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Workforce Race Equality Standard survey in general practice: Lewisham 2019
1Lewisham CCG.
Summary
Black and minority ethnic (BME) staff in general practice face significant racism, particularly from patients. This discrimination leads to career changes for 22% of BME staff, highlighting an urgent need for intervention.
Area of Science:
- Healthcare Management
- Workforce Diversity
- Equality and Inclusion
Background:
- The NHS Workforce Race Equality Standard (WRES) was implemented in 2015 to assess Black and Minority Ethnic (BME) staff experiences.
- Mandatory for NHS trusts, WRES uses nine indicators to compare BME staff experiences with the general workforce.
- Published trust data reveals disparities in the experiences of BME staff compared to non-BME staff.
Purpose of the Study:
- To introduce the Workforce Race Equality Standard (WRES) framework into general practice settings.
- To establish a baseline measurement for future improvement initiatives within general practice.
- To underscore the link between a diverse workforce, improved population service, and enhanced health outcomes.
Main Methods:
- A survey was distributed to all general practice staff, including clinicians and non-clinicians.
- Open-ended questions focused on four WRES indicators most relevant to general practice.
- Data collection occurred over a six-week period during August and September 2019.
Main Results:
- 151 responses were gathered from a total workforce of approximately 550 staff.
- Clinician and non-clinician response rates were nearly equal (50.6% vs. 49.4%).
- BME staff (49% of respondents) reported experiencing workplace bullying from patients (54%) and colleagues (25%), with 22% changing jobs due to this.
Conclusions:
- General practice BME staff encounter high rates of racism, predominantly from service users.
- Racism in the workplace resulted in career changes for 22% of affected BME staff.
- A zero-tolerance policy and a comprehensive, multi-faceted strategy are essential to address these issues.
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