaccines.
• Staff felt pressured and forced by employers, media, and workplace rumours.
• Staff feared punishments (losing their job, moved to non-patient roles) if they refused vaccination.
• Staff (especially who identified as Black and Asian) reported not trusting the government and pharmaceutical companies because of current and historical bad practice.
• Putting pressure on racial and ethnic minoritised staff makes them more suspicious and less likely to want to be vaccinated.

What has gone well during the pandemic response:

• Risk assessments for staff and patients.
• Focus on staff health and wellbeing resource.
• Flexibility in work in certain areas and services; working from home, redeployments, digital offers etc.
• Opportunity for staff (particularly nurses) to redeploy to different roles; developing demonstrable skillsets to aid career progression.

Pandemic-related problems to be addressed:

• Risk assessments inconsistently implemented, regarding completion and actioning recommendations based on outcomes.
• Inequity in communication, access and use of health and wellbeing staff resources (shift workers/nights, those with caring responsibilities).
• Widening inequalities for those who are digitally excluded/limited.
Exploitation Route ALL STAFF are impacted by structural and cultural contexts generating and perpetuating ethnic and racial inequalities.

Anti-racism action by all:

• Simultaneous work towards structural, systemic and cultural change.
• Challenge racialised organisational norms.
• Focus on structural inequalities in career progression, access to training and opportunities.
• Take action against resistance and collusion, especially among leadership

Systemic and Cultural Change requires:

• Transparent processes, monitoring and accountability.
• Agile thinking and mandatory training and action.
• Accountability across all leadership levels.
• Addressing mistrust in research/science, government, health services. Mistrust thwarts public messaging (e.g., vaccines), perpetuates inequities and disadvantages.

NHS Managers and Leadership:

• Commit to racial inclusion as a practice, support and increase representation of staff networks, patients and carers on decision-making committees and boards.
• Integrate opportunities for decision-making and action.
• Involve racial and ethnic minoritised staff in development and leadership of training and policymaking.
• Revise Codes of Practice as a structural and public demonstration of commitment.
• Address hidden curriculum: identify and tackle practices in training/placements reinforcing inequities.
• Failures to comply and progress should be sanctioned by governing and regulatory bodies

Funders: Further attention and action needed on tackling mechanisms supporting racial inequity, e.g., witnessing, anticipating and internalised racism and discrimination
Sectors Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice

URL https://tidesstudy.com/publications/
 
Description Adult Psychiatric Morbidity Survey (APMS) Steering Group
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Cited in NHS RHO report: Ethnic Inequalities in Healthcare: A Rapid Evidence Review
Geographic Reach National 
Policy Influence Type Citation in other policy documents
URL https://www.nhsrho.org/wp-content/uploads/2022/02/RHO-Rapid-Review-Final-Report_v.7.pdf
 
Description Contribution to Centre for Mental Health report - 'Fit for Purpose'
Geographic Reach National 
Policy Influence Type Contribution to new or Improved professional practice
URL https://www.centreformentalhealth.org.uk/sites/default/files/publication/download/CentreforMentaHeal...
 
Description Critical Public Health Advisory Board
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description ERSC Inclusive Ageing call assessment panel
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description ESRC/GSR Actionable Insights Seminar (Seminar 8): Understanding disproportionate impacts of COVID-19 on Minority Ethnic Communities
Geographic Reach National 
Policy Influence Type Participation in a national consultation
 
Description Ethnic inequalities in health care among people with multiple conditions - Advisory Board
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Expert Review Group (ERG) of the UK Prevention Research Partnership (UKPRP)
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Guy's and St Thomas' Charity Multiple Long Term Conditions Challenge Fund assessment committee
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
 
Description HEE Mental Health Workforce Equalities Subgroup - Career Pathways and Opportunities
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description HEE Mental Health Workforce Equalities Subgroup - Curriculum Development and Policy Group
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description HEE Mental Health Workforce Equalities Subgroup - equality Impact Assessment workstream
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Health Education England Mental Health Workforce Equalities Subgroup
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description King's College London, College Service Committee, Committee of Academic Board
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Membership of a guideline committee
 
