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Equalities in Health

What is a Hate Crime?

Hate crimes are crimes that are motivated by prejudice of some kind. These are crimes where the victim is targeted because they are a member of a particular social group or have a particular characteristic, which the perpetrator has negative views or beliefs about.  The legal definition is:

“Any crime which is understood by the victim or any other person as being motivated (wholly or partly) by malice or ill will towards a social group.”

With the introduction of the Hate Crime and Public Order Act (2021) in April 2024, the law recognises crimes motivated by prejudice based on someone’s:

  • Age
  • Disability, including physical disability, learning disability and mental health difficulty
  • Race (including nationality, ethnicity and skin colour)
  • Religion
  • Sexual Orientation
  • Transgender Identity
  • Variations in Sex Characteristics

These groups suffer disproportionately as victims of harassment and crime and much of this is motivated by prejudice. In addition to the effect on the individuals experiencing the hostility, these incidents create mistrust and suspicion between communities. This makes hate crime an issue for every service and every community.

Everyone has a role to play in stopping hate crime. If an incident is perceived by the victim – or any other person – as being motivated by prejudice or hate then it should be reported as a hate crime.

Watch the following video for more information.

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Reporting Hate Crime – everyone’s business

Help & Support for Victims

Many hate crimes go unreported for a number of reasons.

  • For many people, exposure to abuse is a life-long experience and not perceived as crime.
  • Some people may know the perpetrators and be frightened of the consequences of reporting. They may even be suffering at the hands of people claiming to be their friends.
  • Some people may have a fear or mistrust of the police.  Others may have previously reporting a hate crime but feel it wasn’t taken seriously.

If you are in a position to talk to people who may be at risk of hate crime then ask the question. Many people will want to be asked but are never given the opportunity to disclose. 

If someone discloses a hate crime to you there are steps you can take to support that person to make a formal report even if they don’t want to be identified.

If you witness a hate crime you can contact the police and report it. This can also be done anonymously

How to Report a Hate Crime

If it’s not an emergency (if there is no immediate risk to the wellbeing of the individual) you can call 101 and make a verbal report to the police. 

You can also report a Hate Crime online by going to https://www.scotland.police.uk/secureforms/hate-crime/ 

The form can be used by anyone who

  • is the victim of hate crime
  • has witnessed a hate crime, or
  • is reporting the crime on behalf of someone else.

Hate Crimes can be reported anonymously. If you are working with a patient or client who does not want to give name but wants you to support them to report it you can assure them of their anonymity.

This may mean Police are restricted in the action they can take, but just reporting a perceived offense will allow Police to target resources to a particular area so you may see things like an increased police presence.

999 should be called in any emergency.

Staff Datix Reporting

All Hate Incidents should be recorded on DATIX.

A Hate Incident field should be selected and completed under the category ‘violence and aggression’. Incidents are regularly reviewed by NHSGGC’s Violence and Aggression Team and any developing trends or ‘hotspots’ can be identified and appropriate interventions made. Local managers with reviewing and approval responsibilities will interrogate the Datix reports and ensure appropriate outcomes are achieved.

FAQs about Hate Crime
What is a Hate Crime?

Hate crimes are crimes that are motivated by prejudice of some kind. These are crimes where the victim is targeted because they are a member of a particular social group or have a particular characteristic, which the perpetrator has negative views or beliefs about.

In Scotland the law recognises crimes motivated by prejudice based on

  • Age
  • Race (including nationality, ethnicity and skin colour)
  • Religion
  • Sexual Orientation
  • Disability, including physical disability, learning disability and mental health difficulty
  • Transgender Identity
  • Variations in Sex Characteristics
Do I have to give my name to make a report?

No you don’t.  Hate Crimes can be reported anonymously.  This may mean Police are restricted in the action they can take, but just reporting a perceived offense will allow Police to target resources to a particular area so you may see things like an increased police presence. If you are working with a patient or client who does not want to give name but wants you to support them to report it you can assure them of their anonymity.

Can I report a Hate Crime?

