Covid-19 and inequalities

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Summary of report content

Healthwatch Richmond on Thames undertook an equalities review of their research and insight on the impact of Covid-19 for the Equalities and Human Rights Network.  They looked at the experiences of 2,500 people.

They identified a number of key themes:

  • Digital exclusion is not limited to having access to a device and the internet but also having the support and skills to do new tasks online.  Those who couldn’t were reliant on community support but this wasn’t always available during the pandemic.
  • Carers faced many challenges during the pandemic, including reduced respite care and face to face support, and getting priority access to the Covid-19 vaccine.
  • People living alone had less support than before the pandemic, and exacerbated their feelings of isolation. For those in the LGBTQ+ community, the isolation from their community and friendship groups was particularly acutely felt because some people had experienced breakdown of family support.
  • People who were shielding were particularly hesitant about reengaging with face to face activities including essential appointments.
  • Overall young people were very resilient, but those still at school experienced an increase in school stressors.  Younger people also experienced digital exclusion as they were likely to lack the privacy needed to access care online.
  • Maternity care changed substantially during the pandemic.  For pregnant people with English as a second language, not being able to be accompanied to appointments by their partners caused difficulty with communication and increased anxiety.
  • LGBTQ+ people spoke about higher mental health needs during the pandemic and lower levels of support from their community.  LGBTQ+ safe places closed during the pandemic reducing the opportunity to get support.
  • People from minority ethnic communities felt there was a lack of multi-cultural awareness in the borough. Many people were unaware of the opportunities available to them across NHS, care and wider community support and therefore unable to take advantage of them.

There were 5 recommendations about digital services, better and more targeted information, the need for safe places, additional support for carers and increased mental health services.

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General details

Local Healthwatch
Healthwatch Richmond upon Thames
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Cleanliness, Hygiene and Infection Control
Communication with patients; treatment explanation; verbal advice
Cost and funding of services
Remote appointments and digital services
Health inequality
Prevention of diseases, including vaccination, screening and public hygiene
Lifestyle and wellbeing; wider determinants of health
Written information, guidance and publicity
Accessibility and reasonable adjustments
Service organisation, delivery, change and closure
Caring, kindness, respect and dignity

Methodology and approach

Was the work undertaken in partnership with another organisation?
Yes
Name(s) of the partner organisation(s)
Equalities and Human Rights Network
Primary research method used
Engagement event
Interviews
Survey
General feedback
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Dentist
General Practice (GP)
Inpatient care/General inpatients
Maternity care
General outpatients and hospital-based consultants
Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools Services (TaMHS)
Community Mental Health Team (CMHT) and specialist MH services
Adult social care, including care packages and social workers
Home care/domiciliary care including personal assistants and personal budgets

Details of people who shared their views

Number of people who shared their views
2500
Age group
All
Gender
All
Is the gender identity of people in the report the same as the sex they were assigned at birth?
No
Sexual orientation
Bisexual
Heterosexual / Straight
Gay men
Lesbians / Gay women
Does this report feature carers?
Yes
Seldom heard groups
People with limited family or social networks
Refugees or asylum seekers
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