Race equality issues
This Resource Guide provides a brief outline on legislation and good practice with reference to race equality issues.
The relevant legislation is
- the Race Relations Act 1976 (as amended)
- the Race Relations (Amendment) Act 2000 and
- the Race Relations (Northern Ireland) Order 1997 (as amended).
Race Relations legislation makes both direct and indirect discrimination on the grounds of
- race
- colour
- nationality (including citizenship) or
- ethnic or
- national origin unlawful.
The law covers people from all ethnic groups, for example Irish people, Gypsies and Travellers1, and applies to employment, planning, housing, the provision of goods, facilities, services, and education.
The most recent legislation strengthens and extends the remit of the earlier laws. Not only do public bodies have to ensure that their policies, procedures and practices are not racist, but now they also have a positive general duty to eliminate unlawful discrimination and promote equal opportunities and good relations between people of different racial groups.
In addition, pursuant to the Race Relations Act 1976 (Amendment) Regulations 2003, racial harassment is also now regarded as a form of racial discrimination and is unlawful.
The term ‘institutional racism�?is not enshrined in law but is widely used to cover the ‘indirect�?discrimination that persists in many organisations. The Macpherson report defined ‘institutional racism�?as:
‘The collective failure of an organisation to provide an appropriate and professional service to people because of their colour, culture or ethnic origin. It can be seen or detected in processes, attitudes and behaviour which amount to discrimination through unwitting prejudice, ignorance, thoughtlessness and racist stereotyping which disadvantage minority ethnic people2.�?/P>
Practical tips and information
- Be clear about why race equality matters and where you can make a difference.
- Challenge people who behave in unprofessional ways, e.g. bi-lingual people speaking in a language other than English amongst colleagues and/or patients and service users who speak only English.
- Be aware that certain training programmes, covering customs and death, birth and diet, may reinforce stereotypes such as:
- “minority ethnic groups behave in similar ways�?/LI>
- “aspects of cultures are static and do not change�?/LI>
- “staff trained in ‘cultural�?knowledge means that the health service is now culturally competent3.�?/LI>
The following web sites have detailed information on race equality issues in the context of health and medicine.
Key Web Links
General issues
Organising Medical Networked Information (OMNI) is a gateway to evaluated internet resources in health and medicine.
The Multicultural Matters website provides information on festivals and communities.
Department of Health, Social Services and Public Safety website: See Race Equality in Health and Social Care - Good Practice Guide which covers barriers, the law and good practice strategies, as well as a contact list for interpreters, religious/spiritual leaders and training.
The Northern Ireland Council for Ethnic Minorities site includes Interpreter Support Network information.
The NHS Scotland website provides a range of health promotion information in a variety of formats and languages including ‘Mrs Khan goes for breast screening�?(video in Urdu/Hindi) and a kit on nut allergies (in Arabic, Bengali, Chinese, Urdu, Hindi and English). (PDF format). (Scotland).
The London Health website provides information about health issues specific to ethnic minorities, with a UK directory of health-related self-help organisations of white and black ethnic groups (including Tamils, Greeks and Bosnians).
EthnoMed (USA) (is a comprehensive web based clinical resource covering a wide range of ethnic groups (such as Vietnamese, Ethiopian and Chinese) and medical conditions, as well as general cultural health clinical topics. Patient information on TB is available in Amharric, Russian, Somali, Spanish, Tagalong, Tigrean, Vietnamese etc.
Advocacy
The Ethnic Minority Foundation (in partnership with the King’s Fund) Health Advocacy Network was established to facilitate better access to healthcare for minority ethnic groups through the use of trained advocates, and promotes the sharing of best practice as well as organising training seminars.
Blood
The National Blood Service’s site covers discussion of blood groups in our multi-ethnic society and has four short animated films, each from the perspective of a person from a different cultural background.
Cancer
The Directory of Cancer Information is available in ethnic minority languages (2004).
The Mouth Cancer Foundation has a Patient’s Guide: ‘Chewing Tobacco, Betel Nut, Areca Nut�?/A> and includes a link to the NHS Asian Tobacco helplines (where patients can speak to an expert confidentially in their preferred language4).
Child protection
An NSPCC service for professionals working with members of the Asian communities who need culturally sensitive advice about child protection issues. There is a multilingual Helpline service for the UK’s Asian communities - Bengali/Syllheti, Gujarati, Hindi, Punjabi and Urdu.
The NSPCC service also has a Welsh Helpline :
Cultural competence
The Multikulti site contains information, advice, guidance and learning materials in several languages, for example, Portuguese, Gujarati, Albanian, Arabic, Bengali, French, Farsi, Spanish, English, Turkish, and patient information such as getting products that help make someone’s life easier; what is autism; post natal depression.
Ethnicity Online - Cultural Awareness in Healthcare was developed in Norfolk, Suffolk and Cambridgeshire and has some information specific to the area, such as a list of interpreters. Other material is of general use, for example good practice guidelines on hygiene, death and dying. The patient information is in Bengali/Sylheti, Farsi, Mandarin Chinese, Portuguese and Urdu.
The Northern Ireland Cultural Traditions Programme is aimed at encouraging greater understanding and cultural diversity between ‘people from the two main traditions�?
The Centre for Caribbean Health was established to improve the health and welfare of people of West Indian ancestry living in London and elsewhere in the UK. The site contains reviews of the main health conditions relevant to the African Caribbean communities in the UK, such as diabetes melllitus. It also has a list of black-led and other charities working with this community, and CHASe (Caribbean Health Alert Service) - an electronically distributed digest of recent research relating to the health of Caribbean people.
HIV and AIDs
Department of Health funded HIV Healthcare Pack (for non-specialists) which addresses HIV-related stigma and discrimination in healthcare (order on-line), and free fact files, including topics related to African communities. (England).
Mental health and asylum seekers
www.mentalhealth.harpweb.org.uk
This site is designed to help health professionals in assisting asylum seekers and refugees with mental health issues.
Multilingual appointment card
Department of Health sponsored site with an appointment card easily translated into nearly 40 languages. (England)
Palliative care
National Council for Palliative Care website : See Wider Horizons: care of the dying in a multicultural society (2001) which includes recommendations on good practice in the provision of care, training, and the future research agenda, and Palliative care services for different ethnic groups (2004).
Primary health care
The Commission for Racial Equality document on strategies for good practice in primary care is available on this site.
Rural healthcare
Nursing Standard website: This site provides a good practice example of integrating ethnic minority healthcare in rural Oxfordshire (pdf).
Travellers and gypsies
The Friends, families and travellers website lists the main Traveller/Gypsy groups across Britain and also has a copy of the Department of Health (England) report, The Health Status of Gypsies and Travellers in England (2004) in PDF format.
Derbyshire Gypsy Liaison Group has printable Health Awareness leaflets, e.g. Travellers Heart Disease and Stress; Children’s Needs; Arthritis, and also, A Better Road: an information booklet for Health Care and Other Professionals.
The Partnership of Irish travellers and settled people has information on culture, fact sheets (e.g. on Health issues) and publications, for example, Butchler Test: an important test for Traveller babies. Some information can be ordered, some is downloadable.
Suicide
The Diversity Health Institute is an Australian organisation with a resource section for clinicians on Cross Cultural Suicide Prevention. The site has a number of mental health related information kits and fact sheets in a variety of languages appropriate for the UK.