Challenging Racial Microaggressions in Health and Care: Insights from NHS R&D NW Provocation Seminar  Series

In a thought-provoking seminar led by Professor Lilian Otaye-Ebede (PhD) on December 11, 2024, healthcare professionals, researchers, and policymakers gathered to discuss racial microaggressions in the NHS. The event, part of a larger provocation seminar series, illuminated the persistence of subtle, yet deeply impactful, forms of racism and explored actionable steps for creating equitable and inclusive workplaces. 

About Professor Lilian Otaye-Ebede (PhD)

Professor Lilian Otaye-Ebede (PhD) is a Professor of Human Resource Management and Organisational Behaviour at the University of Liverpool. A leading expert in workplace diversity and inclusion, her research focuses on racial inequalities, strategic HRM, and employee well-being. With over a decade of work in the field, she has contributed extensively to understanding how racial inequalities impact individuals and organisations, promoting solutions/change initiatives to foster more racially inclusive cultures. Professor Otaye-Ebede’s insights are not only rooted in rigorous academic research but also in real-world applications, as she actively collaborates with policymakers and organisations to foster more inclusive workplaces.

What the Research Showed 

Professor Lilian Otaye-Ebede shared key insights from over a decade of research into racial inequalities in the UK health sector, highlighting the widespread impact of microaggressions and structural biases:

  • The Prevalence of Microaggressions: Subtle yet harmful remarks—such as “You speak good English” or assumptions about a person’s role based on race—reinforce both systemic and individual biases, fostering a culture of exclusion.
  • Intersecting Layers of Racism: Racism operates on multiple levels—systemic, institutional, and individual—entrenching inequalities across workplace policies, organisational structures, and everyday interactions.
  • Impact on Wellbeing and Career Progression: Those who experience microaggressions often report feeling isolated, less productive, and unsupported, leading to higher turnover rates among racially minoritised staff.

Solutions in Focus 

The seminar emphasised a multi-level approach to change: 

– Education: Ongoing, story-driven training to foster empathy and awareness. 

– Active Bystanders: Encouraging individuals to recognise and challenge discriminatory behavior. 

– Allyship and Accompliceship: Moving beyond passive support to actively dismantle systemic barriers. 

– Micro-Interventions: Small, consistent actions to create safer, more inclusive environments. 

Participant Reflections 

Discussions highlighted barriers and opportunities for action: 

– Barriers to Speaking Up: Fear of repercussions or being labeled a troublemaker often deters intervention. 

– Cultural Change: Participants stressed that policy shifts must be matched by genuine changes in workplace culture. 

– Empowering Allies: Support systems and clear reporting mechanisms are critical for enabling effective allyship.