Yes you can.  An online hate crime report is available at: https://www.scotland.police.uk/secureforms/hate-crime/

The form can be used by anyone how is the victim of hate crime, has witnessed a hate crime or is reporting the crime on behalf of someone else.

Will the police take me seriously?

Yes they will.  Hate crimes are serious incidents and Police will respond appropriately.

Do I have to report at a police station?

No you don’t.  You can report it online at: https://www.scotland.police.uk/secureforms/hate-crime/ or use any one of the many 3rd Party Reporting Centres in the Glasgow area.  You can find your nearest 3rd Party reporting centre here: http://www.hatecrimescotland.org/report-it/centres/

The incident happened weeks ago…can I still report it?

Yes you can.  If an incident is happening there and then, you need to call 999 and report it immediately to the police, but if it happened in the past you can still call 101 – the police non-emergency number and report it or go online and complete the hate crime reporting form.

What if I’m not sure if it is a Hate Crime?

It is not your responsibility to prove that a hate crime has occurred. It is the job of the police to gather evidence from a range of sources during their investigation of an incident. This includes CCTV footage, witness statements and forensic evidence.

The Lord Advocate has told the police that an incident must be investigated as a hate crime if it is perceived, by the victim or any other person, to be aggravated by prejudice.

This means that your perceptions are important. When you report a hate crime, tell the police that you believe it was motivated by prejudice and why you think that is the case. This could be about the language used at the time, things you have heard the suspects say in the past or that certain groups are being singled out in your street / building, etc.

Why do we need Hate Crime laws?

The Scottish Government Working Group on Hate Crime gives 3 reasons for having hate crime legislation.

  1. Research consistently shows that some social groups are proportionately more often victims of harassment and crime and that much of this is motivated by prejudice against those groups
  2. Hate crimes can cause more psychological damage to a victim than crimes that are not motivated by hatred, because the victim’s core identity is being attacked. This personalises the crime and can cause the victim a greater amount of distress.
  1. Hate crime is socially divisive. Such crimes need to be particularly condemned in order to avoid a situation in which the relevant group feels victimised as a group, with members in constant fear of attack. Prejudice against groups can lead to a number of consequences, ranging from fear of crime and inability to participate in normal social activities to paranoia and vigilantism
Staff Resources & Training

We Stand Against Hate – A3 posters and A5 leaflets encouraging hate crime reporting. Contain QR code link to the Hate Crime web page. For copies contact equality@ggc.scot.nhs.uk

Responding to Hate Incidents – An Employee Guide   A guide for NHSGGC employees on the organisational position in relation to hate crime, what to do if you are a victim of or witness to a hate incident or if a hate incident is disclosed to you in the course of your work.

Hate Crime Reporting – E learning module The module covers topics such as types of hate crime, why hate crimes go unreported, why hate crime laws are needed and support for victims. Go to the Learn Pro home page and search for GGC 056 Hate Crime.

Hate Crime Awareness Session on MS Teams This short session gives participants an understanding of what hate crime is and how to report if witnessed in the workplace. It is an important safeguarding learning opportunity for all members of staff working in frontline roles. To view dates and to register, please visit our Staff Training page.

Active Bystander Training on MS Teams Promoted as part of our Stand Against Racism campaign, this training session provides skills to challenge unacceptable behaviours, including those which may have become normalised over time. Our anti-racism campaign is based on the words of our own staff from their experiences at work. To find out more or register for training, visit our web page.

Lord Advocate’s Guidelines: Offences aggravated or motivated by prejudice – LAG: Offences aggravated or motivated by prejudice | COPFS

Personal Safety As well as complying with our health and safety policies and processes, there are a number of things that staff can do themselves to keep safe. Tips include:

