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About Midlands workforce, race, equality and inclusion strategy
The goal of health and social care services are to run the best health and wellbeing service possible, but this can only happen with a healthy workforce.
Information and the lived experience of staff shows us how discrimination can make staff unhealthy and how race discrimination affects people’s health the most. The disproportionate level of discrimination among Black, Asian and ethnic minority staff is evident in our NHS staff survey and WRES data.
The People Plan written in summer 2020, says the problem of race discrimination needs to be tackled urgently. Senior leaders and staff in the Midlands region have worked together to write the Midland Race Equality Plan. The plan explains how racism can be tackled in health and social care across the region.
The NHS was first set up to create a healthcare service that is supposed to be accessible and inclusive to everyone. However, many people who are disadvantaged in society do not have good access to healthcare and still have poor health outcomes. This also rings true for our staff who continue to experience discrimination within the NHS.
This plan will only succeed if everyone takes responsibility for their actions and how they behave.
How will this plan work?
Three principles guide this plan:
- Educate – “We can all learn more about racial discrimination”
- Challenge – “We need to work together to challenge racism”
- Support – “We need to support each other to take action”
The Midlands Inclusivity and Diversity Award Scheme 2022
The Midlands Inclusivity and Diversity Award Scheme, or ‘MIDAS’, recognises new and excellent ways of working by staff, managers, and leaders across the region, to make the Midlands an inclusive place to work for all our NHS people.
This plan does not just support staff from an ethnic diverse background. By making the Midland region fairer it will support other protected groups in the Equality Act 2010 which includes people of different ages, disabled people, people who are changing their gender, pregnant women and mothers, people who believe in a religion or have no religion, people attracted to the same sex or the opposite sex.
Find out more
Download the Time for action: Midlands workforce, race, equality and inclusion strategy.
Watch a recording of the Time for action: Midlands workforce, race, equality and inclusion launch strategy.
Read the Time for action: Midlands workforce, race, equality and inclusion strategy below:
- Time for action
- The importance of leadership
- The People Plan and the Regional Strategy
- Prioritisation of system and employer-led actions
- Leadership skills
- Accessing health and wellbeing support
- Removing barriers to help staff speak-up
- Tackling racism and other types of discrimination
- Eliminating racism and bias in recruitment and progression
- Eliminating racism and bias in disciplinaries
- A collaborative approach across systems
- Building accountability
- Reward and measuring progress
- Research and evaluation
- Glossary and key concepts
Resources
- An easy read version of our Midlands Workforce Race Equality and Inclusion Strategy is available.
- Organisations can use our WREI Self-Assessment Tool to monitor progress against the required outcomes within the strategy.
- NHS organisation and ICSs can download our Implementation Guide to support them to embed the strategy. This guidance is a working document and therefore will be reviewed and updated in collaboration with stakeholders in the region.
- Use the links below to jump to the below videos featured on this page:
- The White Ally: Steve Morrison
- How my lived experience has shaped me: Shajeda Ahmed
- The pace of change: Byron Batten
- The Advocate: Jennifer Pearson
- A bit of me: Byron Batten
- The Cultural Ambassador: Suresh Packiam
- What white allyship ISN’T: Lenea Nyamapfeka
- Staying safe: Jennifer Pearson
- The right fit: Mwamba Bennett
Taking action
The People Plan and the People Promise says we should look after each other and make the health and social care service a place where everyone feels included and is happy at work.
The health and social care service need to act urgently to end discrimination for everyone. This means that racism needs to be tackled so that staff can access good support and work opportunities to run better patient care.
In the Midlands, our work with senior leaders and staff tells us that racism is the main problem that stops the NHS from being an organisation that is for everyone, both workers and patients.
This view is supported by research, data from the workforce race equality standard (WRES) and staff feedback. So we have included the actions we need to stop racism across the Midlands in this plan.
How my lived experience has shaped me: Shajeda Ahmed
Shajeda Ahmed, a senior female BME leader, shares her lived experience of racism and how this has shaped who she is today. Shajeda talks about how we can create an anti-racist and inclusive working environment.
Health and social care workers should:
- Understand what racism is and how it affects people
- Understand the difference between day to day racist behaviour and culture of racism that is part of how an organisation is run – this is sometimes called institutional racism
- Take action to stop racism
- Understand their rights to be protected (from racism or racists)
- Work together in peace and harmony
- Get good support from their managers and colleagues when they experience racism
- Feel safe to speak up and tell the truth
- Get recognition for their skills
- Have a fair chance to get a new job and get promoted
The pace of change: Byron Batten
Byron Batten shares his perspective about how great the NHS is to work for, but also how much progress is still needed to address racism affecting some of our black, Asian and other minority ethnic colleagues in the workplace.
Action Point 1: Health and wellbeing support for everyone
A recent report said over 60% of BME people believe white people get more protection than they do from the NHS.
Covid-19 has had a big impact on BME groups and on BME workers – the number of BME NHS staff that have lost their lives from COVID-19 is much higher than white NHS staff.
BME NHS workers are still worried about their safety, health and wellbeing in the Midlands. Nearly two-thirds (64%) of Midlands BME staff said they did not feel safer after a risk assessment by their manager.
