This article takes a look at access to healthcare for Black, Asian and minority ethnic (BAME) communities. Past research has shown that patients from ethnic minority backgrounds have faced inequality when accessing healthcare services. This article explores some of these reasons with a focus on primary care, including (but not limited to) language, culture, population diversity and institutional attitudes. The current reality for ethnic minority patients within our healthcare system is one which is substandard. New policies and processes should be created to tackle these issues, with ongoing quality research to further explore and monitor outcomes. With primary care being the front door to healthcare services, it must be geared to meet the needs of the whole population consistently and competently.