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  • 01 August 2023
  • 10 min read

Racism Within The NHS & BAME Nursing Experiences

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Racism on the NHS“By valuing and empowering BAME nurses, we can foster a healthcare workforce that reflects the diversity of our society and ensures that every individual receives the quality care they deserve.”

In this article, Amira explores the financial and human costs of racism on the NHS, and what could be done to address these issues.

The NHS is renowned for its dedication to providing high-quality healthcare to all citizens. However, the issue of racism within the NHS remains a significant concern, particularly regarding the experiences of Black, Asian, and Minority Ethnic (BAME) nurses.

The Prevalence Of Racism In The NHS

Racism is an unfortunate reality that affects BAME nurses in various aspects of their professional lives. It manifests through overt acts of discrimination, unconscious biases, and systemic barriers that limit their opportunities and hinder their advancement within the healthcare system.

The British Medical Association (BMA) conducted a survey on racism in medicine, aiming to examine the prevalence and impact of racism experienced by healthcare professionals within the NHS in the United Kingdom. The survey report, released on 15th June 2022, highlighted key findings, and shed light on the challenges faced by minority ethnic doctors.

The survey revealed alarming statistics regarding racism in medicine. A significant proportion of respondents reported experiencing racism in their workplace, with 65% of all doctors surveyed acknowledging that racism is an issue within the NHS. Moreover, 42% of respondents stated that they had personally experienced racial harassment or abuse, further emphasizing the severity of the problem.

The impact of racism on minority ethnic doctors' mental health and career progression was also highlighted. The survey indicated that racism contributes to significant stress and emotional strain, with 86% of respondents feeling that racism negatively affected their mental well-being. Additionally, racism was identified as a barrier to career progression, with many minority ethnic doctors feeling undervalued, overlooked for opportunities, and discriminated against in terms of pay and senior roles.

BMA Call For Urgent Action

The BMA survey report called for urgent action to address racism in medicine. Recommendations included the need for a robust reporting system for incidents of racism, the implementation of cultural competency training, and the creation of safe and supportive environments for those affected. The report also emphasized the importance of diversity in leadership positions and the need for policies and practices that promote equality and inclusivity.

The BMA Racism in Medicine Survey Report (15th June 2022) highlighted the pervasive nature of racism within the NHS and its detrimental impact on minority ethnic doctors. The findings underscored the urgent need for systemic changes to eradicate racism, improve mental well-being, and ensure fair opportunities for career advancement.

It is crucial for healthcare organizations, policymakers, and society as a whole to address these issues to create a more inclusive and equitable healthcare system for all.

The BMA Racism in Medicine Survey Report underscored the urgent need for systemic changes to eradicate racism, improve mental well-being, and ensure fair opportunities for career advancement.

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The Financial Cost Of Racism

First, we need to examine the financial costs of racism within the NHS.

Racism within the NHS contributes to the underrepresentation of BAME nurses in the workforce, and this affects recruitment and retention. The financial cost of this issue is evident in the need for increased recruitment efforts to address the diversity gap and the subsequent expenses associated with training and onboarding new staff members.

Racism can also lead to higher staff turnover rates among BAME nurses. The cost of losing experienced professionals due to discriminatory practices includes recruitment, training, and productivity losses, as well as potential negative impacts on patient care.

Furthermore, failure to address racism within the NHS has resulted in ineffective resource allocation. When BAME nurses face barriers in career progression, their skills and expertise go untapped, leading to suboptimal utilization of available resources and hindering the delivery of equitable and culturally competent care.

The Human Cost Of Racism

Moreover, it is vital that we take into account the human cost of racism, and the negative influence this has on the welfare of BAME nurses and patients.

Racism in the workplace has an emotional and psychological impact that cannot be understated; it takes a toll on the mental health and well-being of BAME nurses. Experiencing racism can lead to stress, anxiety, depression, and a decreased sense of belonging, affecting not only the individual but also their ability to provide compassionate care to patients.

As well as this, racism erodes job satisfaction among BAME nurses, leading to decreased morale and engagement. When professionals feel undervalued and unsupported due to racial discrimination, their motivation to deliver high-quality care may suffer, ultimately impacting patient outcomes.

Racism within the healthcare system perpetuates health disparities among minority populations. BAME nurses are uniquely positioned to understand the cultural, linguistic, and social needs of diverse patient groups. However, when their voices are marginalized or their perspectives ignored, it hinders efforts to address health inequities and provide patient-centred care.

By valuing and empowering BAME nurses, we can foster a healthcare workforce that reflects the diversity of our society and ensures that every individual receives the quality care they deserve.

Addressing Racism In The NHS

So, what can be done to address this? To start with, comprehensive education and training programs must be implemented to promote cultural competency, diversity awareness, and understanding of the impact of racism. This includes implicit bias training for all healthcare professionals to enhance awareness and foster inclusive practices.

Promoting diversity in leadership positions is also crucial to creating an inclusive and equitable NHS. This involves actively identifying and supporting BAME nurses in their career progression, empowering them to influence policy decisions and shape organizational culture.

Reviewing and revising policies to ensure they actively address racism and promote equality is essential, as well. Robust reporting mechanisms, accountability frameworks, and anti-racism policies must be established to protect BAME nurses and patients from discrimination.

Another idea would be establishing support networks and mentoring programs that can provide BAME nurses with guidance, advocacy, and a platform to share experiences. This fosters resilience, professional growth, and a sense of community, helping to combat the negative effects of racism.

Systemic Change Is Needed

The financial and human cost of racism within the NHS is an issue that demands urgent attention and action. The experiences of Black, Asian, and Minority Ethnic (BAME) nurses in the UK reveal the deep-rooted challenges and injustices they face within the healthcare system. This article has shed light on some of the key issues surrounding racism in the NHS and its detrimental effects on BAME nursing professionals.

The stories shared by BAME nurses highlight the serious need for systemic change to address racism and discrimination. The financial cost of racism is evident in the lost talent and potential resulting from BAME nurses leaving the profession due to the pervasive inequalities they encounter. This loss of skilled healthcare workers not only impacts individual careers but also compromises the quality and effectiveness of patient care.

Furthermore, the human cost of racism within the NHS cannot be ignored. BAME nurses experience unfair treatment, prejudice, and unequal opportunities, leading to feelings of isolation, stress, and burnout. This not only affects their well-being but also undermines their ability to provide compassionate care to patients.

Ultimately, the fight against racism in the NHS is not only a moral imperative but also a strategic necessity. Embracing diversity and eradicating discrimination will lead to a stronger, more resilient healthcare system that can better meet the needs of all patients and provide equitable care.

By valuing and empowering BAME nursing professionals, we can foster a healthcare workforce that reflects the rich diversity of our society and ensures that every individual receives the quality care they deserve, regardless of their background.

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About this contributor

I’m Amira, I qualified as an Adult Nurse over a year ago and I have been working in theatres since qualifying. I am an adult trained nurse working in a paediatric hospital. I specialise in spines, trauma and orthopaedics. Outside of work I am a keen baker and fitness enthusiast.

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