PHTRI Podcast

Dr Ash Routen and Dr Riya Patel discuss their work on the Co-Trust Project which examines the thorny issue of trust (or the lack of it) in health services and medical research. As well as discussing the roots of the problem they have also created a solution - The Co-Trust toolkit.

Sandra Husbands (Director of Public Health, Hackney) interviews Jacquie Burke, Executive Director for Children & Education at Hackney Council. The conversation covers how anti-racism work has been embedded across children's social care, education, and commissioning in Hackney, with lessons for public health and the wider London system.Key topics discussed:Motivation & approach: Jacquie arrived at Hackney shortly after the murder of George Floyd. She and her social care operations director felt existing Black Lives Matter work needed to translate into tangible changes for children and families receiving services. She co-leads race equity work across London for the Association of Directors of Children's Services.Strategic vs. operational anti-racism: Jacquie frames anti-racism as both a moral imperative and a business-critical one — neglecting underserved communities leads to higher costs and worse outcomes downstream. She challenges the "we've always done it this way" mindset.The STAR practice model: Hackney developed a practice model for children's social care that is Systemic, Trauma-informed, and Anti-Racist. Ofsted recognized STAR running through the organization during a recent inspection.Anti-racist commissioning: Hackney is working to make procurement accessible to smaller, local Black and global majority organizations — moving from short-term grants to 3–5 year contracts to give them firmer footing.Data, categories, and interpretation: Sandra and Jacquie discuss how ONS racial categories are reductive, rooted in colonial structures, and often don't reflect how people identify themselves. They highlight the problem of always comparing outcomes to the white group as an implicit norm, and the need to co-produce data interpretation with affected communities.Education & exclusions: Hackney's high permanent exclusion rate and the Child Q incident were catalysts for change. The council reconfigured its exclusion service into an inclusion-focused, multi-agency team that intervenes early with at-risk children — achieving an estimated 20% reduction in permanent exclusions. Exclusion is flagged as a major safeguarding issue, linked to increased risk of criminality and harm.Hair policing: They discuss the history of schools policing Black children's hair (afros, locs) under "disruption" pretexts, and the ongoing need for vigilance even after initial progress.Emotional toll on staff: Jacquie's key takeaway is the emotional exhaustion this work places on Black and global majority staff, who are often asked to share trauma stories to convince white colleagues. She stresses that the data already exists — the burden of proof shouldn't fall on those most affected.Looking ahead: Both see strong potential for ADCS and ADPH London to collaborate, particularly around mental health pathways for Black and global majority children and understanding the cumulative impact of systemic racism on wellbeing.

In this episode we return to Eastern Europe. We interview PhD Researcher at Bournemouth University, Adina Maglan,  Commissioner in Public Health at the London Borough of Newham Madalina Pop, and midwife and founder of Elythia online platform Emma Raja Krishnen about the newly formed Romanian Health Equity Forum (RoHEF).

In this episode Dr Sandra Husbands, Director of Public Health of City and Hackney, interviews Professor Kevin Fenton (CBE) about his three decade career in public health.The discussion covers his globe-trotting journey, his rise to public prominence during the COVID pandemic and his brand of authentic leadership.

In this episode we speak to Victoria Ekanoye and David Ayeni, the host and the director of new documentary Shades of Survival, about the topic of black women and breast cancer.

Nurullah Turan and Taylan Sahbaz both came to the UK as immigrants from Turkey in the early 90s, and have been working to support their communities for most of their adult lives. In this episode we discuss the unique history and challenges of this relatively recent migrant community.

In this episode Adeola Agbebiyi talks to Jason Stretlitz about his new book Same Storm, Different Boats, which details battling the COVID pandemic during his time as the Director of Public Health for the London Borough of Newham.

In this episode Lee Pinkerton interviews Marc Thompson, lead commissioner for the London HIV Prevention Program. As well as sharing findings from their latest report, Marc discusses the double stigma of being a Black gay man with HIV, and what we can learn from high profile cases like those of Magic Johnson and Fela Kuti.The London HIV Prevention Programme (LHPP) is a city-wide initiative commissioned by the Association of Directors of Public Health London (ADPL) and delivered on behalf of all London boroughs.Their recent Black Heritage Needs Assessment is a vital piece of work commissioned as part of the wider LHPP programme and is a key step in their commitment to tackling health inequalities and improving HIV prevention for Black communities across London.You can access their report here

Professor Chinegwundoh’s shares his early career challenges, as well as highlighting his ground-breaking research on prostate cancer disparities in Black men, linking genetic and environmental factors. Perhaps most importantly he discusses how lifestyle, diet and sexual activity can influence a man’s prostate cancer risk.

Dr. Sharmin Shajahan shares her extensive experience in public health, including her early work in Tower Hamlets and her PhD research on access to health services for Bangladeshi cardiac patients. Dr. Shajahan also discusses her current roles as Deputy Director at Voice for Change England, and co-chair of the London Bangladeshi Health Partnership, addressing health disparities like diabetes and cancer screening, and emphasises the need for innovative community engagement approaches.link to the Voice For Change website  https://www.voice4change-england.org/link to the Horizons Health Programme https://www.voice4change-england.org/horizons-london-programmeLink to the Bangladeshi Health Partnership website https://www.banglaha.org.uk/lbhp