Ethnic doctors far less likely to reach senior posts in NHS

 

White doctors are three times more likely to be picked for senior hospital jobs than doctors from ethnic minorities, an investigation has found.

Health leaders called for an investigation into the figures, which the NHS Employers organisation said “added weight to concerns around discrimination” in the health service.

Black doctors were the least likely to secure consultant, specialist or trust doctor roles in 2012, according to the respected BMJ Careers journal, with a success rate of only 2.7 per cent. White candidates for the same jobs in 50 NHS trusts in England had success rates of nearly 14 per cent. Mixed ethnicity and Asian doctors were also much less likely to win senior positions than their white colleagues.

Another paper, also published today in bmj.com, found that ethnic minority doctors were much more likely to fail the exam required to practice as a GP. The researchers said they “cannot exclude subjective bias owing to racial discrimination in the marking of the clinical skills assessment” as a reason for the discrepancy.

The paper follows a General Medical Council review of the exam, which is run by the Royal College of General Practitioners, following concerns about failure rates among doctors who qualified outside the UK, as well as among UK-trained doctors from black or other ethnic minority backgrounds.

In his report for the GMC, Aneez Esmail, Professor of general practice at the University of Manchester, said that more needed to be done to acknowledge that candidates trained overseas may require more training and support.

Ethnic minority GP candidates trained in the UK were four times more likely to fail than their white UK-trained colleagues at the first attempt, but these differences disappeared at the second attempt, Professor Esmail said.

“We cannot ascertain if the standardised patients (played by actors) behave differently in front of candidates from non-white ethnic groups. Nor can we confidently exclude bias from the examiners in the way that they assess non-white candidates,” Professor Esmail said.

The BMJ Careers investigation found only 4.8 per cent of applicants to senior doctor roles from ethnic minority backgrounds were successful in 2012.

The British Medical Association called the findings concerning and called for further investigation.

Professor Carol Baxter, head of equality, diversity and human rights at NHS Employers, said: “This is new evidence from respected academics adding weight to concerns around discrimination. Health organisations will want to explore what needs to change to ensure the process is fair and is seen to be fair. People from diverse backgrounds really are the lifeblood of the NHS and we must do everything we can, not only to promote equality but to ensure potential applicants know they are welcome.”

Clare Gerada is head of the Royal College of General Practitioners Clare Gerada is head of the Royal College of General Practitioners  

Commentary: Bias must not affect medical graduates

I am the daughter of a general practitioner who came from Malta to set up in Peterborough.

Our health service increasingly relies heavily on care from doctors and nurses from across the world.

The only discrimination I have witnessed is sex discrimination. However, in the past there has been some evidence of racial bias. In the early 1990s, Dr Sam Everington sent dummy CVs to medical schools, where the surname was the only difference, demonstrating that those with foreign-sounding surnames faced discrimination.

My college takes robust steps to ensure that bias does not affect medical graduates.

Clare Gerada is head of the Royal College of General Practitioners

Arts and Entertainment
books
Voices
Caustic she may be, but Joan Rivers is a feminist hero, whether she likes it or not
voicesShe's an inspiration, whether she likes it or not, says Ellen E Jones
Arts and Entertainment
The Doctor and the Dalek meet
tvReview: Doctor Who Into the Dalek more than compensated for last week's nonsensical offering
Sport
Diego Costa
footballEverton 3 Chelsea 6: Diego Costa double has manager purring
PROMOTED VIDEO
Life and Style
ebooksA superb mix of recipes serving up the freshest of local produce in a delicious range of styles
Life and Style
ebooksFrom the lifespan of a slug to the distance to the Sun: answers to 500 questions from readers
Life and Style
3D printed bump keys can access almost any lock
techSoftware needs photo of lock and not much more
Arts and Entertainment
The 'three chords and the truth gal' performing at the Cornbury Music Festival, Oxford, earlier this summer
music... so how did she become country music's hottest new star?
Life and Style
The spy mistress-general: A lecturer in nutritional therapy in her modern life, Heather Rosa favours a Byzantine look topped off with a squid and a schooner
fashionEurope's biggest steampunk convention heads to Lincoln
News
Dr Alice Roberts in front of a
peopleAlice Roberts talks about her new book on evolution - and why her early TV work drew flak from (mostly male) colleagues
News
i100
Arts and Entertainment
Star turns: Montacute House
tv
News
i100Steve Carell selling chicken, Tina Fey selling saving accounts and Steve Colbert selling, um...
Arts and Entertainment
Unsettling perspective: Iraq gave Turner a subject and a voice (stock photo)
booksBrian Turner's new book goes back to the bloody battles he fought in Iraq
News
The Digicub app, for young fans
advertisingNSPCC 'extremely concerned'
News
i100
Arts and Entertainment
Some of the key words and phrases to remember
booksA user's guide to weasel words
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Senior Data Scientist (Data Mining, RSPSS, R, AI, CPLEX, SQL)

    £60000 - £70000 per annum + Benefits + Bonus: Harrington Starr: Senior Data Sc...

