Psychiatrists Call for NHS Disability Bias Action
- The Royal College of Psychiatrists (RCPsych) is calling for meaningful action to combat disability discrimination within NHS England's mental health workforce.
- This isn't simply a matter of fairness; it's a matter of patient care.
- In response to these concerns, the RCPsych has launched the "Delivering for Disability" campaign, supported by comprehensive guidance titled Providing Reasonable Adjustments - Essential Guidance for Mental Health...
addressing Disability Discrimination Within the NHS
Table of Contents
Published August 22, 2025
The Urgent Need for Change
The Royal College of Psychiatrists (RCPsych) is calling for meaningful action to combat disability discrimination within NHS England’s mental health workforce. New data reveals a stark disparity: staff members with disabilities are twice as likely – 12.2% compared to 5.8% – to report experiencing discrimination from colleagues or managers. This finding underscores a critical gap between legal protections and the lived experiences of NHS staff.
This isn’t simply a matter of fairness; it’s a matter of patient care. As Dr. Lade Smith, President of the RCPsych, emphasizes, disability discrimination ”comes at an immense cost to individuals, teams, and ultimately impacts our ability to retain experienced professionals and thereby look after patients.”
Delivering for Disability: A New Framework
In response to these concerns, the RCPsych has launched the “Delivering for Disability” campaign, supported by comprehensive guidance titled Providing Reasonable Adjustments – Essential Guidance for Mental Health Employers. This guidance aims to bridge the gap between policy and practical implementation, empowering NHS services to provide meaningful support for staff with disabilities and long-term health conditions.
The initiative focuses on creating a more inclusive environment where all staff can thrive, recognizing that a diverse and supported workforce is essential for delivering high-quality care.
The Scope of the Problem: A Growing number
The number of NHS staff declaring a disability is on the rise. In 2021, over 52,000 individuals (3.7% of the workforce) self-identified with a disability through the NHS Electronic Staff Record, an increase of 6,870 from the previous year. This demonstrates a growing awareness and willingness to disclose, but also highlights the urgent need for improved support systems.
15 recommendations for Employers
The RCPsych’s guidance outlines 15 key recommendations for mental health employers, categorized into four core areas:
- Developing a co-produced disability workforce strategy and implementation plan.
- Establishing an independent and confidential point of contact for staff to raise concerns.
- Ensuring leaders and managers are fully informed about reasonable adjustments and mitigations.
- Providing reasonable adjustments within a clearly defined and agreed-upon timeframe.
reasonable adjustments can range from physical accommodations – such as safe building access – to flexible work arrangements like reduced hours, exemption from on-call duties, or additional breaks to manage health conditions. These adjustments aren’t merely about compliance; thay foster a sense of value, reduce absenteeism, improve staff retention, and strengthen teamwork.
A Unified Approach is Crucial
While progress is being made across the four UK nations, the RCPsych emphasizes the need for a unified framework to accelerate change and ensure consistent support for disabled staff throughout the NHS. Tackling these barriers is not only ethically imperative but also essential for maximizing productivity and delivering the best possible patient care.