Description MQ/The Lancet Psychiatry Standing Commission on the COVID-19 Pandemic and Mental Health
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
 
Description MRC PRP on adolescent mental health prevention - Expert Advisory Group
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description NHS England and NHS Improvement - The Mental Health Equalities Data Quality and Research Subgroup
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description NHS England and NHS Improvement Advancing Mental Health Equalities Taskforce
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description NHS England and NHS Improvement Patient and Carers Race Equalities Framework [PCREF] Steering Group
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description NHS Race and Health Observatory, Co-Chair Academic Reference Group and Board Member
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
Impact The group of national experts generated a infographic which was widely distributed nationally. The infographic highlighted the key recommendations to help leaders maximise vaccine uptake among ethnic minority groups.
URL https://www.nhsconfed.org/networks/nhs-race-and-health-observatory/vaccine-uptake
 
Description SEL Staff Equality, Diversity and Inclusion Committee - Guy's and St Thomas' NHS Foundation Trust
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Participation in a advisory committee
 
Description The Royal Foundation - Mental Health Research Group
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Thrive London Advisory Board
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description UK REACH (Research Study into Ethnicity And COVID-19 outcomes in Healthcare workers; Manish Pareek, PI) advisory
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Wellcome Trust Social Sciences (Discovery 9) shortlisting committee
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Welsh Government's Race Equality Plan; contribution to the evidence review for Health and Social Care and Employment and Income policy areas, and ongoing advisory.
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
 
Description Higher Education Innovation Fund (HEIF) - Covid 19 Recovery funding
Amount £10,000 (GBP)
Organisation Higher Education Innovation Funding (HEIF) 
Sector Public
Country United Kingdom
Start 02/2022 
End 07/2022
 
Description King's Together Fund
Amount £99,928 (GBP)
Organisation King's College London 
Sector Academic/University
Country United Kingdom
Start 11/2021 
End 02/2023
 
Description Using data to improve public health: COVID-19 secondment
Amount £106,503 (GBP)
Funding ID MR/W021277/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 09/2021 
End 09/2022
 
Description Black Thrive 
Organisation Black Thrive
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution Expertise in research methods, peer researcher training, supporting community-based research, data analysis
Collaborator Contribution Participation in programme planning, supporting engagement and impact activities, expertise in community-based research
Impact no outcomes as yet.
Start Year 2020
 
Description Challenge Consultancy 
Organisation Challenge Consultancy
Country United Kingdom 
Sector Private 
PI Contribution Team provides expertise and intellectual input. Also include them in TIDES wider collaborative meetings.
Collaborator Contribution Facilitating workshops for TIDES participants, stakeholder opinion group and advisory group members to help manage microaggressions at work. Conducting qualitative interviews with senior NHS managers and leaders. Co-producing a Podcast to disseminate findings from workplace context paper.
Impact n/a
Start Year 2017
 
Description Maudsley Learning 
Organisation Maudsley Learning
Country United Kingdom 
Sector Academic/University 
PI Contribution Team provides expertise and intellectual input. We include them in TIDES collaborator meetings and Virtual Reality advisory meetings.
Collaborator Contribution Maudsley Learning involved in co-production of content, delivery and dissemination of project information; Planning the design, filming, post-production, training and distribution of Virtual Reality elements; TIDES collaborator meetings and Virtual Reality advisory meetings.
Impact n/a
Start Year 2017
 