  • Raising the alarm – if you are in imminent or immediate danger or a crime is in progress, call Police Scotland on 999. If a crime has already happened, report this to Police Scotland by calling 101. You can also report crime online on the Police Scotland Website. Most smartphones also have an inbuilt Emergency SOS feature – consider setting this up on your personal mobile.
  • Be alert and aware of the people around you – avoid ‘autopilot’ and pay attention to your surroundings.  If wearing headphones, make sure you are still able to hear outside noise. Keep your head up and out of your phone when you’re walking. Walk with purpose and confidence. If you receive verbal racial abuse outside of work, do not engage with the aggressor – continue progressing to your intended destination or to another place of safety. Take a description of the aggressor and note your location, date and time – this information is important when reporting to Police Scotland. If you receive physical abuse, attempt to maintain your own safety – you may have to use reasonable force to aid your escape.
  • If you receive verbal or physical abuse in the workplace: verbal and physical aggression from patients and visitors should be managed using The Standards of Behaviour Protocol – as well as reported to Police Scotland and reported on DATIX. Violence Reduction Training is available across GGC to support staff at risk of violence and aggression.

Further reading and guidance:

Risk Assessment Where a member of staff or groups of staff report risk and request support – for example, if there is a heightened risk of racist or Islamophobia incidents – it will often be appropriate for their manager to conduct a risk assessment. These risk assessments can be useful to identify actions to that will improve the safety of staff, patients and service users and provide them with additional reassurance that we are prioritising their safety.

Some key tips

  • The Health and Safety Executive advise on 5 Steps to Risk Assessment. The link Managing risks and risk assessment at work – Overview -HSE will support and guide staff on how to manage a risk, which will include verbal and physical racist attacks.
  • The Generic Risk Assessment Template should be used to record the hazard, risks, controls and risk ratings relating to racist abuse.
  • Reviewing the risk assessment is also crucial to ensure the controls remain appropriate to reducing the risk as low as reasonably practicable.
  • There is risk assessment training available in the Training and Education link.
  • Safety Health and Wellbeing Practitioners can support managers with this. You can find their contact details in this document: local Health and Safety Practitioner

Please note, it is important not to confuse a hazard and a risk as these are completely different. For example:

  • A Hazard is – verbal racist comments from an abuser.
  • Risk is – the abused is subject to mental health issues and fear of physical attack. 
Reporting Hate Crime – what colleagues are saying
Andrew Wyllie, Chair of LGBTQ+ Staff Froum

Hate crime has no place within our NHS. Our LGBTQ+ staff forum is committed to fostering an inclusive environment where all staff feel safe, valued, and respected. Any form of discrimination or prejudice is not acceptable and we are pleased to support the organisation taking a zero tolerance approach to hate crime. Let’s work together to create a healthcare system that truly reflects the diversity of our communities and where everyone can thrive.

Ann Cameron-Burns, Employee Director
Portrait image of Ann Cameron-Burns, Employee Director

Nobody comes to work to face abuse because of who they are, what religion they follow, who they choose to love. I’m proud that we all stand together to stop hate. That’s the only way to eliminate it – give it no place to hide and grow.

Alastair Low, Hate Crime Lead, Equality & Human Rights Team
Portrait of Alastair Low

It’s really important that people understand what a hate crime is so that when they see or hear it they can call it out and challenge it. We have the systems in place in NHSGGC to deal quickly with the perpetrators of hate crime so we can all step up and make a difference.

Sue Silva, Joint Chair, Black & Minority Ethnic Staff Network
Placeholder icon image of Sue Silva Joint Chair, Black & Minority Ethnic Staff Network at NHSGGC

It is vital that every member of staff feels confident and supported to speak up against discrimination in all its forms. By working together, we can build a workplace where diversity is respected, and everyone is treated with dignity. Our BME Staff network is here to listen, share experiences, and ensure concerns are addressed promptly, so that every voice is heard, and everyone can thrive.

Professor Jann Gardner, Chief Executive

Many hate crimes go unreported due to fear, mistrust or not recognising that a crime has been committed. If we witness or experience an incident that we believe is motivated by prejudice then it is vital that we report it as a hate crime. This will ultimately help create a safer workplace and build stronger communities for us all.

Natalie Smith, Interim Director of Human Resources & Organisational Development
Staff Placeholder photo of Natalie Smith, Interim Director of Human Resources & Organisational Development at NHSGGC

We all need to stand up to Hate Crime when we see or hear it. If left unchallenged it can take hold and undermine the great community we’re all part of. Our NHSGGC family is 42,000 strong. We can use that strength to make sure hate has no place in our workplace.

