Homerton Hospital is a diverse, inner London, district general hospital. Working here, we see so much diversity of families accessing the hospital’s maternity services, but we are also aware of the international, national and local inequalities faced by Black, Asian and Global Majority women, babies and families. We know that these women are at a greater risk of poorer care and worse outcomes, both for themselves and for their babies. Black, Asian and Global Majority women experience higher rates of hospital admission pre- and post-birth, complications during birth and maternal deaths. Babies born to Black, Asian and Global Majority mothers are more likely to have lower birth weight, be admitted to neonatal intensive care or be stillborn. We know that these poor outcomes are driven by many factors (see Figure 1): social disadvantage (low income, limited access to support and language barriers); increased prevalence in health conditions (obesity, cardiovascular disease and mental ill health); lower trust of public services; and discrimination by public services (obviously linked with lower levels of trust).