{"id":44929,"date":"2019-07-01T16:36:02","date_gmt":"2019-07-01T15:36:02","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44929"},"modified":"2019-07-12T10:38:39","modified_gmt":"2019-07-12T09:38:39","slug":"alexandra-adams-we-need-to-do-more-to-raise-awareness-of-workplace-discrimination-in-the-nhs","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/07\/01\/alexandra-adams-we-need-to-do-more-to-raise-awareness-of-workplace-discrimination-in-the-nhs\/","title":{"rendered":"Alexandra Adams: A campaign to raise awareness of workplace discrimination in the NHS"},"content":{"rendered":"<p class=\"standfirst\">We need to do more to tackle these issues and highlight the diversity of our workforce to prevent this kind of discrimination in the future, says Alexandra Adams<\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">A silent problem is sweeping through NHS hospitals across the country. It not only affects our patients, but it affects our staff too<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">physically and mentally. It is widespread and very hard to treat. It is silent because we are all too scared, and singled out, to do or say anything about it. And for those who aren\u2019t affected by it, we are otherwise oblivious to it even being there in the first place. It is lingering around far more than you think. It is workplace discrimination.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">For those of you who can remember your first day on an NHS ward, I hope it brings back good reflections. Nervousness, uncertainty, bewilderment<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">yes, but also excitement, satisfaction, hope, reward, and optimism for a future career as an NHS employee. My experience of my first day could not have been more different. I came home that day with an entirely new perspective on my workplace. And it wasn\u2019t the greatest of perspectives either.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I have severe visual and hearing impairments. When I arrived on the ward, a doctor turned round to me and saw my white cane and asked, what I was doing with the patient\u2019s cane. I had to point out, apologetically, that the white cane was, in fact, mine. I was then told in front of my medical student colleagues, in front of the staff on the ward, and in front of the patients that I was not allowed to touch any of the patients<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">I felt disgusting. In the heat of the silence, I asked if I was at least able to observe some clinical skills and to look through some of the patients&#8217; X-rays, only to be told that I couldn\u2019t. <\/span><span style=\"font-weight: 400\">I was asked to \u201cimagine you\u2019re a patient. Would you want a disabled doctor treating you? Absolutely not!\u201d <\/span><span style=\"font-weight: 400\">I was left not quite knowing what to do. Shortly afterwards I was sent home.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">That was my first day on clinical placement as a third year medical student. I came home, seriously contemplating, for the first time, whether medicine was really for me or not. This was not what being a doctor was about. This was not what I had signed up to do medicine for. But what I had failed to realise was that, on that first day, I had experienced workplace discrimination<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">and I wasn\u2019t even a qualified doctor yet.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-44931 aligncenter\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board.png\" alt=\"\" width=\"1143\" height=\"812\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board.png 1143w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board-300x213.png 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board-768x546.png 768w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board-1024x727.png 1024w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/Discrimination-board-640x455.png 640w\" sizes=\"auto, (max-width: 1143px) 100vw, 1143px\" \/><\/a><\/p>\n<p><em>When the discrimination I faced as a medical student\u00a0became more frequent on placement, I was advised to start writing it all down, recording the comments<\/em><\/p>\n<p><span style=\"font-weight: 400\">I have often been asked by colleagues whether I think there\u2019s any discrepancy between discrimination and bullying. Legally these are treated as separate issues with clear definitions. But in my view, there is an overlap between discrimination and bullying, and we should not be allowed to get away with either. Those who are discriminated against feel bullied, and those who are bullied are discriminated against.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">There have been many conversations on how the system is partly to blame for this. Doctors cannot care for their patients, if the system doesn\u2019t care for them, and if healthcare staff don\u2019t treat each other with care or respect. Without that care or respect for each other, we can\u2019t <a href=\"https:\/\/www.gmc-uk.org\/ethical-guidance\/ethical-guidance-for-doctors\/good-medical-practice\">\u201cwork with colleagues in the ways that best serve patients\u2019 interests\u201d<\/a>. And the worst thing is when our patients notice. When I have been discriminated against because I have a long white cane and wear hearing-aids<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">the patients saw. When colleagues have deliberately ignored my questions, yet answered the other medical students<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">the patients saw.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I have experienced discrimination both inside my medical career and outside, and in many ways I have accepted that I will most likely experience an element of it throughout my whole career. But it\u2019s getting the balance between accepting that this is just another day of misunderstanding, or social ignorance, and knowing when this tips over into discrimination or bullying. There are a lot of issues that we can\u2019t see in our workplace, and bullying is just one of them. Whether that\u2019s because we are ignorant to it happening, or just oblivious, or whether it is the fault of an individual or of an overall system. But what we all know is that it is not acceptable, and is most definitely not welcome in our NHS.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">My experiences of discrimination and workplace bullying so early on in my medical career has been one of the many inspirations behind starting up a campaign, \u201c<a href=\"https:\/\/www.facebook.com\/facesofthenhs\/\">Faces of the NHS.<\/a>\u201d I am making my way around the UK collecting portraits and stories of many NHS employees; past, present, and future, with the aim of celebrating our diversity and differences, and to show that these differences in our backgrounds, motives, and external characteristics, should be embraced, respected, and treasured, not stigmatised, stereotyped, or insulted. While the finished result will hopefully have a positive impact, a campaign like this takes time, and admittedly will not, and cannot, fully address all these outstanding issues imminently.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In the meantime, we need to raise awareness of workplace discrimination and bullying among staff by opening up more, and offering our colleagues the opportunity to disclose their experiences, so that we can fight back and clamp down on those who are still driving this culture. Collating together more of the negative comments, both verbal and physical, that our NHS staff have faced, just like the one I began compiling, could be one way forward in highlighting this. And just like the standard, big red Sepsis and Flu posters, the distribution of staff well-being posters, like an \u201cAre You Okay\u201d campaign, may be just what\u2019s needed to remind us all that it\u2019s okay to speak up against bullying and discrimination. After all, words inflict actions, and kindness kills.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I may not have as much eyesight as most, but my experience has given me more insight<\/span><span style=\"font-weight: 400\"> into what discrimination and bullying<\/span><span style=\"font-weight: 400\"> is than many. Like many disabilities, many mental health illnesses are not visible, and it\u2019s the invisible struggles of our employees that continue to go unnoticed, ignored, and unrecognised. We need to do more to tackle these issues and highlight the diversity of our workforce to prevent this kind of discrimination in the future.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-44932 alignleft\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/9F1A0809.jpg\" alt=\"\" width=\"221\" height=\"141\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Alexandra Adams <\/strong>is a medical student with severe visual and hearing impairments and the founder of the <a href=\"https:\/\/twitter.com\/facesofthenhs?lang=en\">Faces of the NHS<\/a> social photography project.\u00a0<\/em><\/p>\n<p><strong><em>Competing Interests:\u00a0<\/em><\/strong><em>none declared.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We need to do more to tackle these issues and highlight the diversity of our workforce to prevent this kind of discrimination in the future, says Alexandra Adams [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/07\/01\/alexandra-adams-we-need-to-do-more-to-raise-awareness-of-workplace-discrimination-in-the-nhs\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":44955,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236,18907],"tags":[],"class_list":["post-44929","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs","category-wellbeing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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