The NHS workforce is more diverse than at any other point in its history. The NHS Workforce Race Equality Standard report (February 2023) shows Black and minority ethnic (BME) staff now 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 and Braided Hair

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. Many operating theatres in the UK do not provide specialised options, leading to significant challenges for staff.

The Impact on Staff

Hospital visits by our team to various sites including Leicester Medical School, Russell's Hall Hospital in Dudley, and 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. The time required to secure hair in emergencies can hinder effective scrubbing protocols.

Some staff have considered leaving surgical positions due to the stress and discomfort associated with inadequate disposable hats. 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 during long procedures.

Time for Change — Braid Hats at Plymouth

Plymouth University Hospital has been purchasing our reusable theatre caps for the past 18 months. They recently introduced a large batch of our newly designed braided hats for a group of theatre nurses who joined their team from Nigeria. Feedback is very positive — 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 other trusts will follow their exemplary lead in working towards a greener, safer and more inclusive NHS.