Abstract
Ethnic minorities are starkly underrepresented among paramedics in the UK, with their numbers significantly lower than in other allied healthcare professions. This disparity is not reflective of the diverse population the NHS serves. To achieve truly patient-centred care, the paramedic workforce must be representative of the communities it serves. This professional practice article aims to discuss the role of higher education institutions, NHS England and NHS ambulance trusts in addressing this issue. The article examines traditional entry routes to paramedic education and highlights financial constraints and limited entry points as significant barriers for aspiring paramedics from diverse backgrounds. Furthermore, a lack of ethnic diversity in paramedic leadership positions is identified as a discouraging factor. The article then critically appraises existing initiatives aimed at promoting diversity, such as the College of Paramedics' campaign. It acknowledges that raising awareness is a valuable step forward and advocates for a more comprehensive approach to achieve greater impact. The article lists some of the strategies employers could adopt to foster a more inclusive workplace culture and to support the career progression of paramedics from ethnic minority backgrounds. These strategies include targeted outreach programmes, mentorship initiatives, diversity and inclusion training for all staff and revisions to promotion policies. The article concludes by emphasising the need for a multi-pronged approach, involving collaboration between educational institutions, ambulance services, professional bodies and the government. Through implementing targeted recruitment strategies, fostering inclusive workplaces and providing career development opportunities, stakeholders can work together to build a more diverse and representative paramedic workforce, ultimately leading to improved equitable health outcomes at the individual, group and population level.