HEE’s Summer 2020 call for evidence answered by over 400 trainees the aftermath of Black Lives Matter. Analysis of these responses showed system-wide challenges that trainees face. Those of minority backgrounds and International Medical Graduates are acutely aware of differential attainment and a lack of representative role-modelling. One stand-out issue was difficulties in having trainee views and experiences represented to senior leaders of HEE in open dialogue. This Assembly aims to improve this situation.

Our inaugural event was 26th May 2021. It was attended by Dr Navina Evans and Prof. Namita Kumar, outlining their experiences of the importance of diverse leadership.

An interactive roundtable discussion with over 70 participants followed. Trainees’ personal stories were heard and reflected upon. A range of themes emerged, including EDI in recruitment processes, clinical supervision and flexible training options. Some individuals shared experiences of differential attainment, systemic racism and undermining behaviours.

Actions required

1. Clear guidance at induction on how to escalate concerns both within the employer and the local office.

2. That naming or investigating a concern under a ‘Dignity at Work Policy’ does not immediately reassure the individual that their complaint of bullying, undermining or discrimination will be recognised as such.

3. Ensure timely investigation and communications.

4. Differences between Revalidation and ARCP processes made clear to doctors in training.

5. Visa sponsorship rules on salary thresholds may preclude some doctors training LTFT.

Actions requiredImportantly, examples of good practice and positive experiences were highlighted. Overall, attendees were supportive of each other, exchanging challenges faced and how they have overcome them, creating interpersonal camaraderie. We anticipate continuing to work together to make beneficial change through future Assemblies.