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Found 162 results
  1. News Article
    The proportion of NHS staff in England who reported feeling unwell as a result of work-related stress increased by nearly 10% last year as the Covid pandemic took its toll, according to the health service’s 2020 survey. The survey found that 44% reported feeling unwell as a result of work-related stress in the previous 12 months, compared with 40.3% in 2019. The proportion has steadily increased since 2016 (36.8%). In a year like no other for the health service, the 2020 survey also found a slight reduction in respondents who said they often or always looked forward to going to work, and a bigger fall in those who said they were often or always enthusiastic about their job. Nevertheless, the survey – which was carried out before Boris Johnson announced plans to give NHS England healthcare workers a 1% pay rise next year, prompting widespread fury – found that the proportion of staff who were thinking of leaving the NHS fell from 19.6% to 18.2%. In a year in which ethnic minorities were heavily represented in the death toll of healthcare workers, and concerns were raised about being more likely to be pushed into frontline roles and about access to personal protective equipment, the responses relating to equality, diversity and inclusion were not so positive. The proportion of staff who said their employer provided equal opportunities fell compared with 2019, with a decrease among black and minority ethnic staff from 71.2% to 69.2%. Danny Mortimer, the chief executive of the NHS Confederation, said the overall picture was encouraging in the circumstances, adding: “There are, though, significant areas of concern, and the recent data on the continued poorer experience of ethnic minority staff starkly reminds NHS leaders that staff experience varies unacceptably in their organisations." Read full story Source: The Guardian, 11 March 2021
  2. Content Article
    Session recordings from the ISQua 'Hospital Workers' Wellbeing Matters' conference.
  3. Content Article
    This guide aims to help staff and services understand the impact of psychological trauma on women in the perinatal period and respond in a sensitive and compassionate way. It aims to support staff to ensure they ‘do no harm’ through care delivery that, without thought or intention, could retraumatise individuals. This includes examples of how to: recognise and understand the impact of psychological trauma and how experiences may present during the perinatal period respond to disclosures and tailor care to needs of women and families so that services do not retraumatise individuals best support staff working in maternity and mental health services, acknowledging the effects of vicarious trauma and that staff may have their own experiences of trauma, which could impact on their capacity to deliver trauma-informed care.
  4. Event
    This conference focuses on supporting staff who have been involved in patient safety incidents, or are the subject of complaints or claims. Involvement in an incident, complaint or claim can have severe consequences on staff who may experience a range of reactions including stress, depression, shame and guilt. This conference will enable you to: Network with colleagues who are working to support staff following incidents, complaints or claims. Understand national developments including the requirements in the 2020 Patient Safety Incident Response Framework. Reflect on how we can better support staff experiencing these issues through COVID-19. Deliver a just culture that supports consistent, constructive and fair evaluation of the actions of staff involved in patient safety incidents. Reflect on a healthcare’s professionals personal experience of being the subject of an incident investigation. Improve immediate support and debriefing when an incident occurs. Develop your skills in providing the staff member involved in a patient safety incident specific individual support or intervention to work safely. Understand how you can improve processes for ensuring candour and supporting staff. Identify key strategies for interviewing staff and taking statements and preparing staff for Coroner’s Inquests. Ensure you are up to date with the latest developments in psychological support for staff including building resilience. Self assess and reflect on your own practice. Gain CPD accreditation points contributing to professional development and revalidation evidence. Register
  5. News Article
    Around 40% of NHS staff reported feeling anxious during the recent coronavirus surge, but results were 10 percentage points worse for minority ethnic workers, according to NHS England’s surveys. Prerana Issar, NHSE chief people officer, highlighted national data from the health service’s ‘people pulse’ survey during a Commons health and social care committee hearing. The survey was launched last July to help gauge how the health service’s workforce was coping with the pressures of the pandemic, asking questions such as whether they felt supported, motivated, or anxious and what made the biggest difference to their experience at work. It involves findings from 114 local NHS organisations. Ms Issar said the percentage of staff who reported they were feeling supported “was at a high of 68% during the first few months and started dipping from November onwards to 62%. It is still at 62%”. Meanwhile, the share of those “feeling anxious” was at a “low” of 29% during the summer and autumn but has since increased to 40%. The 40% finding may seem surprisingly low to many, considering the enormous impact of the winter surge of coronavirus demand, the very widespread extra asks of staff, potential health risks, and redeployment of roles. Ms Issar added: “We have seen ‘feeling supported’ come down a little bit and ‘feeling anxious’ go up, and we used that feedback to then augment our offer and communication.” Read full story (paywalled) Source: HSJ, 24 February 2021
