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Episode 3: Inequality to Justice: Breathing Equity into Healthcare

Episode 3: Inequality to Justice: Breathing Equity into Healthcare

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 Have you ever thought about the difference between equity and equality in healthcare, and why it really matters?In this episode of London in Mind, host Dr. Estelle Moore speaks with Dr. Amrit Sachar, Joint Presidential Lead for Equity and Equality at the Royal College of Psychiatry.They explore how systemic inequality directly shapes health outcomes in the UK with evidence showing that disadvantage can literally shorten lives. Together, they consider how psychologically informed approaches can create health and care environments where both staff and patients experience justice rather than harm.Drawing on her frontline experience in liaison psychiatry, Dr. Sachar shares what she’s learned about the impact of inequality and the practical steps we can take to create a fairer, more inclusive system. Whether you work in health and care or have lived experience of the NHS, this conversation offers both critical insight and down-to-earth ideas for lasting change.Episode ThemesWhy access isn’t the same for everyoneCompassionate policymaking in overstretched servicesThe impact of structural inequality during COVID lockdownsFeeling overwhelmed about implementing equity? Why starting small mattersHow stereotypes can influence clinical judgementWhy equity, diversity, and inclusion are more important than everMaking equity part of the system, not just a training moduleAbout Dr. Amrit SacharDr. Amrit Sachar is an experienced Consultant Psychiatrist with a strong track record in leadership, medical education, and quality improvement. She serves as Joint Presidential Lead for Equity and Equality at the Royal College of Psychiatry and has a Master’s in Leadership in Quality Improvement from Ashridge Executive Education, Hult International Business School.Key Resources and Further ReadingMarmot Review: Ten Years On (Institute of Health Equity) A powerful follow-up to the landmark Marmot Review, documenting how health inequalities in England have widened over the past decade.“Snowy White Peaks of the NHS” – Roger Kline A seminal paper exposing the lack of diversity at the top of NHS leadership and why it matters for equity.No More Tick Boxes (Roger Kline, 2021) A review highlighting why traditional equality initiatives often fail — and what organisations can do differently.ACEs and Population Health (CDC) Evidence on Adverse Childhood Experiences (ACEs) and how early-life inequality impacts health across the lifespan.NHS England » Patient and carer race equality framework [PRECF] The mandatory framework designed to support trusts and providers on their journeys to becoming actively anti-racist organisations.About the Psychological Professions Network:The Psychological Professions Network (PPN) is a multi-professional membership network commissioned by NHS England that brings together professionals, living experience advisors and partners from across provider trusts, integrated care systems, higher education and local communities, to champion workforce development and innovation to maximise the impact of psychologically informed approaches on public health and healthcare delivery. PPN London is focused on strategic initiatives and leadership to enhance mental and physical health outcomes and workforce resilience throughout the capital.About the Host:Dr. Estelle Moore is a clinical and forensic psychologist with over 30 years’ experience in NHS forensic services. She currently serves as Director for Psychological Professions (Chief Psychological Professions Officer) at West London NHS Trust, Head of Psychological Services at Broadmoor Hospital, and Chair of PPN London. Her clinical and research interests include trauma-informed care, treatment of complex post-traumatic stress, restorative justice in forensic settings, and building workforce resilience across health and social care.Find out more: https://ppn.nhs.uk/ Produced by Winter Audio
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