How we are acting on health inequalities during COVID-19

An increasing vulnerability to ill-health

To make things worse, any change in lifestyle or financial circumstance due to COVID-19 could result in people developing long-term health conditions quicker. In a household where one person lives with diabetes, asthma, kidney, liver, or lung disease, everybody will need to exercise caution. Will we have an epidemic of chronic disease on our hands, once the first COVID peak has passed? There is reason to believe we might.

We need to urgently explore strategies to first mitigate against this risk. And second, reduce the economic and social disadvantage of people living with ill-health. To do this, we need to:

– Look at how these people might engage with society;

– How they can continue or return to work in a world where COVID-19 exists;

– And, what their ‘new normal’ could look like when the country re-opens.

Our focus is on stabilising the circumstances of people who are not classed as clinically vulnerable (the shield group), but are struggling to cope due to income, housing or health.

How we will address these inequalities

We are developing a twelve-month plan to pre-empt where people might ‘fall through the cracks’ of the evolving support system that the Government, civil society, businesses and volunteers are putting in place.

Firstly, we are ‘actively listening’ to our partner organisations rooted in our communities. By doing this, we are seeking out mid-term plans to work with them beyond food provision. 

Alongside our commitment to Pembroke House in Walworth, we are providing response funds to High Trees Community Trust. These funds are to help employment and housing support clients in Tulse Hill to remain connected to the outside world.

We are also providing urgent assistance to organisations via the London Community Response Fund. And, to individual organisations like Studio X, who are providing remote entertainment infused with mental health support.

We know that people from Black and otbher minoritised ethnic communities have the cards stacked against them in multiple ways. This leads to worse health outcomes, and this has been brought into sharp focus by the COVID-19 pandemic.

The intersection between isolation, financial hardship, caring responsibilities, unemployment and precarious work is coupled with a greater burden of long-term health conditions.

This is why we are working with BlackThrive to understand the needs of Black and other minoritised ethnic communities within our place. And, to identify any gaps in the response from Government and community organisations. We will place more emphasis on racial equality in our programme strategy going forwards.

Finally, we are exploring what our place will feel like for people living with long-term conditions during a recession. Namely, how the economic landscape will impact the rapid onset of further long-term conditions, and what can be done to cushion the blow.

Future models of support will be hybrid or digital-first, rather than face-to-face delivery. We will focus on ways to scale remote approaches that do not widen the health inequality gap.

Before the crisis, we knew that our financial health, housing and work can, at their worst, cause people to lose up to 15 years of healthy life years. We are working to not let this gap between advantaged and disadvantaged areas grow further. 

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