Can Do Health & Care - NHS Uncomfortable Truths Report

22 | ICS System Learning: Uncomfortable Truths Moira McGrath, Director of Commissioning Adult Social Care, Essex County Council: We have a high proportion of ethnic minority staff, managers and owners in our social care providers, and understanding their experiences is really important. After one racist incident where our response was not the right one, we have been on a journey and are learning that we need to be actively anti-discriminatory. Andy Yacoub, Chief Executive, Healthwatch Suffolk: We have been talking about how staff do not report incidents as they fear being marked and don’t want to put their heads above the parapet. Don’t hide behind data and don’t be fooled by the data. Jeptepkeny Ronoh, Consultant in Public Health Medicine, Suffolk County Council: A lot of people won’t have the agency to speak out because the stakes are really high, you need to pass your exams, and your visa depends on your job. We need to get comfortable to have these conversations and hear that lived experience more. We need to start early, even in schools with our children, talking about our history. “My father arrived in the UK in 1969, as a qualified doctor; later practiced as a GP. His experiences are those of Tanvir’s - why are they the same, 54 years on?!” “How do we embed co-design and continuous development of both services and workforce practices so they are not just delivering for middle class white people?” “We are very reliant on the well trained overseas workforce. How do we proactively support their inclusion so we all fit together and it’s not about fitting in?” “If we see someone fall over in public, we offer to help. Why do we ignore sexual offences in the workplace? How can we bring about normalisation of a challenge?” “We need to reduce the burden of expectation on professionals from certain groups to take the lead in changing culture and recognise the trauma this can cause.”

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