Description NHS Confederation 
Organisation NHS Confederation
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution Team provides expertise; deliver talks and attends meetings to discuss research findings. Including them in the TIDES wider co-investigator and collaborator meetings. Hatch member of NHS Race and Health Observatory Board and Co-Chair of Academic Reference Group.
Collaborator Contribution • Support accessing NHS leaders for the 'senior leaders and manager' qualitative interviews • Co-producing a collaborative piece of work around engaging senior leaders to progress this work and the reasons why it is important to do so • Contributing to the Race Equality Assessment Toolkit, including supporting commissioned work from external parties, e.g. Wales Centre for Public Policy • Contribution to the TIDES wider co-investigator and collaborator meetings (1.5 hours every 6 weeks - 13 in total, not expected to attend all meetings) • Completing tasks following on from TIDES wider co-investigator and collaborator meetings, for example, commenting on documents, providing video pleas for social media etc. (one hour per meeting (13hrs)) • Involvement in TIDES Advisory Group (Wayne) x 3 2 hour online meetings • Involvement in Stakeholder Group Meetings x 3 2 hour online meetings • Contribution to comms, e.g. disseminating materials to mailing lists, social media etc, making short video appeals for the NHS Check and TIDES study.
Impact The NHS Race and Health Observatory generated an infographic which was widely distributed nationally. The infographic highlighted the key recommendations to help leaders maximise vaccine uptake among ethnic minority groups.
Start Year 2020
 
Description NHS England Workforce Race Equality Standard 
Organisation NHS England
Country United Kingdom 
Sector Public 
PI Contribution Including them in the TIDES wider co-investigator and collaborator meetings.
Collaborator Contribution Advisory group member and feedback to WRES Strategic Advisory
Impact n/a
Start Year 2020
 
Description NHS London Workforce 
Organisation NHS London
Country United Kingdom 
Sector Public 
PI Contribution Partners are included in the TIDES wider co-investigator and collaborator meetings.
Collaborator Contribution Advisory group and stakeholder opinion group member. Input shaping MSc projects and advising on strategy.
Impact n/a
Start Year 2020
 
Description Royal College of Nursing 
Organisation Royal College of Nursing
Country United Kingdom 
Sector Private 
PI Contribution TIDES team provides expertise and intellectual input. Co-produce study content, analysis and dissemination with RCN colleagues.
Collaborator Contribution RCN partners participate in co-production of study content, analysis and dissemination; contribute to advisory group; promote recruitment to survey and identify co-researchers and key collaborators
Impact n/a
Start Year 2020
 
Description BME mental health perspectives - an evidence-based approach CNO Nursing & Midwifery BME Action Plan Steering Group 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited to talk at the CNO Nursing & Midwifery BME Action Plan Steering Group, which was held online.
Year(s) Of Engagement Activity 2021
 
Description Bitesize Talk - Inequalities survey 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This short talk focuses on the TIDES Inequalities survey - why it was developed and what we hope to achieve - while also describing TIDES phase 1.
Year(s) Of Engagement Activity 2021
URL https://tidesstudy.com/an-introduction-to-the-tides-study-and-our-new-inequalities-survey/
 
Description Bitesize Talk - Qualitative analysis 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact In this video we talk about the TIDES project and what we are doing with the data we gather through our interviews to help reduce discrimination in health services and improve working conditions for all NHS staff. We explain how this data is analysed using qualitative analysis.
Year(s) Of Engagement Activity 2021
URL https://tidesstudy.com/tides-qualitative-analysis/
 
Description Bitesize Talk - Race, ethnicity and COVID-19 vaccination: a qualitative study of UK healthcare staff 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact In this video we talk about recent research from the TIDES team on COVID-19 vaccines. We want to better understand why the uptake of the vaccine was lower among healthcare professionals from racial and ethnic minority groups, and to inform initiatives that enhance uptake.
The research discussed in this video forms part of our ongoing investigation into racial and ethnic inequalities experienced by healthcare practitioners across England. We report our findings directly to policy makers, which are then used to create new and innovative training and intervention resources for NHS staff across the country.
Year(s) Of Engagement Activity 2021
URL https://tidesstudy.com/race-ethnicity-and-covid-19-vaccination/
 
