"Over the past few years, we have had to support a number of Indian doctors who have found themselves in this sad and distressing situation, often having to face kangaroo courts in NHS (National Health Service) Trusts, with huge financial expenditure on all sides," the letter said, which has been co-signed by BAPIO president Dr Ramesh Mehta and BIDA president Dr Sabyasachi Sarker."There needs to be a radical overhaul of NHS investigatory and disciplinary procedures, which in their present form are heavily biased against BME staff, and which in some people's eyes reflect a form of institutional racism," it added.