I think neglect may come into it, it's a really really complicated issue to unpick and we certainly won't be the ones to do it! But unconscious bias and institutional racism are significant factors, when you control for physiological reasons. It's a horribly uncomfortable truth, that our NHS may be racist, but we mustn't shy away from that.
Having said that, Clemmie as an individual does not have the weight of that on her shoulders alone! It's ridiculous where this is going now!