This plan looks at a number of actions including:
- Making managers more aware of what stops BME staff from having good health and wellbeing
- Ways to decrease the risk and impact of COVID-19 on vulnerable groups including BME staff
- Ways that organisations can offer health and wellbeing support for BME staff
The Advocate: Jennifer Pearson
Jennifer Pearson, an experienced leader and a Lead Nurse in the Midlands speaks about the power of staff voice. Jennifer believes that we have made some positive shift in creating space for minority staff to be heard and have their say but the pace of change in achieving fairness and equality is too slow.
Action Point 2: Get more BME staff to speak up
Feedback from people across England and the People Plan revealed that BME staff do not use the Freedom To Speak Up Guardian Service very often. For the service to work properly BME staff must trust the service
What do you think?
Do you use the Freedom to Speak Up Guardian? The Francis report said that many staff in the NHS were too scared to speak up about bullying, harassment and discrimination. That means vulnerable groups including BME staff were much less likely to raise their concerns, which could mean racism and discrimination is going unreported or under-reported.
Our plan will look at:
- How big this problem is in the Midlands
- How we can improve trust for workers to speak up
- How senior leaders will tackle these issues
Find out more
Action Point 3: Stop racism when staff are disciplined
Both the NHS Staff Survey and Workforce Race Equality Standard (WRES) reports tell us that BME staff are treated worse than other groups.
This affects BME staff when they apply for jobs, try to get a better job or they get treated more unfairly than white staff for something they might have done wrong at work.
According to the 2019 WRES data, the Midlands and the East of the England disciplined more BME staff than other regions, so we are going to:
- Question the need for formal disciplinaries
- Get an independent organisation or person to see if racism is the reason for the high number of disciplinaries
- Train managers to better understand their biases when they discipline staff
- Take action if disciplinaries are found to be biased
Find out more
You can find out more about the strategy’s detailed actions on tackling racism and bias when staff are disciplined here.
A bit of me: Byron Batten
A social worker by background, now working as a senior leader; Byron Batten, Head of Inclusion-Improvement, Communication and Engagement, talks about how racism has impacted on him and his journey in life. Byron advocates for organisations to enable colleagues to bring their whole selves to work.
The Cultural Ambassador: Suresh Packiam
Suresh Packiam, a trained cultural ambassador and a BME leader, talks about the positive impact cultural ambassadors have in addressing racism. This short video also highlights one of the biggest obstacles we face in moving the race equality agenda forward.
Action Point 4: Stop racism when people apply for jobs and get promoted
There is a lot of evidence that suggests racism is preventing BME staff getting promotion. Often the skills and qualifications of BME staff are not fully utilised.
This is more obvious with senior leaders in the NHS. For example, 23% of all Midlands staff are BME (July 2020) yet only 10% work at Board level.
To stop racism when people apply for a job or get promoted we are going to:
- Find out the skills of all BME staff and remove barriers for them to progress
- Make job interviews fairer to avoid racism
- Make sure that the right number of workers from BME backgrounds are represented at all levels
Find out more
You can find out more about the strategy’s detailed actions to stop racism when staff apply for jobs or get promoted here.
Action Point 5: Be honest and take responsibility
The NHS is not very good at owning up to mistakes or speaking up when things go wrong. What Midland staff tell us is in line with the Francis report, they think the pace of change is slow and they do not see discrimination being stopped.
This plan will only be a success if everyone takes responsibility for what they do, and what they do not do. This means:
- We need to challenge each other about why there is slow progress
- Give staff network groups the power to bring about change
- Agree and set penalties when progress is not made
Find out more
You can read more about how the strategy will seek to build accountability here.
What allyship ISN’T: Lenea Nyamapfeka
Lenea Nyamapfeka works as an Equality and Inclusion Compliance Manager and also a WRES Expert. Lenea talks about what white allyship isn’t, as well as providing food for thoughts for those wanting to be an ally.
Awards
Although we have a long way to go it is easy to forget the good work being done. So, we should be positive that change will come.
We want to celebrate and share the good work that people are doing and to do this we will:
- Create a website for people to find out about and share good practice
- Create an awards system
- Encourage feedback to promote and try out new ideas
Find out more
You can read more about how we will celebrate success here.
Get involved
Would you like to share your story about anything you or your team have done to make things better for staff that would help the plan to succeed
Would you like to share any examples of things your department, division or section is already doing? For example:
- Are you already doing something that is helping to make services fairer and you are getting good staff or patient feedback?
- Have you have tried something out to make services fairer, but it did not work or you stopped? We still want to hear from you.
- Do you have any new ideas that you or your team have not tried out yet? We definitely want to hear from you!
The right fit: Mwamba Bennett
Mwamba Bennett, a Senior Contract Manager, explains how equality of opportunity can be misunderstood and that we need to do better to involve people with lived experience of racism to improve policy and practices. Mwamba believes that Black Lives Matter movement has created some positive shift.
What works
How do we know change is happening?
In the NHS we have a lot of information from BME workers about their negative experiences. The NHS staff survey and WRES reports help us to find out if things are getting better.
This information is useful but this does not tell us the whole story. This is because the survey does not capture staff stories. Racism also stops people from speaking up so we need to have safe spaces for people to speak openly.
An organisation that is fair for everyone will gather lots of different information that shows how they are getting better. This should be done in an open and honest way by:
- Reporting on things that are working well
- Finding out what is stopping things from getting better
- Reporting on things that are not working
Sharing good practice
We need much more information to find out what is working and what does not work so we need to share more good practice across the Midlands.
If you have any examples of good practice in your team please email nhsi.midlandsedi@nhs.net.