‘Institutional racism is rife’ in NHS, says psychiatry chief

Racism is a stain on the NHS and the health service has a moral, ethical and legal duty to do more to stamp it out, the outgoing president of the Royal College of Psychiatrists will warn. Tackling it is key to recruiting and retaining psychiatrists and other health practitioners, Dr Adrian James is expected to say at the college’s international congress in Liverpool. Problems linked to racism include pay gaps, disparities in disciplinary processes and a ‘glass ceiling’ for doctors from minority ethnic backgrounds who want to progress into management positions, he will say. Institutional racism is rife in society and the NHS is not immune RCP president, Dr Adrian James Last month, the NHS Race and Health Observatory – formed in 2021 to examine disparities in health and social care based on race – said better anti-racism policies could boost the NHS workforce. The organisation called for ‘better care, training and anti-racist policies’ to enhance staff numbers in the NHS, and said this would ‘improve patient experience and save millions of pounds spent annually on addressing racism claims brought by staff, clinicians and patients’. The Royal College of Psychiatrists has launched a new campaign calling on mental health employers across the UK to take a number of practical steps in areas of leadership, accountability and access to opportunities, to tackle racism in the workplace. The NHS has a moral, ethical and legal duty to do much more to stamp out racism in all its forms In his farewell speech on Monday after three years in the role, Dr James is expected to say: ‘Institutional racism is rife in society and the NHS is not immune. ‘We see its pernicious effects on colleagues who are leaving the NHS in droves. ‘It can be seen in the unfair ethnic pay gaps, in the disparities in disciplinary processes and in the glass ceiling that stops doctors from minoritised ethnic backgrounds securing management positions. ‘Tackling racism in the workplace is key to recruiting and retaining psychiatrists and other health practitioners. ‘Let me be clear: there is absolutely no place for racism in today’s society. It is a stain on the NHS. It damages mental health and makes existing mental illness worse. ‘It destroys lives – the lives of patients and colleagues. The NHS has a moral, ethical and legal duty to do much more to stamp out racism in all its forms.’ A recent survey by the college found more than half (58 per cent) of doctors from minority ethnic backgrounds said they had faced racism at work. More than a quarter (29 per cent) of those said it affected their health and four in 10 (41 per cent) said it had an impact on patients or carers. Dr James will add: ‘Our Tackling Racism in the Workplace guidance will help every mental health employer in the UK to ‘Act Against Racism’ at a strategic and systemic level. ‘It provides clear, measurable actions for employers and implementation guidance. It shows employers how to recognise and respond to instances of discrimination on racial and ethnic grounds and signposts them to sources of support within and outside their own organisation.’ An NHS spokesperson said: ‘Any form of abuse, including racism, is completely unacceptable and NHS England recently published the first ever equality, diversity and inclusion (EDI) improvement plan as part of the NHS Long Term Workforce Plan to ensure NHS organisations continually improve the experience of our diverse workforce – which in turn improves care for patients.’