Speaking up on safety: Understanding the employers' playbook (The Hospital Doctors' Union)

Summary

As doctors the General Medical Council (GMC) tells us that we must speak up if we observe patient safety concerns. Its Good Medical Practice requires doctors to raise concerns around “inadequate premises, equipment or other resources, policies or systems” which put patients a risk, and to “act promptly if you think that patient safety or dignity may be seriously compromised,” whether through systems or by the practice of other doctors.

Employers similarly say that staff should speak up – at least in official policy. In practice, you are walking a tightrope between highlighting concerns and highlighting yourself as a “problem” and someone who may damage the reputation of your employer. Senior management often deploy a predictable method when a doctor who speaks up is in their sights. This is The Playbook. It is essential that you know how to spot the early signs and seek advice.

The Hospital Doctors' Union (HCSA) has produced this guide to explain what should and shouldn’t happen when you need to raise a concern — and to expose some of the methods used by employers so that you are forewarned and forearmed. Knowing what to expect and when to seek help is crucial to being able to navigate this landscape and survive. Remember — if in doubt, seek advice.