  6. News Article
    Maternity staff are facing extreme burnout during the pandemic as staff shortages and longer, busier shift patterns lead to the workforce becoming increasingly overwhelmed, healthcare leaders warned. Senior figures working in pregnancy services told The Independent healthcare professionals are working longer hours, covering extra shifts around the clock, and spending more time on call to compensate for increasing numbers of employees taking time off work after getting coronavirus. Staff say stress-related absences have reached “worryingly” high levels, with junior doctors and midwives “thrown into the deep end” due to having to fill in for colleagues. Professionals argued the coronavirus crisis will lead to a rise in doctors, nurses and midwives suffering post-traumatic stress disorder (PTSD) and other mental health issues – raising concerns staff exhaustion could curb patient safety and standards of care. Read full story Source: The Independent, 31 January 2021
  7. News Article
    "Traumatised" and "exhausted" medical staff need time to recover before tackling an NHS backlog, says the group representing hospitals in England. Many staff could resign if their wellbeing is not factored into plans to cut waiting lists, NHS Providers said. The number of people waiting more than a year for surgery rose 1,613 to 192,000 during the Covid pandemic. NHS Providers said demand for hospital beds is easing, but the pressure on intensive care units is still intense. NHS Providers estimates that it is going to be at least a month before the NHS gets back to normal winter pressures, and trusts are concerned about the transition into the next phase of the pandemic. Critical work that has been postponed, including a small number of urgent cancer cases, will be a priority, but there remains a need to tackle a wider backlog of routine operations alongside the vaccination programme. NHS Providers said trusts will work as fast as possible to tackle the backlog, but leaders cannot do so at the expense of staff burnout. Last month, a study suggested that many hospital staff treating the sickest patients during the first wave of the pandemic were left traumatised by the experience. Nearly half reported symptoms of severe anxiety, depression, post-traumatic stress disorder or problem drinking. One in seven had thoughts of self-harming or being "better off dead". Read full story Source: BBC News, 1 February 2021
  8. Content Article
    One of the many Covid challenges is that there hasn’t been an opportunity for frontline staff to pause for breath and pay even a small amount of attention to looking after themselves. And when times are really tricky we only have so much energy. So this is just about you and three things that may help you keep going and keep your brilliant light shining.
  9. News Article
    The second wave of COVID-19 has put doctors under huge pressure, the Royal College of Physicians has warned, as two thirds of physicians report feeling tired or exhausted. A survey of 25 500 members of the college from across the UK, conducted on 2 November, received 1890 responses. It found that two thirds (64%, 931) felt tired or exhausted, 48% (687) felt worried, and just under a third (29%, 424) felt demoralised. Almost a fifth (19%, 280) said they have sought informal mental health support, such as speaking to colleagues or friends, during the pandemic. Just 10% (155) said they had sought formal mental health support from either their employer, GP, or external services. College president Andrew Goddard said he was concerned about the mental health of doctors, “There is no way to dress it up—it is pretty awful at the moment in the world of medicine. Hospital admissions are at the highest ever level, staff are exhausted, and although there is light at the end of the tunnel, it seems a long way away.” He said that before the pandemic, few physicians would have expected to need formal mental health support during their career. After the pandemic, staff will be in desperate need of a break, Goddard said, and will need specific time away if they’re to be at their best. “Doctors have demonstrated remarkable resilience throughout the pandemic, working under the most challenging conditions the NHS has ever faced, but they can’t continue working this way forever,” he said. Read full story Source: The BMJ, 21 January 2021
  10. News Article
