Health inequalities
PCRS Health Inequalities Newsletter
Editor: Daryl Freeman

Welcome to this special PCRS 2025 Health Inequalities newsletter. It introduces you to our new series of podcasts which bring you everything you need to know on caring for people with respiratory disease who are impacted by health inequalities and severe mental illness.

There are links between respiratory disease and mental health issues, and we know that mental illness increases smoking rates affecting the prevalence and impact of respiratory disease.

The podcasts described below will help you address the issues raised by these conditions and come up with strategies to help your patients; by providing both clinical tips and suggestions for changes in service delivery.

Access resources

This podcast series, newsletter and introductory VLOG has been supported by Norfolk & Waveney Integrated Care Board (ICB).

 
Daryl Freeman vlog

This vlog provides an introduction to the project and podcast series. Have a listen and whet your appetite for what’s to come!

Please share with your work colleagues and carry on reading for access to the podcasts.

▢️ Watch vlog and share
🎧 Podcasts
Woman listening to podcast
Mental health and respiratory disease in current and ex-prisoners

πŸŽ™οΈ Speakers: Katherine Hickman (PCRS executive chair), Martin Sutcliffe (Associate Medical Director, Yorkshire Ambulance Service NHS Trust, Kaniksha Aggarwal (Prison Pharmacy Connect), and Sue Wheatcroft (Independent researcher, Mental Health and Prison Reform)

Podcast speakers

A potentially moving and challenging listen, exploring what happens when a patient arrives in prison as a prisoner with respiratory symptoms.

  • The lack of long-term conditions management
  • Stairs and access issues
  • Staff training – looking at people with compassion
  • Accessing primary care and important interventions
  • Lack of continuity in care across medical and prison services
  • The challenges that poor literacy can pose to caring for people in prisons
🎧 Tune in
 
Man listening to podcast
The impact of respiratory disease on mental health

πŸŽ™οΈ Speakers: Noreen Grant (GP and PCRS committee member), Lisa Cummings (Senior Specialist CYP Ashma Nurse) and Aaron Foulds (PCRS Patient Reference Group member).

Podcast speakers

Tune in for an educational and informative episode that raises many issues around this evocative topic. Our speakers discuss how to treat the person with respiratory disease and ensure that their mental health is considered when tailoring therapy and reducing risk factors.

  • Anxiety and the symptom of breathlessness – untangling the conundrum
    • Short-acting beta2-agonist (SABA) over use and symptoms of anxiety often co-exist
  • Treating co-morbidities and treating the patient as a whole
  • The teenage years and asthma
  • Access to psychological support for these patients
🎧 Listen now
 
Podcast on phone
Suicide and suicide prevention in long-term respiratory conditions

πŸŽ™οΈ Speakers: Leslie Borrill (GP) and Rebecca Jacobs (Health Improvement Officer - Mental Health & Suicide Prevention)

Podcast speakers

A tactful and informative podcast raising awareness about this often-distressing subject – including how to explore, support, and incorporate mental health conversations into respiratory health consultations.

  • How to normalise these conversations
  • How to raise the link between poor mental health and respiratory disease with patients
  • The challenges faced by specific respiratory diseases and their differences
  • Conversations to be had when discussing a terminal diagnosis
  • Suicide is not always preventable or avoidable – how do we support the family the team caring for these patients after the event
🎧 Podcast
πŸ›‘ Important note:

This podcast is about suicide and suicide prevention in individuals with chronic respiratory disease and some listeners may find the contents distressing. If you are affected by this podcast, please seek support by contacting the Samaritans or by dialling 111 or by using the Phone First service if you are based in Northern Ireland.

What two key steps can primary care and out-of-hours services take?
Consider training needs for clinicians
Number 1

Patients with complex mental health and co-existent respiratory diseases are relatively common in primary care. They are, by definition, people with complex co-morbidities and so consideration needs to be taken on the training levels of the clinicians who review them. In an ideal world, they should see a clinician with the training level in line with β€œexpert” as described in the PCRS Fit to Care document.

Think about appointment systems
Number 2

It is also worth thinking about appointment systems as this group of people may need a more flexible approach. Perhaps using technology to assist with the review or allowing time when they are seen as an emergency, to re-visit their treatment regimens, adapting them to fit in with their lifestyles and complexities.

PCRS resources

PCRS has several resources which can supplement the information and guidance offered by this Healthcare Inequalities project. Please access these here:

πŸ”— Fit to Care

⏯️ Poverty and Poor Housing

🎧 Health Inequalities: Health literacy and understanding

πŸ”— Health inequalities hub

🎀 PCRS in Conversation: Health inequalities

⏯️ People experiencing homelessness

βœ… Project evaluation

Please complete this short evaluation form to help us assess the success and impact of this project and it’s outputs.

Take part
NHS Norfolk and Waveney ICB and Primary Care Workforce Team

We are grateful to Norfolk and Waveney ICB for sponsoring this new (2025) Health Inequalities project.

This resource has been developed by PCRS, and Norfolk and Waveney ICB has had no input into the development, content or production of this material.

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We’re grateful to our corporate supporters for their financial support which supports the core activities of the Charity and allows PCRS to make its services either freely available or at greatly reduced rates to its members. See PCRS statement on pharmaceutical funding.

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npj | Primary Care Respiratory Medicine
Official Journal of the PCRS

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