Evidence map›Paper›PMID 39603799›Full record

ArticleBMJ quality & safety2025

Improving the maternity experience for Black, African, Caribbean and mixed-Black families in an integrated care system: a multigroup community and interprofessional co-production prioritisation exercise using nominal group technique.

Sarindi Aryasinghe, Phoebe Averill, Carole Waithe, Susan Ibuanokpe, Rhianna Newby-Mayers, Nawal Lakhdar, Moussa Amine Sylla, Elizabeth Cox, Sabrina Das, Erik Mayer

Abstract read
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In one paragraph

Article in BMJ quality & safety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Moving forward, leaving the patients behind? A multilevel assessment framework for evaluating patient-centred, integrated care quality.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Review
  4. The Bleeding Disorders Research Collaborative.Blood vessels, thrombosis & hemostasis · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sarindi AryasingheNIHR Imperial Biomedical Research Centre, Imperial College London, London, UK s.aryasinghe@imperial.ac.uk.ORCID http://orcid.org/0009-0000-2435-8638
Phoebe AverillNIHR North West London Patient Safety Research Collaboration, Institute of Global Health Innovation, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-7099-3034
Carole WaitheLived Experience Expert, Imperial College London, London, UK.
Susan IbuanokpeLived Experience Expert, Imperial College London, London, UK.
Rhianna Newby-MayersLived Experience Expert, Imperial College London, London, UK.
Nawal LakhdarApricot Wellbeing CIC, London, UK.
Moussa Amine SyllaListen to Act, London, UK.
Elizabeth CoxLondon Borough of Hammersmith and Fulham, London, UK.
Sabrina DasObstetrics and Gynaecology, Imperial College Healthcare NHS Trust, London, UK.
Erik MayerNIHR Imperial Biomedical Research Centre, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-5509-4580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthnic inequities in maternity care persist in England for Black, African, Caribbean and mixed-Black heritage families, resulting in poorer care experiences and health outcomes than other minoritised ethnic groups. Co-production using an integrated care approach is crucial for reducing these disparities and improving care quality and safety. Therefore, this study aimed to understand the alignment of health and local authority professional perspectives with community needs on how to improve maternity experiences for this ethnic group within a London integrated care system (ICS).

methodsBetween March and June 2024, five workshops were conducted with health professionals, local authorities, voluntary, community and social enterprise (VCSE) sector and the public from Black, African, Caribbean and mixed-Black heritage backgrounds across the North West London ICS. Using the nominal group technique (NGT), attendees prioritised ideas to improve the experience of maternity care for families from Black, African, Caribbean and mixed-Black heritage backgrounds, which were thematically synthesised using framework analysis.

resultsFifty-four attendees, covering primary, secondary, regional and national health professionals, public health teams from three local authorities, VCSE sector and the public, generated 89 potential interventions across 11 themes. All attendees prioritised improving staff knowledge and capacity in culturally competent care and communication. Community-identified needs for advocacy mechanisms and mental health support throughout the maternity pathway were not reflected in professional priorities.

conclusionThe study highlights the need for an integrated, community-centred approach beyond hospital settings when addressing ethnic inequities in maternity care, recognising key differences between community and professional priorities within an ICS. Leveraging lived experience expertise to lead the NGT community workshops was essential in building trust and buy-in of the overall prioritisation process.

Indexed as

Delivery of Health Care, IntegratedMaternal Health ServicesQuality ImprovementBlack PeopleCaribbean PeopleFemaleHealthcare DisparitiesHumansLondonPregnancyhealthcare quality improvementhealth services researchobstetrics and gynecologypatient-centred carewomens health

Identifiers

PMID39603799
PMCPMC12013574

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.