Recommendations

Improving race equality requires more than increasing representation within the NHS workforce and leadership structures. The recommendations that follow are based on the five key findings from this report and are intended to support NHS organisations in translating the report’s findings into practical action by strengthening anti-racist leadership, accountability, sponsorship, support mechanisms and organisational learning.  

Successful implementation will require action at every level of the NHS, with responsibility for creating the organisational conditions for change sitting with organisations and their leaders. Organisations have a responsibility to create the structures, systems and accountability mechanisms that support equitable experiences. Leaders play a critical role in shaping workplace culture, influencing opportunities and modelling inclusive behaviours. Staff can contribute by sharing their experiences, providing feedback and participating in efforts to create more inclusive workplaces. 

While no single intervention will eliminate race inequality, the findings suggest that meaningful progress is most likely to occur when organisations move beyond awareness and focus on measurable action, shared responsibility and sustained cultural change. Each recommendation includes practical actions for organisations, board leaders and staff.

• Recommendation 1. Embed anti-racist leadership within leadership practice. 
• Recommendation 2. Strengthen accountability and transparency for race equality outcomes.
• Recommendation 3. Implement transparent sponsorship pathways for aspiring and emerging ethnic minority leaders. 
• Recommendation 4. Strengthen support, reporting and advocacy mechanisms.
• Recommendation 5. Strengthen the measurement of ethnic minority staff experiences.