The report, an evaluation study exploring the enablers and barriers to stem cell and blood donation among mixed heritage and ethnic minority communities, examines public attitudes and behaviours around donation. It highlights a clear gap between awareness and action, particularly for stem cell donation, which remains less well understood. While many people express trust in the NHS, levels of trust vary across ethnic groups due to cultural beliefs, past experiences, and misinformation. Key barriers include fear, cultural or religious concerns, and systemic mistrust. Despite these challenges, the report identifies strong opportunities to increase donation through targeted education, culturally sensitive outreach, and transparent communication. It recommends a multi-layered strategy to build trust, reduce anxiety, and foster a stronger culture of donation across diverse communities.