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NHS and the whole of society must act on social determinants of health for a healthier future

Health is going in the wrong direction in the UK, and reversing the trend requires political and societal commitment to deal with the underlying causes

The UK is facing a prolonged and serious health crisis. At a time when the future of the NHS is in jeopardy after over a decade of austerity, and with public satisfaction at an all time low,1 it must pick up the pieces of failures across government. Attaining good health requires more than healthcare, and improvements in the provision of healthcare by the NHS alone is inadequate to address the health crisis action is needed on the social determinants of health2 (box 1).

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### Definition of social determinants of health3

The social determinants of health are defined by the World Health Organization as: “the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and syste ....

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Divided: Annabel Sowemimo's book on racism in medicine and coloniality in global health

Annabel Sowemimo’s timely and urgent new book exposes racism in medicine and signals a “moment of reckoning,” writes Sophie Harman

Divided: Racism, Medicine and Why We Need to Decolonise Healthcare is a new book by Annabel Sowemimo,1 a sexual and reproductive health registrar and reproductive justice activist. Motivated by what was missing from her medical and postgraduate healthcare training and by the questions asked in her inboxes and at clinics, Sowemimo has written an accessible and urgent call to action to tackle racism and racial inequalities in the healthcare system. This timely book is published as the UK continues to wrangle with its place in the world, its imperial past, and the resulting systemic racism in healthcare and society, exemplified by appalling rates of maternal mortality in black women.

The power of Divided is twofold. First, it sees and … ....

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What next for decolonising health and medicine?

A new podcast and article series in The BMJ examines the legacy of colonialism and the progress needed to make meaningful change

There is growing demand for decolonisation, described recently by Annabel Sowemimo, author of Divided: Racism, Medicine and Why We Need to Decolonise Healthcare , as a desire to examine how systems of race, class, and gender have been shaped by colonial history and how we move to establish a more equitable society.1 Across the UK and Europe, for example, newspapers, museums, charities, universities, and other organisations are reckoning with their pasts born of European colonialism that sought to invade, control, extract resources, and impose western views on much of the rest of the world. Today’s world is shaped by this colonialism the wealth of high income countries was generated by land theft and slavery, establishing a legacy of power and exploitation that persists to this day. Decolonisation is thus not just about former colonies gaining politic ....

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