May 2018: Focus on Inequalities
Inequality manifests itself in a number of different ways. The revelation of the extent of the gender pay gap in large organisations (including the NHS) was one of the striking news stories recently, which also draws attention to the financial value placed on different forms of work. HSMC Senior Associate and former nurse director Yvonne Sawbridge notes that she was the lowest paid director in her NHS organisation, and asks what that says about how nursing is valued.
The attention to gender needs to be matched by an awareness of how other aspects of diversity shape the experience of working in and using the NHS. Matthew Morgan writes about the rights and experiences of LGBT+ people in the NHS, reminding us that ‘it is the organisation’s responsibility to come out as LGBT friendly, rather than the individual LGBT person’. And Nicola Gale’s work at HSMC on developing a more inclusive curriculum across the teaching undertaken at the University of Birmingham is part of a commitment to changing the organisation rather than the individual.

HSMC is part of a national evaluation of the Building the Right Support Programme which seeks to transform care for the small population of people with a learning disability who receive in-patient treatment connected with behaviour that challenges. HSMC Deputy Director Robin Miller writes in a blog that little progress has been made towards person-centred care close to home for this group of people – despite this being one of the top NHS priorities in the Five Year Forward View.

People who fall outside what is often considered the white male and relatively wealthy norm within countries such as the UK typically find themselves part of a broader set of inequalities that shape the ways in which people need and experience the NHS. Public health plays a key role in understanding and addressing inequalities, and HSMC has just finished working with the first cohort of Aspiring Directors of Public Health to explore what it means and what it takes to be a successful Director of Public Health. Karen Newbigging draws attention to the persistence of those inequalities, and the ways in which social norms and policy practices continue to tolerate inequality and promote the unfair distribution of resources necessary for health. She argues for urgent political commitment and investment at national and local levels to addressing the root causes of health inequalities.
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HSMC News in Brief
Now recruiting: Second cohort of aspiring public health directors
The Health Services Management Centre is delighted to be recruiting to Cohort 2 of the national and highly regarded teaching programme aimed at those who aspire to director-level posts in public health across the UK. The programme uses the University of Birmingham's leading-edge research on the 21st Century Public Servant to help participants explore what it means and what it takes to be a successful Director of Public Health in the early
21st Century. Cohort 1 participants have found the programme highly beneficial, as well as stretching. Two have already taken up Director-level roles before the programme has reached its end. Cohort 2 begins in September 2018 and runs to May 2019.

Please get in touch with us if you are interested in applying - contact details are available on our website. Closing date for applications is Friday 6 July 2018. We look forward to hearing from you.
Visit programme website ».
Recent HSMC publications on inequalities
Smith, J. and Gosling, J. (2017) Moving up: Women in healthcare leadership. Practice Management, 27(2): 24-27.

Exworthy, M. (2015) "Inequalities in health and health care." In: Harding, G. and Taylor, KMG. (eds) Pharmacy practice. 2nd ed. London: CRC Press. pp. 143-162.

Carr, S. (2014) Social care for marginalised communities: balancing self-organisation, micro-provision and mainstream support. Birmingham: HSMC.