We concluded that there was racism in Broadmoor, but not on the whole deliberate or necessarily conscious; rather it was an extreme lack of sensitivity to the needs and cultural differences of ethnic minority patients. Of our 47 recommendations, several were directed at ethnic issues. These included the need to appoint black staff at senior management level and to have black representation on the managing health authority. We also offered to return to the hospital to monitor the implementation of our recommendations - an offer firmly declined at that time. Somewhat ironically, a few weeks ago, I was asked to return to Broadmoor to participate in a seminar examining how successful the hospital had been in developing its anti-racist policies and practices! I learnt that there were still no black members of senior management, neither was there any black representation on the managing health authority. It also appeared that there were even fewer black staff working on the wards than at the time of our inquiry. All institutions are notoriously impervious to change; the only way to bring about such change is to make them more openly accountable. Sadly, we still have a long way to go.
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