Thank you for visiting our Pride Pledge page.

Over 9,200 of our staff have made the pledge and are wearing the badge with pride!

The NHS Scotland Pride Badge promotes inclusion for LGBTQ+ people and makes a statement that there’s no place for discrimination in NHS Scotland.

An NHS staff member who wears the badge is pledging to –

  • be aware of and responsive to issues faced by LGBTQ+ people accessing care
  • be a friendly, listening ally who staff and service users can safely approach
  • use inclusive language and respect identity

Please note that all badges have now been distributed and the campaign has now ended. Support information and contacts are available below. You can also contact us at equality@ggc.scot.nhs.uk for further information on NHSGGC’s work in this area and access to additional resources.

Local support

Some people may be having a particularly tough time and may disclose to you that they have experienced hate crime on the grounds of their LGBTQ+ identity.  It’s important that you know there are supports in place for people to report this type of crime and that it can be reported easily.  More information on reporting a hate crime is available from the Police Scotland website.

You may be approached by colleagues who discloses they are experiencing discrimination in the workplace from colleagues or service users and would like support to deal with it.  Our HR Department is on stand-by to support any employee who feels they are being victimised or bullied because of their identity.  More information is available on the HR Support and Advice Unit page.

NHSGGC has supported the development of Staff Forums representing the voice of our BME, Disabled and LGBTQ+ staff.  Please support the Forum membership by signposting anyone interested in joining.  More information is available on our Staff Forums page.

Changing Faces Campaign Logo

NHSGGC Sign Up for Pledge to be Seen Campaign

1 in 5 people in the UK identify as having a visible difference – a mark, scar or condition that affects their appearance. Yet more than half feel they are ignored by organisations. It’s time for people with a visible difference to be seen and heard. That’s why we are proud to have signed up to Changing Faces’ #PledgeToBeSeen campaign, committing to represent more people with a visible difference in our publications and campaign.

“I’m proud that an organisation as significant as NHS Greater Glasgow and Clyde has agreed to back Changing Faces’ Pledge To Be Seen campaign. When you stop and think about it, you hardly ever see someone with a visible difference in adverts or marketing campaigns, and all too often, if visible differences are represented in popular culture, it isn’t in a positive way, with the “disfigured villain” trope still very common.” Kaylin McLaughlin, local campaigner for Changing Faces

What is ‘Visible Difference’?

Changing Faces describe visible difference as a scar, mark or condition on your face or body that makes you look different.

This can be something you are born with or it could happen later. Anyone can be affected by a visible difference, at any point in their life.

Examples include –

  • A condition that changes the shape, size, feel or look of the face or body, or how it functions, such as vitiligo, psoriasis or alopecia.
  • A part of the face or body that is different, such as a birthmark, cleft lip or having fewer fingers on one hand.
  • Scars, burns or changes to the face or body from an accident, an act of violence or self-harm. These can also occur because of an illness, treatment or operation.

The impact of a visible difference varies from person to person. Some people are proud of their visible difference and live fulfilling lives. Others find it emotionally challenging and feel that it limits what they can do.

Staff Learning & Resources

Online learning sessions offer a great opportunity to increase our understanding of the issues around visible difference and better support our patients and colleagues.

Representatives of Changing Faces can share what it’s like to live with a visible difference, talk about language, when and how to ask about difference, and how we can increase positive representation of visible difference.

If you would like more information on learning sessions for your team or staff group, please contact martin.patterson@ggc.scot.nhs.uk

Changing Faces also offers information specifically for health staff working with patients who have a visible difference.

Information updates for healthcare professionals

Referral Guide

“Providing fair and equitable healthcare for all is at the heart of NHS Greater Glasgow & Clyde and we are acutely aware of how important it is to accurately represent our diverse community in all our materials and campaigns.

Our ongoing commitment to building a fairer workplace for everyone means creating an environment where diversity is valued – better equipping us to appropriately support our patient community.

