Addressing Patient Racism in the NHS: A Guide to Patient Racism Reporting NHS
- Anika Ola

- 2 days ago
- 4 min read
Racism in healthcare is a reality that cannot be ignored. It affects the wellbeing of Black nurses and the quality of care patients receive. Patient racism in the NHS is a serious issue that demands immediate attention and action. We must confront it head-on. We must understand it. We must act to stop it. This post is about how to address patient racism in the NHS, with a focus on practical steps and clear guidance for Black nurses and their allies.
Understanding Patient Racism in the NHS
Patient racism occurs when patients express racist attitudes or behaviours towards healthcare staff, including Black nurses. This can range from verbal abuse to discriminatory demands or refusal of care based on race. It is not just an unpleasant experience; it impacts mental health, job satisfaction, and staff retention.
Why does patient racism persist? Because it is often overlooked or dismissed. Because staff feel unsupported. Because there is no clear process for reporting and addressing it. We need to change that. We need to create a culture where racism is not tolerated from anyone, including patients.
Examples of patient racism include:
Patients refusing care from Black nurses.
Racist slurs or comments directed at staff.
Patients demanding to be treated only by white staff.
Threats or intimidation based on race.
These actions are harmful. They undermine the dignity of nurses and the integrity of the NHS. They must be challenged.

Patient Racism Reporting NHS: What You Need to Know
Reporting patient racism in the NHS is crucial. It is the first step towards change. But many nurses hesitate. They fear backlash, doubt the system, or feel unsure about the process. This must change.
The NHS has policies to protect staff from discrimination and harassment. These policies include clear procedures for reporting incidents of patient racism. You have the right to report any racist behaviour you experience or witness. You have the right to be supported.
Here’s what you should do:
Document the incident: Write down what happened, when, where, and who was involved.
Report to your line manager or supervisor: They have a duty to take your complaint seriously.
Use formal reporting systems: Many trusts have online or paper forms for reporting racism.
Seek support: Contact Equality 4 Black Nurses
Follow up: Ensure your report is being acted upon.
Remember, reporting patient racism is not about complaining. It is about protecting yourself and others. It is about demanding respect and equality.
Can You Report a Nurse for Racism?
Yes, you can. Racism can come from any direction. Sometimes, nurses themselves may display racist behaviour towards colleagues or patients. This is unacceptable and must be addressed.
If you experience or witness racism from a nurse, follow these steps:
Report the incident to your manager or the trust’s HR department.
Use the trust’s formal grievance or complaint procedures.
Seek advice from your union or professional body.
Keep detailed records of the incident.
The NHS is committed to equality and diversity. Racism from staff is taken seriously and can lead to disciplinary action. Holding each other accountable is essential for creating a safe and inclusive workplace.

Practical Strategies to Combat Patient Racism
Addressing patient racism requires more than reporting. It requires proactive strategies to protect staff and educate patients. Here are some practical steps:
Training and Awareness: Regular anti-racism training for all staff, including how to handle racist patients.
Clear Policies: Trusts must have visible policies that state zero tolerance for racism from patients.
Support Systems: Provide counselling and peer support for affected staff.
Empowerment: Encourage nurses to speak up and support each other.
Communication: Inform patients about expected behaviour through signage and leaflets.
Incident Review: Regularly review reported incidents to identify patterns and improve responses.
These strategies create a safer environment. They send a clear message: racism will not be tolerated.
Why Addressing Patient Racism Matters for Black Nurses
Black nurses face unique challenges in the NHS. Patient racism adds to the burden of systemic inequalities. It affects mental health, career progression, and job satisfaction. Addressing patient racism is not just about individual incidents. It is about dismantling barriers to equality.
When patient racism is addressed effectively:
Black nurses feel valued and respected.
Staff retention improves.
Patient care quality increases.
The NHS becomes a more inclusive workplace.
Equality for Black Nurses aims to empower Black nurses to thrive. Tackling patient racism is a vital part of this mission. It is about justice. It is about dignity. It is about creating a future where every nurse can work without fear or discrimination.
Taking Action: What You Can Do Today
You don’t have to wait for change to happen. You can be part of the solution now. Here’s how:
Know your rights: Understand NHS policies on racism and harassment.
Report incidents: Use the proper channels without hesitation.
Support colleagues: Stand with those who experience racism.
Educate patients: When safe, calmly explain that racist behaviour is unacceptable.
Join networks: Connect with groups advocating for equality in nursing.
Push for change: Encourage your trust to improve training and policies.
Change starts with action. Your voice matters. Your courage matters.
Addressing patient racism in the NHS is not optional. It is essential. It is urgent. Together, we can create a nursing profession where equality is the norm, not the exception. Together, we can ensure that Black nurses are respected, supported, and empowered to lead.

Let’s stand firm. Let’s speak out. Let’s demand change. The time is now.





As a mental health nurse with over two decades of providing care in Camhs,i thought about this post and of the work of a Psychiatrist and philosopher,Frantz Fanon(1925-1961),and came up with how he might speak to us using his ideas and theory as care givers in the NHS,
n this scenario, the nurse is trapped in a "double bind": she is the provider of care within a colonial structure (the NHS), yet she is also a "body" subjected to the White Gaze of colleagues, management, or even patients.
Applying Fanon’s Black Skin, White Masks, this poem explores the "epidermalisation" of inferiority and the path toward reclaiming professional and personal sovereignty.
The Uniform is Not a Mask
I pull the tunic…