This session examines the persistent inequalities that influence prostate cancer risk, diagnosis, treatment, and long‑term outcomes, with a particular focus on the disproportionate impact on Black men. Despite increased awareness, significant gaps remain in access, understanding, and support — gaps that secondary care clinicians are uniquely positioned to address.
Drawing on her clinical background and her work in education and health equity, Dr Kukua Harley will outline the evidence behind increased prostate cancer risk in Black men, highlight key inequalities across the prostate cancer pathway, and explore how systemic barriers contribute to delayed diagnosis and poorer outcomes. She will also discuss practical strategies for improving equity, including culturally sensitive communication, targeted awareness, and more inclusive service design.
Complementing this, Wayne Perkins will share his personal journey through diagnosis, treatment, and recovery, offering an invaluable patient perspective on navigating the healthcare system. His experience — combined with his advocacy work with the Black Men’s Health Advisory Group and contributions to national discussions — provides a powerful lens through which clinicians can reflect on their own practice and the changes needed to support better outcomes.
This session forms part of the Specialists Conference 2026 and is designed for secondary care nurses, clinical nurse specialists, doctors, and allied health professionals committed to improving equity and patient experience in prostate cancer care.

