RT Journal Article SR Electronic T1 Ethnic inequalities among NHS staff in England: workplace experiences during the COVID-19 pandemic JF Occupational and Environmental Medicine JO Occup Environ Med FD BMJ Publishing Group Ltd SP 113 OP 121 DO 10.1136/oemed-2023-108976 VO 81 IS 3 A1 Rhead, Rebecca A1 Harber-Aschan, Lisa A1 Onwumere, Juliana A1 Polling, Catherine A1 Dorrington, Sarah A1 Ehsan, Annahita A1 Stevelink, Sharon A M A1 Khunti, Kamlesh A1 Mir, Ghazala A1 Morriss, Richard A1 Wessely, Simon A1 Woodhead, Charlotte A1 Hatch, Stephani YR 2024 UL http://oem.bmj.com/content/81/3/113.abstract AB Objectives This study aims to determine how workplace experiences of National Health Service (NHS) staff varied by ethnicity during the COVID-19 pandemic and how these experiences are associated with mental and physical health at the time of the study.Methods An online Inequalities Survey was conducted by the Tackling Inequalities and Discrimination Experiences in Health Services study in collaboration with NHS CHECK. This Inequalities Survey collected measures relating to workplace experiences (such as personal protective equipment (PPE), risk assessments, redeployments and discrimination) as well as mental health (Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder 7 (GAD-7)), and physical health (PHQ-15) from NHS staff working in the 18 trusts participating with the NHS CHECK study between February and October 2021 (N=4622).Results Regression analysis of this cross-sectional data revealed that staff from black and mixed/other ethnic groups had greater odds of experiencing workplace harassment (adjusted OR (AOR) 2.43 (95% CI 1.56 to 3.78) and 2.38 (95% CI 1.12 to 5.07), respectively) and discrimination (AOR 4.36 (95% CI 2.73 to 6.96) and 3.94 (95% CI 1.67 to 9.33), respectively) compared with white British staff. Staff from black ethnic groups also had greater odds than white British staff of reporting PPE unavailability (AOR 2.16 (95% CI 1.16 to 4.00)). Such workplace experiences were associated with negative physical and mental health outcomes, though this association varied by ethnicity. Conversely, understanding employment rights around redeployment, being informed about and having the ability to inform redeployment decisions were associated with lower odds of poor physical and mental health.Conclusions Structural changes to the way staff from ethnically minoritised groups are supported, and how their complaints are addressed by leaders within the NHS are urgently required.Data are available on reasonable request. To request access to the data, please contact tides@kcl.ac.uk.