One in five black, Asian and minority ethnic NHS managers in England plan to quit amid racism, report finds

by | Sep 15, 2026 | Health

One in five black, Asian and minority ethnic NHS managers in England plan to quit amid racism, report finds

A report by the NHS Alliance has documented widespread concerns among minority ethnic managers in the English NHS regarding workplace racism and discrimination. The survey of 950 BAME managers found that nearly four-fifths have experienced racism, exclusion, and barriers to career advancement during their tenure in the health service.

The findings reveal that one in five BAME managers intend to leave the NHS within the next three years, prompting warnings of a potential exodus of senior minority ethnic leaders. Survey participants described experiences of isolation within senior leadership teams, exclusion from informal professional networks, and disparities in career progression opportunities compared with white colleagues. Many expressed frustration over the gap between their qualifications and their ability to advance, with respondents highlighting a lack of diversity at senior levels and describing workplace cultures they perceived as exclusionary.

While NHS leadership has become more diverse in recent years—with BAME board membership increasing from 7.1% in 2016 to 17.3% in 2025—the alliance’s report indicates that institutional and structural racism persists despite various initiatives aimed at addressing discrimination. The NHS Alliance characterized the situation as presenting a risk of significant talent loss from the organization.

The NHS Race and Health Observatory reported a growing number of inquiries from BAME staff experiencing workplace racism, with its chief executive noting that such experiences have serious consequences for staff wellbeing, career prospects and retention. An NHS England spokesperson acknowledged that racism and discrimination are unacceptable and stated that the new NHS staff standards require trusts to implement sustained action to tackle racism with clear board-level accountability and measures to ensure equitable recruitment and career progression.

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