This pledge reinforces our resolve to ensure that anyone with a visible difference feels both seen and heard by our organisation.” Dr Emilia Crighton, Interim Director of Public Health, NHSGGC

Support

Many people with a visible difference have social anxiety, depression and low confidence. ​

Changing Faces offer a range of free, specialist wellbeing services, including:

Support in the Workplace

Support is also available for any staff member experiencing issues in the workplace. Contact the HR Support & Advice Unit on 0141 278 2700

Get Involved

If you have experience of the issues highlighted in the campaign and would like to get involved, please contact the Equality & Human Rights Team at equality@ggc.scot.nhs.uk

“Having NHS Greater Glasgow and Clyde commit to being a Pledge To Be Seen organisation is a huge step forward for our mission in Scotland. Being partnered with the UK’s largest NHS health provider will ensure many more people learn about what life is like with a visible difference, and how they can make the world a more accepting place.” Heather Blake, Chief Executive, Changing Faces

“I have worked with many service users who have visible differences and am only too aware of the negative response that people may have to deal with in various aspects of their life.
More and better representation across society is crucial to creating acceptance. It is also important that every one of us can be reassured by seeing ourselves represented by organisations we rely on for our health and wellbeing, such as NHSGGC.” Dr Rebecca Crawford, Consultant Clinical Psychologist, NHSGGC

NHSGGC policy states that we must provide formal interpreting support for all out-patient appointments and at least once a day for an in-patient stay.

This support can be provided via our British Sign Language (BSL) Online interpreting Service or by booking a Face to Face interpreter.

The BSL Online interpreting service is available 24 hours a day, 7 days a week. This means that in an unplanned or emergency situation, staff can quickly link up to an interpreter at any time and communicate with their Deaf patient. It can also be used during hospital stays, or to enable Deaf patients to communicate with staff if waiting for a face to face interpreter to arrive.

The BSL Online service can be easily accessed by any available device, such as the ward iPad or any mobile phone, using the QR code below. Copies of this can be printed out for use at nurse stations. A4 posters which meet infection control standards are also available on request.

For more information on using BSL Online or Face to Face interpreting support – see the NHSGGC Interpreting Policy or contact Paul.hull@ggc.scot.nhs.uk.

Scan the QR code below or use this link to connect with an online British Sign Language Interpreter (Use 5G/4G or PATIENT Wifi).

NHSGGC Staff Guidance – Money Worries

Asking and responding to patients’ money worries is part of Inequalities Sensitive Practice, which is about taking into account each patient’s social circumstances and how they are affecting their health. It also relates to person centred care.

Advice On Money Worries – Who is it for?

Money advice support is for patients, parents/carers or staff of all ages, regardless of their working status.

Why is it important?

With the recession and changes to the benefits system, many of our patients are experiencing money difficulties and mounting debts. The COVID-19 pandemic has also created additional financial worries for many people.

This is important to health services as in addition to being a cause of poor health, money worries can also be a barrier to engaging fully with our services.

“I observe this again and again – that I cannot address medical issues as I have to deal with the patients’ agenda first, which is getting money to feed and heat.”  GP

By asking a simple question and providing assistance on where to get help, we can do a lot to prevent unnecessary worry and anxiety.

The Improvement Service provide a short film aimed at healthcare professionals outlining the link between poor health and money worries.

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Money Worries: In Sickness & In Health
What Kind of Advice is Available?

If your patients are facing financial difficulties, they should not pay for advice.   You can help your patients to use the free, high quality services available across NHSGGC which offer help with:

  • Maximising Income      
  • Debt Advice
  • Benefits
  • Savings
  • Banking
  • Budgeting

Evidence shows that referring patients to these services can result in improved mental health, increased income, debt reduction, increased financial planning and reduced stress.

How Do I Ask About Money Worries?

If done sensitively, patients value being asked about money problems and referred to Money Advice Services.  It only takes a few minutes to do and can be incorporated easily into patient assessment as part of a person centred approach. Most NHSGGC assessment forms cover money worries.

  • “Do you have any money or debt worries?
  • “Would you like to speak with an advisor to discuss money worries or help you to claim any benefits that you may be entitled to?”
  • “Is having a baby adding financial pressure?”

