Time to rethink our approach to racial discrimination in the NHS: The next big idea by Rajan Madhok Racial discrimination is a fact of life in the NHS. The occasional glimpse of a breakthrough – like BAME (Black and Minority Ethnic) people reaching senior positions – does not mean that the system has become a merit-based level playing field. Numerous enquiries and initiatives, such as WRES (Workforce Race Equality Standard), have failed to address the underlying problems. The