Exploring the lived experience of allied health professionals (AHPs) with disability, difference, long-term conditions and neurodivergence (DDLTCN): insights for inclusive leadership

AIM: To examine the lived experiences of allied health professionals (AHPs) with disability, difference, long-term conditions and neurodivergence (DDLTCN), identify barriers and enablers in their career journeys and generate insights to inform leadership and workforce strategy. METHOD: A pragmatic mixed-methods approach was employed across a single Integrated Care System (ICS) in the National Health Service (NHS), combining quantitative survey data (n=132) and qualitative focus group data (n=24). The survey included 22 multiple-choice questions and optional free-text responses. Focus groups were segmented by career stage and supplemented with written submissions. KEY FINDINGS: Ableism, stigma and inconsistent understanding of DDLTCN were identified as key barriers to disclosure and progression. Where allyship and compassionate leadership were present, participants reported improved psychological safety, well-being and productivity. IMPLICATIONS: Inclusive leadership must embed equity into workforce structures and culture. System-level change is needed to normalise disclosure, foster belonging and ensure visible representation of AHPs with DDLTCN in leadership roles. The findings offer transferable lessons for healthcare systems seeking to build an inclusive, resilient workforce.