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Translating Cultural Safety to the UK.

Amali U Lokugamage1,2, Elizabeth Liz Rix3, Tania Fleming4

  • 1Department of Clinical and Professional Practice, University College London Medical School, London, UK.

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The COVID-19 pandemic revealed health inequities for ethnic minorities in the UK. Implementing

Keywords:
applied and professional ethicseducation for health care professionalsminoritiespublic health ethicsquality of health care

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Area of Science:

  • Public Health
  • Health Equity
  • Anti-racism in Healthcare

Background:

  • COVID-19 pandemic highlighted significant health disparities in UK ethnic minority populations.
  • The 'Black Lives Matter' movement underscored the role of structural racism in health inequities.
  • Cultural Safety, originating in New Zealand, addresses systemic racism in healthcare for Indigenous peoples.

Purpose of the Study:

  • To explore the concept and application of 'Cultural Safety' in healthcare.
  • To examine how New Zealand and Australia integrate Cultural Safety into medical education and practice.
  • To identify strategies for implementing Cultural Safety in the UK to reduce healthcare racism.

Main Methods:

  • Literature review on Cultural Safety in New Zealand and Australia.
  • Analysis of existing healthcare practices and educational models.
  • Consideration of UK-specific challenges and opportunities for implementation.

Main Results:

  • Cultural Safety is an anti-racist, decolonising approach to healthcare.
  • New Zealand and Australia provide models for integrating Cultural Safety into professional training and practice.
  • Key elements for UK implementation include listening to minority ethnic voices and fostering reflexivity.

Conclusions:

  • Cultural Safety offers a framework to dismantle systemic racism in UK healthcare.
  • Incorporating Indigenous perspectives and decolonising practices is crucial for health equity.
  • Care must be taken to avoid cultural appropriation when adopting these innovations.