    Law Costs

    Highly Attractive Salary: Austen Lloyd: BRISTOL - This is a very unusual law c...

    Junior VB.NET Application Developer (ASP.NET, SQL, Graduate)

    £28000 - £30000 per annum + Benefits + Bonus: Harrington Starr: Junior VB.NET ...

    C# .NET Web Developer (ASP.NET, JavaScript, jQuery, XML, XLST)

    £40000 - £50000 per annum + Benefits + Bonus: Harrington Starr: C# .NET Web De...

    Day In a Page

    The other Mugabe who is lining up for the Zimbabwean presidency

    The other Mugabe who is lining up for the Zimbabwean presidency

    Wife of President Robert Mugabe appears to have her sights set on succeeding her husband
    The model of a gadget launch: Cultivate an atmosphere of mystery and excitement to sell stuff people didn't realise they needed

    The model for a gadget launch

    Cultivate an atmosphere of mystery and excitement to sell stuff people didn't realise they needed
    Alice Roberts: She's done pretty well, for a boffin without a beard

    She's done pretty well, for a boffin without a beard

    Alice Roberts talks about her new book on evolution - and why her early TV work drew flak from (mostly male) colleagues
    Get well soon, Joan Rivers - an inspiration, whether she likes it or not

    Get well soon, Joan Rivers

    She is awful. But she's also wonderful, not in spite of but because of the fact she's forever saying appalling things, argues Ellen E Jones
    Doctor Who Into the Dalek review: A classic sci-fi adventure with all the spectacle of a blockbuster

    A fresh take on an old foe

    Doctor Who Into the Dalek more than compensated for last week's nonsensical offering
    Fashion walks away from the celebrity runway show

    Fashion walks away from the celebrity runway show

    As the collections start, fashion editor Alexander Fury finds video and the internet are proving more attractive
    Meet the stars of TV's Wolf Hall... and it's not the cast of the Tudor trilogy

    Meet the stars of TV's Wolf Hall...

    ... and it's not the cast of the Tudor trilogy
    Weekend at the Asylum: Europe's biggest steampunk convention heads to Lincoln

    Europe's biggest steampunk convention

    Jake Wallis Simons discovers how Victorian ray guns and the martial art of biscuit dunking are precisely what the 21st century needs
    Don't swallow the tripe – a user's guide to weasel words

    Don't swallow the tripe – a user's guide to weasel words

    Lying is dangerous and unnecessary. A new book explains the strategies needed to avoid it. John Rentoul on the art of 'uncommunication'
    Daddy, who was Richard Attenborough? Was the beloved thespian the last of the cross-generation stars?

    Daddy, who was Richard Attenborough?

    The atomisation of culture means that few of those we regard as stars are universally loved any more, says DJ Taylor
    She's dark, sarcastic, and bashes life in Nowheresville ... so how did Kacey Musgraves become country music's hottest new star?

    Kacey Musgraves: Nashville's hottest new star

    The singer has two Grammys for her first album under her belt and her celebrity fans include Willie Nelson, Ryan Adams and Katy Perry
    American soldier-poet Brian Turner reveals the enduring turmoil that inspired his memoir

    Soldier-poet Brian Turner on his new memoir

    James Kidd meets the prize-winning writer, whose new memoir takes him back to the bloody battles he fought in Iraq
    Aston Villa vs Hull match preview: Villa were not surprised that Ron Vlaar was a World Cup star

    Villa were not surprised that Vlaar was a World Cup star

    Andi Weimann reveals just how good his Dutch teammate really is
    Bill Granger recipes: Our chef ekes out his holiday in Italy with divine, simple salads

    Bill Granger's simple Italian salads

    Our chef presents his own version of Italian dishes, taking in the flavours and produce that inspired him while he was in the country
    The Last Word: Tumbleweed through deserted stands and suites at Wembley

    The Last Word: Tumbleweed through deserted stands and suites at Wembley

    If supporters begin to close bank accounts, switch broadband suppliers or shun satellite sales, their voices will be heard. It’s time for revolution