Description Bitesize Talk - What we do with your data 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact In this video we talk about the TIDES project and what we are doing with the data we gather through our surveys to help reduce discrimination in health services and improve working conditions for all NHS staff.
Year(s) Of Engagement Activity 2021
URL https://tidesstudy.com/what-we-do-with-your-data/
 
Description Blog for IoPPN website for World Mental Health Day 'Health in an unequal world' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Blog piece on the Institute of Psychiatry, Psychology and Neuroscience website - discussing the findings from our IAPT paper. It was published on World Mental Health day and was titled 'Barriers to accessing talking therapies for service users from racial and ethnic minority groups'.
Year(s) Of Engagement Activity 2021
URL https://www.kcl.ac.uk/barriers-to-accessing-talking-therapies-for-service-users-from-racial-and-ethn...
 
Description Blog with quote from HSR UK conference presentation 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Blog piece on the HSR UK website, with a quote from HSR UK Conference, plenary presentation.
Year(s) Of Engagement Activity 2021
URL https://hsruk.org/hsruk/viewpoints/improving-inclusion-together
 
Description Call for applicants to get involved in our research - TIDES study 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact We did a social media campaign and connected with our networks and collaborators to reach out to ask individuals to express interest in opportunities to get involved in this ESRC funded project.

We received >200 responses via an web based application form. This is where we recruited for our peer researchers, advisory group, and wider stakeholder opinion group comprising clinical academics, experts by experience, senior leaders and health and social care staff representing geographic areas across England.
Year(s) Of Engagement Activity 2020
URL https://tidesstudy.com/phase-2/
 
Description Challenge Consultancy - Microaggression workshop series 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Collaborator Challenge Consultancy are delivering a workshop series on addressing microaggressions for TIDES participants, advisory and stakeholder opinion groups. Audience 40-26,000.
Year(s) Of Engagement Activity 2020
URL https://tidesstudy.com/microaggressions-workshop/
 
Description Dissemination and engagement to the NHS Check Study and TIDES researcher roles 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Team presented at 10 NHS staff meetings and the Royal College of Nursing BME networks. This was to promote and invite participation in the NHS Check survey and TIDES study.
Year(s) Of Engagement Activity 2020
URL https://tidesstudy.com/phase-2/
 
Description Guardian article - relating to the RHO ethnic health inequalities rapid review 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Guardian article - relating to the RHO ethnic health inequalities rapid review - in which our IAPT paper is cited
Year(s) Of Engagement Activity 2022
URL https://www.theguardian.com/society/2022/feb/13/radical-action-needed-to-tackle-racial-health-inequa...
 
Description Health Inequalities Research Group Seminar Series 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact The Health Inequalities Research Group, led by Stephani Hatch holds a bimonthly Seminar Series open to HIRG group members.
Year(s) Of Engagement Activity 2020,2021,2022
 
Description Health Inequalities Research Group Career Development Workshops 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact We have held 2 workshops one in November 2020 and one in March 2021 - for Early Career Advice and Research opportunities. This will be held quarterly going forward.
Year(s) Of Engagement Activity 2020,2021
 
Description Health Inequalities Research Group Reflective Practice 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact A racially diverse space of researchers and clinicians to read and reflect on their own positionality in personal and professional spheres.
Aims:
1. To continue a movement to invert the impact of structural racism within the space itself, which may reflect dynamics in wider academia.
2. To create a safe and exploratory space for open and honest discussions around racism, power and positionality.
3. To slowly integrate reflections for impact more broadly, in terms of wider research and practice, and within the context of our personal lives.
Year(s) Of Engagement Activity 2021
 
Description Health Inequalities Research Support subgroup 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The HIRG Support aims to provide a safe space for researchers, clinicians and community engagement coordinators to support one another, share resources and discuss ongoing projects. The group will hold informal "drop-in" meetings once a month, in between the wider HIRG presentation meetings led by Professor Stephani Hatch every two months. The group has also developed a 'directory' of individuals who can share their skills and experience in a range of academic, clinical and community settings.
Year(s) Of Engagement Activity 2021
 
Description Health Inequalities Review Summaries of research studies and reports 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We post short summaries that highlight key aspects of evidence-based publications relevant to health inequalities in health and social care in the UK.

