Reframing Healthcare Imagery: A Call to Action

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This NHSE-funded project’s mission is to develop a comprehensive and diverse image library that accurately reflects the communities we serve. Their current focus involves capturing a broad spectrum of medical photographs featuring individuals from varied backgrounds, with the aim of fostering more inclusive healthcare visuals. Furthermore, the wider adoption of this image library has the potential to promote the reduction of inequalities in both the healthcare workforce and the delivery of care to diverse communities.

In a healthcare system striving for equity, the images we use to teach, diagnose, and recruit matter more than ever. The Reframe Image Library is a pioneering initiative that directly addresses the underrepresentation of diverse communities in clinical and professional healthcare imagery. For university leaders shaping the future of healthcare education, this is a moment to engage, amplify, and embed change.

Led by NHS England South West, the University of the West of England Bristol (UWE Bristol), and University Hospitals Bristol and Weston NHS Foundation Trust (UHBW), Reframe has created a free, open access image library featuring over 3,000 high-quality, verified photographs. These images showcase how medical conditions appear across a spectrum of skin tones, body types, and identities, offering a transformative resource for educators, students, and clinicians alike.

The need is urgent and well evidenced. A 2021 audit of the NHS Health A to Z website found that only 3 of 61 pages featured images of darker skin tones. Similarly, major anatomy textbooks have historically depicted Black and Brown skin in less than 5% of images.

These gaps contribute to diagnostic delays, misdiagnoses, and poorer outcomes for patients from ethnic minority backgrounds. Reframe directly tackles this issue by improving diagnostic confidence and supporting differential diagnosis across diverse populations.

Reframe goes beyond clinical imagery. It also addresses the visibility of underrepresented groups within the healthcare workforce.

The library includes images of professionals from the Global Majority, disabled healthcare workers, and LGBTQIA+ staff in clinical roles—supporting inclusive recruitment and representation. This is a powerful tool for universities seeking to diversify their student intake and promote inclusive career pathways.

The project’s co-production model is a standout feature. Community engagement was central from the outset, with local groups, patients, and advocates shaping the resource. This inclusive approach ensures cultural relevance and authenticity, fostering trust and ownership among those historically excluded from healthcare narratives.

For academic institutions, Reframe offers multiple opportunities:

  • Curriculum enhancement: Integrate diverse clinical images into teaching materials to better prepare students for real-world practice.
  • Inclusive pedagogy: Use the workforce imagery to challenge stereotypes and promote belonging among students from underrepresented backgrounds.
  • Research and impact: Collaborate on studies exploring the educational and clinical outcomes of using inclusive imagery.
  • Recruitment and outreach: Leverage the library in campaigns to attract a more diverse student body and faculty.

The library is freely accessible online and designed for ease of use. All clinical images are professionally captured, standardised and verified by expert dermatologists. The resource will continue to be updated through partnerships with medical illustration teams nationwide, ensuring sustainability and relevance.

As Suzanne Rastrick, Chief Allied Health Professions Officer at NHS England, notes:
“Reframe helps healthcare professionals and educators deliver care that respects and understands cultural differences. This is a project developed, led and completed by Allied Health Professionals, supported by our commitment to being anti-discriminatory and anti-racist in our approach.”

We invite university leaders to explore the Reframe Image Library, share it across faculties, and embed it within institutional strategies for equity, diversity, and inclusion. By doing so, we can collectively reshape the visual language of healthcare and build a future where every patient and professional is seen, valued, and offered a high standard of care.

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