The ‘hostile environment’ and the weaponization of the UK health system

Uthayakumar-Cumarasamy, Amaran

doi:10.1080/13623699.2020.1766792

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…A recent survey found that numerous doctors had faced pressure from administrative staff regarding patients' need for care, upfront charging also increased workload and time away from patient care (BMA, 2019a). This observation, that upfront charging is less efficient and even generates economic losses has been supported by others (Shahvisi, 2019), suggesting that the hostile environment is not about austerity, but rather about weaponising public services such as the NHS (Uthayakumar‐Cumarasamy, 2020) to appeal to some broader sense of xenophobia (Shahvisi, 2019). While one could argue that Grenfell had little to do with racism; that the poverty had to do with residents being new migrants or due to government austerity as multiple other towers had similar cladding, this would oversimplify the issue.…”

Section: Racism and Structural Injusticementioning

confidence: 83%

Structural injustice and dismantling racism in health and healthcare

2021

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Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms. It also suggests that if we are to dismantle racism, we need to look both within and beyond the traditional domains of health and healthcare and account for a range of broader forces that sustain and re‐enforce racism. We first discuss the issue of responsibility, drawing on Young's social connection model to argue that we all have a responsibility to take action in addressing structural racism. We will then deal with a question that naturally follows, namely how we discharge our responsibilities, with a focus on the role of disruptive action in challenging power and ignorance in dismantling racism in health and healthcare.

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Section: Racism and Structural Injusticementioning

confidence: 83%

Structural injustice and dismantling racism in health and healthcare

2021

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“…A survey found that numerous doctors had faced pressure from administrative staff in regard to patients' need for care; up front charging also increased workload and took time away from patient care. 9 This observation, that upfront charging is less efficient and even generates economic losses has been supported by other research, 10 that suggest that the hostile environment is not about austerity, but rather about weaponising public services such as the NHS 11 to appeal to some broader sense of xenophobia. 10 The hostile environment has also impacted health outside of the NHS with its repercussions continuing to be felt today.…”

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confidence: 90%

A decade of the hostile environment and its impact on health

Essex

Riaz

Casalotti³

et al. 2022

J R Soc Med

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Health Inequalities and Ethnic Vulnerabilities During COVID-19 in the UK: A Reflection on the PHE Reports

et al. 2021

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COVID-19 has uncovered the vulnerabilities, inequalities and fragility present within our social community which has exposed and exacerbated the pre-existing racial and socioeconomic inequalities that disproportionately affect health outcomes for Black, Asian and Minority Ethnic (BAME) people. Such disparities are fuelled by complex socioeconomic health determinants and longstanding structural inequalities. This paper aims to explore the inequalities and vulnerabilities of BAME communities laid bare by the Public Health England (PHE) reports published in June 2020, concluding with suggested strategies to address inequalities in a post COVID-19 recovery.

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The ‘hostile environment’ and the weaponization of the UK health system

Cited by 4 publications

References 5 publications

Structural injustice and dismantling racism in health and healthcare

Structural injustice and dismantling racism in health and healthcare

A decade of the hostile environment and its impact on health

Health Inequalities and Ethnic Vulnerabilities During COVID-19 in the UK: A Reflection on the PHE Reports

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