Agency staff told the Health Services Safety Investigations Body that workplace culture and attitudes in some NHS organisations made them feel "isolated" and "unable to integrate" with their teams.
Bank staff, agency workers and locum doctors are discriminated against due to their working status or their ethnicity, they found.
This can impact their ability to seek support and ask questions, or leave them fearful of speaking up in case they lose future work opportunities.
Discrimination
Calling the findings "troubling", Matt Mansbridge, of the HSSIB, said: "Trusts and national organisations expressed that they are aware that many temporary staff experience discrimination and that this prevents them from talking freely.
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