BAME doctors ‘do not feel protected from Covid at work’ – survey

Hundreds of doctors from black, Asian and minority ethnic backgrounds (BAME) do not feel fully protected from Covid-19 at work, a survey has suggested.

Some 72% of BAME respondents said they felt only partly protected, or not protected at all from infection, compared with 60% for white respondents, according to the British Medical Association (BMA).

The results are from a survey of 7,776 doctors and medical students across England, Wales and Northern Ireland.

Dr Chaand Nagpaul, chairman of the BMA Council, said: “We should not have a situation in this country where health and social care workers, BAME or otherwise, are feeling unsafe or at risk from death or disease in their workplace, especially in the NHS where that work is to save the lives of others.

“It is untenable that a year into his pandemic we are seeing results like this.”

It came as the Government also announced a further 1,200 people had died within 28 days of testing positive for Covid-19 as of Saturday, while there had been a further 23,275 lab-confirmed cases of the disease.

Meanwhile, the vaccination rollout continues towards the target of getting the first dose to 15 million people in the top priority groups – including all over-70s – by February 15 – with the number of people to have received the first dose currently standing at 8,378,940.

Health Secretary Matt Hancock said as of Saturday some five in six people in the UK aged 80 and above have now received the first dose of a coronavirus vaccine.

Mr Hancock also announced that two thirds of those aged 75 to 79 have received their first jab, as the number of first doses administered in the UK surpassed 8.3 million.

Coronavirus graphic
Coronavirus graphic

But concerns continue around numbers of patients in hospital and the risk to frontline health workers.

The BMA survey also found that less than half (46%) of BAME respondents said their employers had assessed their level of risk from the virus and felt confident the necessary safety adjustments had been made to their role.

The findings show 14% of BAME respondents said they had not been assessed and thought adjustments are needed, while 15% said they had been assessed but their safety measures needed updating.

More than half (55%) of white respondents indicated they had been properly risk assessed, with just 7% saying their adjustments needed refreshed.

Dr Nagpaul went on: “These results underpin a horrible truth; we have known from very early on in the pandemic that health and social care workers of BAME background are more likely to become ill and die from this virus.

“Covid has exacerbated existing racial and cultural inequities within our health service that have contributed to this disparity.

“We now want the Westminster Government to bring in proper solutions to address the known ethnic disparities and inequalities.”

The #COVID19 pandemic has highlighted how much more we must do to support our IMG and BAME colleagues, through initiatives like our national BAME forum. Here, @PeaPeaspot makes the case for a more joined-up approach across all stakeholder orgs in the NHS

— The BMA (@TheBMA) January 28, 2021

There have been disproportionate rates of premature death from Covid-19 among patients of Asian and black ethnicity, a large cohort study recently found.

The research, published in the journal BMJ Open, is based on nearly 1,800 patients admitted to five acute hospitals within Barts Health NHS Trust between January 1 and May 13 2020.

The study found that patients from minority ethnic backgrounds were younger and less frail, compared with white patients.

It also showed that black patients were 1.8 times and Asian patients 1.54 times more likely to be admitted to an intensive care unit (ICU) and need mechanical ventilation.

After adjusting for factors such as age, sex, obesity, smoking and frailty, the researchers found that, compared with those from white backgrounds, Asian patients were 1.49 times and black patients 1.3 times more likely to die from Covid-19.

Further research is needed to understand the reasons why those from Asian and black backgrounds have higher mortality from Covid-19 infection, researchers say.

A spokesperson for NHS England said: “It is absolutely right that staff are supported at work which is why it’s so important that more than one million risk assessments had taken place by the end of 2020, including 96% of colleagues from a black and minority ethnic background having been assessed, and alongside regular reviews by employers for staff to ensure their wellbeing, crucially we are committed to giving all frontline health and care staff a Covid-19 vaccination by the middle of February.”