We found that organisational cultures and structures frequently fail to support a focus on addressing inequity, including ethnic inequalities, within healthcare commissioning. There is a need for stronger leadership and more effective framing of the issues to encourage action in this area.

EEiC tools and resources to support this area of work:

• Identifying and understanding stakeholders – individual and workshop exercise
• ‘In their shoes’ scenario – individual and workshop exercise
• ‘Making the case’, preparing an impactful presentation – a how to guide
• PowerPoint template for ‘making the case’ (longer presentation)
• Responding to frequently raised objections – questions and answers
• EEiC mini case study: Packaging information for decision-makers in stroke services

Other resources and links

Re-framing the issue

• A case study on re-framing an issue to prompt action on ethnic healthcare inequalities from Canada: From Multicultural Health to Risk Management
• A case study from the USA on engaging policy makers in dialogue about the social determinants of health and health equity

Shifting cultures

• A case study from the UK on increasing staff confidence and competence through a dedicated capacity development initiative