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Health equity risk in clinical research: how to see patient recruitment failure before it happens

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Thought leadership

In-depth articles for clinical development leaders

The Frequency of Exclusion · Vol. 1
1,204
voices from underrepresented UK communities, on the record.
New · Report launch
The industry said trust. The data says design.
What 1,204 people from underrepresented UK communities told us about clinical research, healthcare avoidance, and what would change their minds about taking part.
Ashish Rishi · 20 May 2026 · 6 min read
Read the article →
Inclusion as Clinical Infrastructure
Clinical infrastructure
Inclusion as Clinical Infrastructure: How to Build a Data Layer That De-Risks Trial Design
16 min read
Using Lived-Experience Data
Protocol design
Using Lived-Experience Data to De-Risk Protocols Before You Lock the Design
14 min read
Portfolio-Level Inclusion
Portfolio strategy
Portfolio-Level Moves That Make Trials More Representative
12 min read
28 Apr
2026
Regulation
MHRA 2026: the regulatory revolution that changes everything for inclusivity and patient engagement
12 min read →
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Latest dispatch

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02
Is the Gulf the next frontier for inclusive healthcare? I went to find out.
On the Gulf opportunity, the latest EMA announcement, and emerging scrutiny of evidence bases.
13 Jul 2026
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03
The IDP conversation I keep having. And England are in the quarter finals.
On MHRA Inclusion and Diversity Plan requirements, toolkit insights, and an upcoming conversation with Lisa Kerr.
6 Jul 2026
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04
I know the battle I am going to have.
On systemic exhaustion, how gatekeepers miss solutions, and Episode 2 with Ella Balasa.
29 Jun 2026
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05
What the industry is saying. And what it still cannot bring itself to do.
On industry conferences, what leadership says out loud, and what quietly stays on the whiteboard.
22 Jun 2026
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06
The thirty-year flat line. And the room where I understood why.
On measurement failures, recruitment barriers, and what data gaps actually reveal.
15 Jun 2026
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07
Nothing about us without us. And more racist abuse in Seville.
On the Patient Engagement and Outcomes Framework, real-world outcomes, and MVP 2.0.
8 Jun 2026
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08
Our job is not to make people more trusting. It is to make healthcare more trustworthy.
Reframing trust as system feedback, with keynote insights that reached thousands.
1 Jun 2026
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09
The visit schedule nobody designed for you.
On post-launch silence, how the data gets interpreted, and what the June conversations look like.
26 May 2026
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10
What surprised me about our own research.
1,204 community members. The two biggest barriers are structural. Neither is about trust.
20 May 2026
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11
1,200 people told us the truth. The industry won't like it.
Diversity and inclusion is becoming a dirty phrase. That is exactly why I won't stop saying it.
18 May 2026
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12
The comfortable framing is the expensive one.
On why the wrong framing keeps winning, what conviction actually costs, and the first results from the field.
11 May 2026
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13
When the industry backs off, we lean forward.
On third places, what the floor revealed, and why I lean forward when the industry backs off.
30 Mar 2026
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14
The conversation the industry keeps avoiding.
On patient advisory boards, portfolio-level thinking, and the argument I am taking to Boston.
23 Mar 2026
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15
The window of opportunity is shorter than you think.
On regulatory trajectories, why GDPR is actually an advantage, and what I am bringing to Boston.
16 Mar 2026
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16
The uncle that only comes for Christmas.
On follow-through failures, algorithmic assumptions, and what a patient summit reminded me.
9 Mar 2026
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17
Your patient advisory board is not community engagement.
Why the distinction matters and what real infrastructure looks like.
2 Mar 2026
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18
Health equity is not a communications problem.
Why the industry has been solving the wrong problem for decades.
23 Feb 2026
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19
2,000 people joined our platform in 6 weeks. Here is what worked.
The honest account of what drove early traction and what we would do differently.
16 Feb 2026
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20
This week at Unwritten Health: data gaps, Europe, and what comes next.
A look at where things stand and what the European opportunity looks like.
9 Feb 2026
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21
Chapter one of 2026 is complete. Now the real work begins.
What January taught us and why this moment in the market matters.
2 Feb 2026
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22
When community engagement becomes recruitment, everyone loses.
The line between genuine engagement and extraction, and what to do instead.
26 Jan 2026
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23
Funding, lived experience, and the cost of accountability.
The inaugural dispatch. On who pays for real community involvement and what changes that.
19 Jan 2026
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