The summaries are of work completed by researchers within the TIDES team and our collaborators.

All our summaries are free to read. This is because we want to make research easy to read and accessible to all. We want to facilitate discussions between people in the community, carers, researchers, policy makers, health and social care professionals.

You can use and share these summaries to start conversations, help with your essays and assignments, bring to appointments.
Year(s) Of Engagement Activity 2021
URL https://tidesstudy.com/what-is-health-inequalities-review/
 
Description Help us do better - social media campaign 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The team led a successful social media campaign (#HelpUsDoBetter) with the NHS CHECK study and a podcast series on inequalities in healthcare services hosted by medical students.
Year(s) Of Engagement Activity 2020
URL https://twitter.com/tides_study
 
Description How research and innovation are tackling the COVID-19 Pandemic, UKRI Virtual Parliamentary Event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Invited to speak about the TIDES project and general impact of COVID on 'How research and innovation are tackling the COVID-19 Pandemic' at the UKRI Virtual Parliamentary Event.
Year(s) Of Engagement Activity 2020
 
Description In Conversation with Black Professors in Mental Health, Black & Minority Ethnics in Psychiatry & Psychology Network (BiPP) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Invited to speak and be interviewed for the 'In Conversation with Black Professors in Mental Health' event organised by Black & Minority Ethnics in Psychiatry & Psychology Network (BiPP), and held online.
Year(s) Of Engagement Activity 2020
URL https://www.bippnetwork.org.uk/previous-events
 
Description International Public Policy Observatory (IPPO) roundtable 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited to attend IPPO roundtable Exploring the unequal impacts of COVID-19 on the UK Black, Asian and Minority Ethnic population. The purpose of this roundtable was to understand the key facts, data and issues of COVID inequality to narrow down topics for a detailed rapid evidence review to assist policy stakeholders across the UK, including in devolved administrations. Specifically looking for feedback and thoughts on 'what the unequal impacts of COVID-19 have been on the UK Black, Asian and Minority Ethnic (BAME) population.
Year(s) Of Engagement Activity 2022
 
Description International Public Policy Observatory Blog - How Virtual Reality can help to reduce racial bias and discrimination in the NHS 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We were invited to write a blog piece about How virtual reality can help to reduce racial bias and discrimination in the NHS which was published in the International Public Policy Observatory blog.
Year(s) Of Engagement Activity 2021
URL https://covidandsociety.com/virtual-reality-reduce-racial-bias-discrimination-nhs/
 
Description KCL press release on the Vaccine hesitancy paper 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact KCL published a press release based on the Vaccine Hesitancy paper written by our team and published in Ethnicity and Health.
Year(s) Of Engagement Activity 2021
URL https://www.kcl.ac.uk/news/vaccine-hesitancy-linked-to-previous-experiences-of-discrimination-in-hea...
 
Description Launch of Inequalities Survey 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Twitter and email campaign to promote the launch of the NHS Check inequalities survey - looking at the impact of ethnic inequalities on mental health and work outcomes among NHS staff.
Year(s) Of Engagement Activity 2021
URL https://twitter.com/tides_study
 
Description Maudsley Lectures in Psychoanalysis: Reflections on the Pandemic, South London and Maudsley NHS Trust 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Invited to lead discussion on race at the Maudsley Lectures in Psychoanalysis event. Talk was titled 'Reflections on the Pandemic', and it was organised by South London and Maudsley NHS Trust and held online.
Year(s) Of Engagement Activity 2020
URL https://psychoanalysis.org.uk/civicrm/event/info%3Fid%3D1060%26reset%3D1
 