These type of standard questions for introducing the topic of money worries are used in the community setting. Similar questions are used in hospitals, where staff need to establish whether the patients has any immediate work/money related concerns as a result of their health condition.

If you are working with groups of people it is good practice to discuss people’s health in the context of their life circumstances.  Money and debt worries are a major issue for many people and should always be covered in these discussions.

How Do I Make a Referral?

Where patients have issues relating to money worries and debt, the role of staff is to:

  • reassure that support is available
  • gain consent for referral
  • refer to the service

In Hospital settings – complete a referral by contacting the Support and Information Service at sis@ggc.scot.nhs.uk

For more information on our hospital-based money advice services, please visit: Hospital based money advice services – NHSGGC

In community settings, use the link below to locate Money Advice services in local settings: NHS Inform: Scotland’s Services Directory: Money Advice

Resources

The Money Helper website offers information and advice on budget planning and improving your finances, including tools and calculators to help you plan ahead.

Gender-Based Violence (National Guidelines)

What Health Workers Need to Know

This guidance is intended for use by service managers and staff members who, in the course of their work, are involved in identifying and responding to gender-based violence.

Gender-based Violence National Guidelines – What health workers need to know

If you require this or any other NHS information in another format, such as large print or braille, or in another language, please use the contact details on your patient leaflet or letter or contact us.

Spoken Language – Face to Face or Telephone Interpreting

You are entitled to interpreting support for all NHS services, including hospital and GP appointments, dentists, opticians, chiropodists, pharmacists etc. A member of staff must provide the interpreter for you. 

Patients can now also access the telephone interpreting service to contact any NHSGGC service. For example, you can use the telephone interpreting service to make an appointment with your GP, discuss medications with your Pharmacy, book a Maternity appointment or contact NHS 24.

An information leaflet is available in multiple languages. It explains how to use the service by calling or by using a mobile app. It provides codes specific to NHSGGC services so can only be used for this purpose. Use this link to find the language you need.

British Sign Language – Face to Face or Online Interpreting Services

Watch BSL video

NHSGGC must ensure that BSL interpreting support is provided for you when you use our services. Please make sure your Clinician/GP knows that you need interpreting support so that they can arrange this with as much notice as possible.

The BSL Online interpreting service is available 24 hours a day, 7 days a week. This means that in an unplanned or emergency situation, staff can quickly link up to an interpreter at any time and communicate with their Deaf patient. It can also be used during hospital stays, or to enable Deaf patients to communicate with staff if waiting for a face to face interpreter to arrive. BSL Online is now available at hospital sites across NHSGGC. 

The Healthier Wealthier Children (HWC) project continues to provide evidence of financial gain, debt reduction and reduced stress for NHS patients.

Since its launch in 2010, this NHS led child poverty initiative has resulted in over £60 million pounds going back into the pockets of local families with over 45,000 referrals to money advice services from NHS Greater Glasgow and Clyde staff.

The initiative has meant that many people are now receiving welfare benefits they were unaware they were entitled to. Debts have been written off and sanctions appealed successfully. Families have had access to grants and assistance with dealing with food and fuel poverty.

All NHSGGC midwives, health visitors, family nurses and specialist children’s service are now asking about money and debt worries routinely and referring to money advice services as part of day to day care. 

The project has now been mainstreamed across all NHSGGC areas:

  • maintaining Children & Families referral pathways to money advice services
  • awareness sessions on money worries, child poverty and welfare reform for NHS staff
  • monitoring outcomes of the Healthier Wealthier Children approach
  • mainstreaming group work programmes

In addition, from October 2021 there is a national roll-out of primary care money advice for areas of highest deprivation. Some patients with children will access this service. NHSGGC has five Health & Social Care Partnerships involved: East Renfrewshire, Glasgow, Inverclyde, Renfrewshire and West Dunbartonshire.

The Healthier Wealthier Children model is cited as a requirement of Scotland’s Child Poverty action plan and similar models have been developed in London as as far afield as Sweden and Australia.

Just Published

‘Working towards a best start and bright futures – reflections on an NHS child poverty partnership’ Blog by Dr Noreen Shields, NHSGGC Equality & Human Rights Team

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