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‘Ministers must urgently invest in inclusive mental health services’

A new report reveals inequality in accessing talking therapies among Black and minority ethnic people. The RCN is calling for improvements in the diversity of the mental health workforce so those delivering care are reflective and responsive to the needs of the population.

A professional and client talking in a therapy session

An independent review of services provided by NHS Talking Therapies in England has identified that psychological services need better tailoring to meet the needs of Black and minority ethnic people.

The NHS Race and Health Observatory's report looks at patient data spanning 10 years. It shows that Black and minority ethnic people are less likely to access services, and tend to wait longer for assessment and treatment compared to white British people.

The report also notes that poor outcomes can be tackled, and even disappear, when access is improved, and culturally sensitive therapy is provided. It listed a lack of cultural sensitivity, understanding around taboos and issues around interpreters as barriers to accessing care.

It comes less than two weeks after the Health Secretary wrote to NHS leaders asking them to stop hiring dedicated equality and diversity staff. RCN Director for England Patricia Marquis said: “This report is testament to why he was so wrong to do so.”

She continued: “While some progress has been made in reducing inequality in accessing services, it remains clear that far more needs to be done. This report offers a range of solutions which we urge local commissioners and providers to heed urgently.

“One way to ensure better support for patients is to improve diversity in the workforce so those delivering care are reflective of and able to respond to the needs of the population. Training is also critical so that all staff have the support they need to give patients the treatment they deserve.

“The bottom line is that ministers must urgently invest in inclusive mental health services. Failing to do so will be a missed opportunity that will perpetuate poor health outcomes and lead to even greater inequalities in care.”

The RCN Mental Health Forum Ethnic Minority sub-group continues to raise awareness of and share ways to reduce and remove the barriers experienced by ethnic minority mental health nurses to have positive and fulfilling careers. Dr Ann Mitchell is the chair of the subgroup, who explains here what she hopes to achieve in her role