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Racism Runs Rampant in NHS Disciplinary Procedures

Confronting the Ugly Truth





In the shadows of our esteemed NHS lies a sinister truth that cannot be ignored: 


Racism thrives within the disciplinary processes of the NHS. The recent revelation of staggering racial disparities in formal disciplinary actions against Black, Asian and Minority Ethnic staff compared to their white counterparts paints a disturbing picture of systemic racism. It's time to peel back the facade of equality and confront the harsh reality that racism is not only prevalent but deeply ingrained within the very fabric of our healthcare institutions.


Let's be blunt: the numbers don't lie. Since its establishment in April 2015, the Workforce Race Equality Standard (WRES) has been instrumental in revealing racial disparities within the NHS. Mandated through the NHS standard contract and expanded to include independent healthcare providers in 2017, the WRES provides a reliable framework for data analysis. The data highlighted below is sourced from the 2023 WRES report.


In Hertfordshire Community NHS Trust, Black, Asian, and Minority Ethnic Nursing staff are a mind-boggling 22.4 times more likely to face formal disciplinary measures than their white colleagues. Cornwall Partnership NHS Foundation Trust is just a little behind, with a ratio of 19.62. The trend continues, with Northamptonshire Healthcare NHS Foundation Trust at 11.86, Liverpool Women's NHS Foundation Trust at 9.47, South West London and St George's Mental Health NHS Trust at 6.67, and Royal National Orthopaedic Hospital NHS Trust at 5.78.


To those who continue to deny the existence of racism in our NHS, I pose a simple question: how can you justify these glaring disparities? 


Equality 4 Black Nurses, a grass roots organisation dedicated to addressing racial disparities and injustices within the healthcare sector, is inundated with cases pouring in from these NHS trusts, each one a damning indictment of a system that has failed to confront its own racial biases and continues to demonise and perpetuate more favourable treatment towards white staff.


Let's strip away the euphemisms and confront the harsh truth: if you are Black, Asian, or from a Minority Ethnic background, you are more likely to be thrown into the jaws of the disciplinary process, even when you've done nothing wrong.



This isn't just about statistics; it's about real people whose careers and livelihoods are unjustly ruined or threatened by a racist system that sees them as expendable scapegoats.The normalisation of racism within the NHS is perhaps the most insidious aspect of this issue.


It's alarming that racism has become so ingrained in our institutions that it's seen as business as usual. But let me be clear: there is nothing ordinary about racism.

There is nothing normal about a system that systematically targets and undermines the careers of Black, Asian, and Minority Ethnic healthcare professionals.


It's time to stop tiptoeing around the issue and start taking meaningful action. Lip service won't cut it. We need concrete measures to root out racism from the very foundations of our NHS. This means implementing robust anti-racism policies, conducting thorough investigations into allegations of discrimination, and holding perpetrators accountable for their actions.


But it doesn't stop there. We must also confront the broader societal attitudes that enable racism to thrive. From challenging implicit biases to dismantling structural barriers, we all have a role to play in creating a more just and equitable society. It's uncomfortable, it's difficult to acknowledge, but it's essential if we are to live up to the ideals of equality and justice in society.


In the end, the choice is ours. We can either continue to disregard the pervasive racism within our healthcare system, or we can stand up and demand change. The time for complacency is over. The time for action is now.


Our articles may leave you concerned, upset, or even outraged. It's natural to have strong reactions to issues that hit close to home for Black Nurses. If the theme resonates with you, please remember you're not alone in your feelings.


Equality 4 Black Nurses has created a safe space for you to discuss and explore discrimination issues in healthcare. We meet via Zoom every Tuesday at 9 pm.

Please keep cameras on and maintain confidentiality during discussions. If you're affected by unfair referral to the NMC, police contact, or work-related issues, please don't hesitate to contact us on our helpline at 0208 050 2598 or email matron@equality4blacknurses.com.

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