This book is for all staff working in the NHS who are interested in finding out about strategies to promote fairness for Black and Minority Ethnic staff (BME) working in the service in the UK. It is intended to help staff gain positive experiences, by overcoming common barriers. The book argues that organisational culture, and leadership exerts a powerful influence on outcomes for BME staff. Over the decades, there have been a number of national and regional initiatives to improve outcomes, often with a 'top-down' approach, resulting in mixed and limited outcomes. This book has been written as a guide for grassroots staff to provide practical advice for day to day action. Seven survival steps are outlined, from preparing for handling potential barriers at the outset of a career, through to developing a personal toolkit that changes the course of a career. This book is essential reading for anyone who wants to learn, understand and take action to safeguard a strong and successful career in the NHS in the UK.