Description Mental health research is racist, so what are we all going to do about it??Mental Health Question Time - organised by UCL Psychiatry, The Lancet Psychiatry, Black Thrive and The Mental Elf 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Invited to give talk on 'Mental health research is racist, so what are we all going to do about it?' At the Mental Health Question Time, which was held online and organised by UCL Psychiatry, The Lancet Psychiatry, Black Thrive and The Mental Elf.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=2EkWLGgmUo4
 
Description NHS Check Webinar - NHS Check King's College London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact presented the TIDES study at the NHS Check Webinar - aim to to engage with staff at the NHS Trusts partnering with the NHS Check study and encourage them to complete to the survey as well as the ethnic inequalities module.
Year(s) Of Engagement Activity 2021
 
Description NHS Confederation internal newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Social care recruitment for interviews and advisory board was published in the newsletter.
Year(s) Of Engagement Activity 2021
 
Description Overview of evidence on BAME mental health, impact of discrimination, existing gaps and under-utilisation of evidence, opportunities for engagement and to influence, Public Health England Development Day 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Invited to give presentation and discussion at the Public Health England Development Day, talk was titled 'Overview of evidence on BAME mental health, impact of discrimination, existing gaps and under-utilisation of evidence, opportunities for engagement and to influence' The event was held online.
Year(s) Of Engagement Activity 2020
 
Description PPI&E strategy planning with NHS CHECK team 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Meeting to discuss NHS CHECK website updates, planning advisory group meetings, comms with partner Trusts.
Year(s) Of Engagement Activity 2020,2021,2022
 
Description Peer Researchers - training 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact We recruited 3 peer researchers and provided them with research skills training to support their research activities within the TIDES team.
Year(s) Of Engagement Activity 2020,2021
 
Description Presentation at the King's Health Partners Annual Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The King's Health Partners Annual Conference took place on 7th October where we celebrated the significant achievements, outstanding learning, innovative science and impactful care that staff and students across the partnership delivered throughout the pandemic. Presenting findings from TIDES and the Centre of Society and Mental Health.
Year(s) Of Engagement Activity 2021
URL https://www.kingshealthpartners.org/latest/3464-watch-the-kings-health-partners-annual-conference-on...
 
Description Presented at King's College London College Service Committee 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Presented at The College Service Committee meeting on how service is embedded throughout our research and how that is practically delivered?

Title: Building the Service ethos into research for better outcomes'
Year(s) Of Engagement Activity 2021
 
Description Processes and Mechanisms - Race, Racism and Mental Health, The Zinc Academy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited to talk on 'Processes and Mechanisms - Race, Racism and Mental Health' at the The Zinc Academy online event.
Year(s) Of Engagement Activity 2020
URL https://m.facebook.com/ZINCVC/photos/a.1957006657893446/2742331126027658/?type=3&source=57
 
Description Profile in the Lancet - Stephani Hatch: rethinking power in health-care research 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact A profile on Stephani Hatch was written and published in the Lancet.
Year(s) Of Engagement Activity 2021
URL https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02311-4/fulltext
 
Description Promoting Mental Health & Wellbeing of BAME Staff through COVID & Beyond - CNO - NHS England and NHS Improvement 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited to talk at the CNO - NHS England and NHS Improvement event about the impact of the pandemic on Black, Asian and ethnic minority NHS staff.
Year(s) Of Engagement Activity 2021
 
Description Senior Leadership Programme for Women of Colour - University of Edinburgh 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Delivered a talk at the Senior Leadership programme for Women of Colour session, which took place online to the University of Edinburgh
Year(s) Of Engagement Activity 2021
 
Description Social media and email campaign - social care staff interviews 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact email and twitter campaign to recruit social care workers to take part in interviews to help us understand staff perspectives on inequality, discrimination and the impact of COVID-19 in social care services.
Year(s) Of Engagement Activity 2021
URL https://twitter.com/tides_study/status/1415339027914530825
 
Description TIDES - Opportunities to get involved 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Twitter and email campaign to encourage involvement of key stakeholders in social care work to inform and guide the project
Year(s) Of Engagement Activity 2021
 
