Doctoral research

Who gets to rise? Career progression of ethnic minority AHPs in the NHS in England.

A doctoral study exploring the experiences, barriers and enablers shaping the career journeys of ethnic minority Allied Health Professionals — and what an equitable NHS workforce could look like.

B5 B6 B7 B8 B9 — all AHP staff - - ethnic minority AHPs
Fig. 01 — The staircase narrows: representation across Agenda for Change bands (illustrative)

01 · The research

Three questions drive this doctorate.

RQ1 · Experience

What are the lived experiences?

How do ethnic minority AHPs across the fourteen allied health professions describe their career journeys within the NHS in England — from entry through to senior and strategic roles?

RQ2 · Barriers & enablers

What shapes progression?

Which structural, cultural and interpersonal factors act as barriers or enablers — from recruitment and appraisal to mentorship, sponsorship, visibility and organisational culture?

RQ3 · Change

What needs to change?

What can NHS organisations, professional bodies and policy-makers do differently to create equitable pathways into leadership for ethnic minority AHPs?

02 · Why it matters

The NHS is diverse. Its leadership is not — yet.

Allied Health Professionals are the third largest clinical workforce in the NHS, spanning fourteen professions from physiotherapy and radiography to occupational therapy, podiatry and paramedicine. Ethnic minority colleagues make a vital contribution at every level of care.

Yet national workforce data has repeatedly shown that representation thins towards the senior Agenda for Change bands and strategic leadership roles. The talent is there; the pipeline leaks.

Career progression is not just a personal ambition — it is a workforce, equity and patient-care issue.

This study centres the voices of ethnic minority AHPs themselves, moving beyond the statistics to understand how careers are actually lived, negotiated and — too often — constrained.

  • WorkforceAHPs form the third largest clinical workforce in the NHS, across 14 distinct professions.
  • RepresentationEthnic minority staff remain under-represented at senior bands (8a–9) and in AHP leadership roles relative to the workforce overall.
  • Evidence gapMost research on NHS workforce race equality focuses on medicine and nursing — AHP voices are comparatively under-explored.
  • Policy contextThe Workforce Race Equality Standard (WRES) and NHS Long Term Workforce Plan make equitable progression a national priority.

03 · The doctoral journey

Following the milestones, sharing the process.

Foundations & literature review Complete

Research training, and a systematic exploration of the literature on career progression and the allied health professions in the NHS.

Research design & ethics Complete

Refining the research questions, selecting the methodology, and securing university ethical approval.

Current phase

Fieldwork & data collection In progress

In-depth interviews and online survey to capture AHP career narratives from early career through to senior leadership.

Analysis & interpretation Upcoming

Thesis, viva & dissemination Upcoming

Writing up, examination, and sharing findings with NHS organisations, professional bodies and the AHP community through publications, conferences and this site.

04 · About me

Mariya Yeldhos is a doctoral researcher at the University of Leicester. She completed her Masters in Healthcare Management at the University of Leicester and received a Masters in Biomedical Engineering from Amrita University in India.

Her own journey through the masters dissertation sparked the questions at the heart of this doctorate: why do so many talented ethnic minority colleagues find the staircase steeper than it should be — and what would it take to change that?