NHS Discrimination at 5-Year High: 9.26% of Staff Face Racism, Workforce at Risk
The NHS Staff Survey reveals a 9.26% discrimination rate—a five-year high—with radiographers reporting a surge in patient racism over 18 months. International recruits, critical to filling 112,000 vacancies, face abuse that threatens retention and morale, prompting calls for mandatory incident recording.
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HR & Workforce briefing
Key takeaways
- The NHS Staff Survey reveals a 9.26% discrimination rate—a five-year high—with radiographers reporting a surge in patient racism over 18 months.
- International recruits, critical to filling 112,000 vacancies, face abuse that threatens retention and morale, prompting calls for mandatory incident recording.
- mirror.co.uk
- aol.co.uk
In this briefing
Mentioned
Key Intelligence
Key Facts
- 1The NHS Staff Survey, published March 2026, shows 9.26% of staff experienced discrimination from patients/service users in the last 12 months—a five-year high, up from 7.91% in 2021.
- 2Staff report a significant rise in patient racism over the last 18 months, coinciding with increased far-right rhetoric, as per a Society of Radiographers (SoR) poll.
- 3MRI radiographer Paul Awah described a patient who screamed for help when he attempted a cannula insertion but acted cooperatively with a less-experienced white colleague, an incident that occurred approximately two weeks before the reporting date.
- 4CT radiographer Ifeanyi Obike, who moved from Nigeria in 2022, was shocked when a patient loudly refused to be examined, saying 'That's it, I'm not having it done. I'm leaving this place,' and walked out.
- 5The Society of Radiographers is calling for the NHS to systematically record incidents of racism and monitor how they are dealt with, a demand backed by the Royal College of Nursing.
Five-year high, imperiling international recruitment and retention
I feel worried and very concerned because in the last year to year-and-a-half, the rhetoric has changed because of the increase of the far-right movement.
Describing the emotional toll of rising patient racism
Analysis
- Internationally educated staff fill critical radiographer and nursing gaps
- Diversity improves patient outcomes and cultural competence
- NHS reputation as a global employer of choice attracts talent
- 9.26% discrimination rate leads to burnout, absenteeism, and turnover
- Zero-tolerance policies are poorly enforced; no systematic incident recording
- Hostile environment deters future international recruits, worsening workforce shortages
Analysis
For HR leaders, the NHS's spiralling staff discrimination figures are a flashing red alert. When 9.26% of employees—many from overseas—report racist abuse from patients, the employer's duty of care is under direct assault. The loss of psychological safety corrodes the entire employee value proposition, risking increased turnover, higher vacancy rates, and costly recruitment cycles at a time the health service can least afford them.
The National Health Service, long reliant on international recruitment to fill critical staffing gaps, is confronting a corrosive rise in patient racism that threatens its most fundamental principles. A Special Report by the Daily Mirror, based on a Society of Radiographers (SoR) poll and personal testimonies, reveals that frontline radiographers—many of whom moved to the UK specifically to support the NHS—are enduring a surge in discriminatory abuse from patients. The latest NHS Staff Survey, published in March 2026, marks a five-year high: 9.26% of staff reported personally experiencing discrimination at work from patients or service users in the previous 12 months, up sharply from 7.91% in 2021. This increase, concentrated over the last 18 months, aligns with what staff describe as a shift in public rhetoric fuelled by the far-right movement.
The latest NHS Staff Survey, published in March 2026, marks a five-year high: 9.26% of staff reported personally experiencing discrimination at work from patients or service users in the previous 12 months, up sharply from 7.91% in 2021.
The personal stories are jarring. Paul Awah, a 43-year-old MRI radiographer and father of three from Nigeria, recounted an incident just two weeks before the article's publication where a patient screamed for help as he attempted to insert a cannula, yet cooperated calmly with a less-experienced white colleague. Ifeanyi Obike, a 28-year-old CT radiographer who moved to the UK in 2022, described a patient loudly refusing examination upon seeing him and walking out of the facility. These are not isolated anecdotes; the SoR poll indicates a disturbing pattern across the profession. The emotional toll on clinicians is immense—Awah expressed deep worry and concern—and the operational impact is direct: refusal of care delays diagnostics, wastes resources, and destabilizes team morale.
The implications extend far beyond individual incidents. The NHS currently employs over 200,000 internationally educated professionals, with substantial numbers from Nigeria, India, and the Philippines. A hostile work environment undermines the UK's ability to retain these essential workers at a time when the health service faces 112,000 vacancies. The psychological safety of staff is a core component of patient safety; distracted, distressed, or demoralised clinicians make more errors. Yet the current approach is reactive at best. The Society of Radiographers is now demanding that the NHS systematically record incidents of patient racism and monitor how they are resolved—a call backed by the Royal College of Nursing. Without standardised recording, the true scale remains hidden, and perpetrators face no consequences.
What to Watch
There is a broader societal dimension. The workers explicitly link the rise to the mainstreaming of far-right anti-immigration narratives. This turns hospital wards into microcosms of a polarised national debate, with Black and Brown staff bearing the brunt. The NHS's own Workforce Race Equality Standard (WRES) data has long shown disparities in bullying and harassment, but the current spike suggests a qualitative change. The five-year-high discrimination figure, rising from 7.91% pre-pandemic to 9.26% now, signals that the post-COVID social compact—which celebrated NHS staff as heroes—has frayed dangerously.
Looking ahead, the NHS faces a crossroads. It can treat this as a workforce-relations issue requiring better training and zero-tolerance signage, or it can recognise it as a systemic threat to healthcare delivery. Meaningful action would involve mandatory reporting of patient racism to a centralised database, resourcing for trauma support for affected staff, visible prosecution of offenders where appropriate, and a fundamental recommitment to anti-racism from the highest levels. The alternative—inaction—risks an exodus of international clinicians, longer waiting lists, and a two-tier system where patients from minority backgrounds may avoid care out of fear of encountering racist environments. The radiographers who came to help deserve more than sympathy; they deserve a workplace where their expertise is valued without question, and where the colour of their skin is not a barrier to delivering care.
Source cluster
Primary reporting
Cite This Page
"NHS Discrimination at 5-Year High: 9.26% of Staff Face Racism, Workforce at Risk." HR & Workforce Intelligence Brief, August 8, 2026. https://gethrbrief.com/story/hr-nhs-staff-discrimination-five-year-high
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