Description TIDES Advisory Group - meeting 1 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Advisory group made up of NHS and Social care staff with an interest/experience in, or on-the-ground experience of action to address Equality, Diversity and Inclusion issues affecting Black, Asian and minority ethnic staff at work, to;

Helping to steer the TIDES study.
Helping us make key decision about the study, such as what questions to ask staff.
Supporting us to increase representation of ethnic minority healthcare staff in our study.
Year(s) Of Engagement Activity 2020
URL https://tidesstudy.com/phase-2/
 
Description TIDES Advisory Group - meeting 2 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Advisory group made up of NHS and Social care staff with an interest/experience in, or on-the-ground experience of action to address Equality, Diversity and Inclusion issues affecting Black, Asian and minority ethnic staff at work, to;

Helping to steer the TIDES study.
Helping us make key decision about the study, such as what questions to ask staff.
Supporting us to increase representation of ethnic minority healthcare staff in our study.
Advise us on the Race Equality Impact Assessment Toolki and training resources to be developed.
Advise us about how to share our findings and to get the resources developed into practice.
Year(s) Of Engagement Activity 2020
URL https://tidesstudy.com/phase-2/
 
Description TIDES Stakeholder Opinion Group - meeting 1 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Stakeholder opinion group involving NHS and Social care workers with an interest/experience in, or on-the-ground experience of action to address Equality, Diversity and Inclusion issues affecting Black, Asian and minority ethnic staff at work?

The meeting was focused on questions for an ethnicity-focused survey and interviews with healthcare professionals.
Year(s) Of Engagement Activity 2020
URL https://tidesstudy.com/phase-2/
 
Description TIDES Stakeholder Opinion Group Meeting - Toolkit and VR 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact the discussions that took place at Advisory Group enabled a survey to be developed to further prioritise topics and questions to shape the content for the Race Equality Impact Assessment Toolkit. The Stakeholder Opinion Group met to further discussions to develop the toolkit and Virtual Reality scenarios
Year(s) Of Engagement Activity 2021
 
Description Talk at the Society for Social Medicine & Population Health 65th Annual Scientific meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact TIDES team members presented findings and answered questions on Race, ethnicity and Covid 19 vaccination data at the Society for Social Medicine & Population Health 65th Annual Scientific meeting.
Year(s) Of Engagement Activity 2021
URL https://cdn.eventsforce.net/files/ef-px6ci6a56tzs/website/192/ssm_2021_oral_programme_session_2.pdf
 
Description Trustwide BME Network meeting South London and Maudsley NHS Foundation Trust 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact NHS Check and TIDES engagement talk to Trustwide BME Network meeting (South London and Maudsley NHS Foundation Trust). To faciltate engagement in the stidy and provide an update on the study progress.
Year(s) Of Engagement Activity 2021
 
Description Webinar - recorded as a podcast LSE - The EU's Best Shot: overcoming vaccine hesitancy in marginalised local identities 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Webinar recorded as a podcast - The EU's Best Shot: overcoming vaccine hesitancy in marginalised local identities. Local identities across Central and South-Eastern Europe have seen a sustained distrust and scepticism in the region when it comes to vaccine uptake. How can the EU overcome this hurdle?
As the COVID-19 pandemic progresses, an ever-growing divide between Western and Eastern Europe in terms of vaccination uptake has become more apparent. But what's driving it? And what can be done to overcome these challenges?
Year(s) Of Engagement Activity 2022
URL https://www.youtube.com/watch?v=0Wb5qJncZ78
 
Description Workplace context paper press release for King's website 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Press release published on the King's College London website about our workplace context paper - how racism embedded in NHS organisational culture and norms prevents progress on healthcare staff inequities.
Year(s) Of Engagement Activity 2022
URL https://www.kcl.ac.uk/news/racism-embedded-in-nhs-organisational-culture-and-norms-prevents-progress...
 
Description test 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact test
Year(s) Of Engagement Activity 2021