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Writer's pictureDanielle Checketts

Diversity and Multicultural Workwear in NHS Hospitals


Eco Ninjas Multicultural badge hat for long braided hair

The NHS workforce is more diverse than at any other point in its history, according to an annual report into race equality across the health service.


Published in February 2023, the NHS Workforce Race Equality Standard shows Black, and minority ethnic (BME) staff make up almost a quarter of the workforce overall (24.2% or 383,706 staff)- an increase of 27,500 people since 2021.



Afro-Caribbean culture celebrates long hair braids as a significant form of expression and identity. Braiding styles, including cornrows, box braids, and twists, carry cultural, historical, and personal meanings, reflecting heritage, community ties, and individual creativity.


Medical staff with braided hair who work in operating theatres often encounter challenges with traditional scrub caps, which typically do not accommodate the bulk and length of such hairstyles. This inadequacy can result in discomfort and insufficient coverage.  Although specialised scrub caps designed for braided hairstyles can enhance fit and comfort, many operating theatres in the UK do not provide these options, leading to significant challenges for staff.


Operating theatre personnel face various issues due to the lack of bespoke headwear suitable for their long hair. Hospital visits made by us, to various sites such as Leicester Medical School, Russell's Hall Hospital in Dudley, and different hospitals in Birmingham have revealed widespread concerns regarding inappropriate theatre caps.


Staff members have reported significant stress when attempting to bundle their hair into small disposable caps, which are prone to tearing. Additionally, the time required to secure their hair in emergencies properly can hinder effective scrubbing protocols.

 

Some staff have considered leaving surgical positions due to the stress and discomfort associated with inadequate disposable hats, whilst others have resorted to cutting their hair to eliminate this barrier—a considerable sacrifice. Disposable theatre hats are typically designed for shorter or less voluminous hairstyles and often do not accommodate braids comfortably, leading to tightness or even pain for the wearer, especially during long procedures.

 

Time for change - Hair braid hats at Plymouth

Plymouth University Hospital have been purchasing our reusable theatre caps for the past 18 months now, they have recently introduced a large batch of our newly designed braided hats for a group of theatre nurses who have joined their theatre team from Nigeria. Feedback is very positive, and the nurses love their new braided hats!!


Prioritising staff needs while implementing sustainable practices to promote a greener NHS is a key focus for Plymouth University Hospital. We hope that other trusts will follow their exemplary lead in trying to make a greener, safer and more inclusive NHS!

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