At The Christie, we aim to deliver healthcare services that are accessible and inclusive to everyone, in an environment characterised by dignity and mutual respect.
Inclusive culture strategy
As part of our commitment to meeting our legal duties, we have developed our Inclusive culture strategy 2025 to 2030, which we launched in February 2025.
With this strategy, we’re making a major change in how we will develop culture and the approach we will take to ensure inclusivity and equity for colleagues and patients. The strategy strongly builds on the foundations laid out in The Christie people and culture plan (2023 to 2026), and puts equality, diversity, and inclusion principles at the centre of our cultural journey. It has been developed with input from our staff-side colleagues and driven by our Trust Board.
Our inclusive culture strategy has 4 main ambitions, grouped under these topics:
- purposeful and compassionate leadership
- harnessing connectivity and conversation
- improving outcomes and experience
- effective governance, policy, systems, and data.
Together, these ambitions will guide the focus for our inclusive culture work over the next 5 years. Our patients and colleagues will be involved in bringing these ambitions to life – adding shape to what our inclusive culture should look like, and how we will get there.
Equality, diversity and inclusion annual report
We have also produced and published The Christie equality, diversity and inclusion annual report 2022 to 2023. This report has been produced to provide assurance that The Christie is meeting its statutory, regulatory and contractual requirements.
We also collect and analyse equality information about our patient services and employment activities. This helps us to develop for the benefit of all our patients, visitors, staff and job applicants.
Equality Delivery System 2022
NHS organisations can also assess their performance of improving equality delivery for patients and staff through the NHS Equality Delivery System 2022.
- NHS Equality Delivery System (EDS) 2024 Submission [PDF, 585 KB]
The Christie patient profile
The patient equality profile was produced in June 2023 to 2024 and fulfils our Public Sector Equality Duty requirements within the Equality Act 2010. This information links to our Equality Delivery System 2022 domain 1 action plan to improve the quality of our patient data and services for Black, Asian and Ethnic Minority communities.
The Christie is the largest single site cancer centre in Europe and the first in the UK to be accredited as a comprehensive cancer centre. 80% of our patients live in Greater Manchester, but over 8,000 patients travel from across the UK.
In 2023 to 2024, The Christie saw 46,600 patients at one of our outpatient sites. 80% of these patients live in Greater Manchester, within one of the 10 Greater Manchester boroughs.
Out of an average 60,000 patients coming through The Christie each year, the information presented here focuses on the approximate 47,000 NHS patients who attended at least one outpatient clinic appointment between April 2023 and March 2024.
All patients are appropriately encouraged to share diversity information. This helps us to give each and every person the best possible treatment and services during their time with us.
Our Equality, Diversity and Inclusion Team together with our Clinical Outcomes Data Unit have produced our most recent Equality Patient Profile Data (April 2022 to March 2023).
This report outlines our patient profile by protected characteristic, as referenced in the Equality Act 2010. Providing this information supports our delivery of the Public Sector Equality Duty and the NHS Equality Delivery System 2022 (EDS) requirements.
Health inequalities
Reducing health inequalities has been a key strategic priority for the Trust with ‘The Christie at’ sites developed to deliver treatments closer to home and enable treatments to be more accessible. This strategic commitment has continued as demonstrated by embedding health inequalities in the 4 pillars of our corporate strategy.
The Trust’s recently-developed health inequalities dashboard suggests that 35% of The Christie patients live in the most deprived areas of Greater Manchester and are therefore at risk of significant health inequalities and worse cancer outcomes.
There has been recent guidance by NHS Providers to help Trusts to meet the obligations to reduce health inequalities. The Trust has completed the NHS Providers' self-assessment tool to measure where the organisation is against these recommendations and highlight areas for development for reducing health inequalities.
Core20PLUS5 is a national NHS England approach to support the reduction of health inequalities at both national and system level. The approach defines a target population cohort called the ‘Core20PLUS’ and identifies ‘5’ focus clinical areas requiring accelerated improvement. The approach aims to inform action to reduce healthcare inequalities at both national and local levels.
Equality and diversity for staff
Equality, diversity and inclusion for our staff means placing great value on the rich diversity and creative potential that people with different backgrounds and abilities bring.
Our culture values the contribution of every single person, and is one in which an individual’s success depends on personal merit and performance.
As an organisation, we are required to report on equality, diversity and inclusion workforce-related issues to ensure we treat all individuals fairly. To support our work, we have developed 8 new equality, diversity and inclusion staff network groups to support staff across the Trust.
These are the Ethnic diversity, Women’s, Rainbow, Ability and wellbeing, Neurodiversity, Faith and belief, Armed forces community and Parents and carers.
Gender pay gap
We report our gender pay gap every year. This is published on the national government portal.
- Gender pay gap report 2024 [PDF 245 KB]
Workforce Race Equality Standard and Workforce Disability Equality standard
NHS organisations are also required to report on 2 NHS workforce equality standards: race equality and disability equality. Please see the links below for each of the latest reports.
- Workforce Race Equality Standard Action Plan 2024 to 2025
- Workforce Disability Equality Standard 2024 to 2025
Veteran Working Group
As part of our commitment to the Armed Forces Covenant and the legal requirement as part of the Armed Forces Bill 2021, the Trust signed the Armed Forces Covenant, promising that those who serve or have served in the armed forces, and their families, are treated fairly.
In 2023, the Trust was awarded the NHS Veteran Aware Bronze accreditation and in 2024 the Silver accreditation status in recognition of our continued work and commitment to improving NHS care for the Armed Forces community which includes regular and reservist personnel, veterans, cadets, spouses and families.