    Many hospital staff treating the sickest patients during the first wave of the pandemic were left traumatised by the experience, a study suggests. Researchers at King's College London asked 709 workers at nine intensive care units in England about how they were coping as the first wave eased. Nearly half reported symptoms of severe anxiety, depression, post-traumatic stress disorder or problem drinking. One in seven had thoughts of self-harming or being "better off dead". Nursing staff were more likely to report feelings of distress than doctors or other clinical staff in the anonymous web-based survey, which was carried out in June and July last year. Just over half reported good well-being. Victoria Sullivan, an intensive care nurse at Queen's Hospital in Romford, said she often can't sleep because she's thinking about what is happening at the hospital. Her worst moment was breaking the news of a death on the phone, she said, adding that the screams from the patient's relatives "will honestly stay with me forever". "Telling someone over the phone and all you can say is 'I'm really sorry', whilst they're crying their heart out, is quite traumatising," she said. "Although you're saying how sorry you are, in the back of your mind, you're also thinking: 'I've got three other patients I've got to go and see, the infusions need drawing up, and meds need to be given and a nurse needs support'. "The guilt is just too much." Lead researcher Prof Neil Greenberg said the findings should be a "wake-up call" for NHS managers. He said: "The severity of symptoms we identified are highly likely to impair some ICU staff's ability to provide high-quality care as well as negatively impacting on their quality of life." Read full story Source: BBC News, 13 January 2021
  11. News Article
    A major London trust’s critical care staff have urged leaders to review elective work targets amid serious concerns over workload, safe staffing and burnout, HSJ has learned. In a letter to Guy’s and St Thomas’ Foundation Trust’s board, staff represented by trade union Unite said they had “repeatedly” raised concerns about the provider’s approach to elective work, as well as winter pressures and second wave planning, and the implications this has had for “the health, safety and wellbeing of both staff and patients”. The letter — which was also addressed to the trust’s health and safety committee and has been seen by HSJ — said: “Our primary concern is that the trust’s endeavours, and understandable need to square these circles, may be unrealistic given the current pressures on staffing and the high rates of sickness and burnout the trust is continuing to experience. “This is especially in critical care, where we are concerned this may compromise patient safety and is already damaging staff wellbeing and morale.” Read full story (paywalled) Source: HSJ, 18 December 2020
  12. Content Article
    In this powerful article, GP Katie Musgrave, says that the profession is overwhelmed and under resourced. She argues that they are unable to provide the service that patients deserve and that action is needed to prevent patents from suffering harm. Her suggestions include:A COVID-pressures support fund, where part time GPs can be offered extra protected sessions in their own surgeriesThe extension of the ARRS to cover nurse practitioners or GPsA suspension of all but the most crucial bureaucracy: we certainly don’t need to be thinking about QOF this winter.
  13. Content Article
    Healthcare professionals are experiencing unprecedented levels of occupational stress and burnout. Higher stress and burnout in health professionals is linked with the delivery of poorer quality, less safe patient care across healthcare settings. In order to understand how we can better support healthcare professionals in the workplace, this study from Johnson et al. evaluated a tailored resilience coaching intervention comprising a workshop and one-to-one coaching session addressing the intrinsic challenges of healthcare work in health professionals and students. The authors found preliminary evidence that the intervention was well received and effective, but further research using a randomised controlled design will be necessary to confirm this.
  14. Event
    until
    Using psychological theory and research-based techniques, this session will demonstrate how to enhance recovery and build resilience for healthcare professionals. In this interactive webinar, Dr Anne-Marie Doyle, consultant clinical psychologist and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, will offer strategies to protect the wellbeing of healthcare professionals by helping to anticipate and manage stress, recovery and build resilience. Register
  15. Event
    until
    Explore the link between healthcare staff wellbeing and patient safety in the first episode of the Royal Society of Medicine's Patient Safety Section's webinar series, Optimising Strength and Resilience. The wellbeing of healthcare professionals is fundamental to the delivery of high-quality, safe patient care. It has become a major focus of attention during the COVID-19 pandemic, especially in relation to physical and mental health, resilience and potential for burnout. In contrast to existing resources and support initiatives, this series is designed to be proactive and help healthcare staff anticipate and prepare for stressful events. It will offer knowledge and tools to help staff to manage stressful events in both their professional and personal lives. Join Dr Anne-Marie Doyle, consultant clinical psychologist and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, for this interactive webinar which will help healthcare professionals to identify sources of stress, acknowledge its impact on individuals and teams and understand how they respond to stresses. Using systems theory and strengths-based positive psychology, this session will examine the concept of integrated health and psychological resilience. Register
  16. News Article
    Over a third (35%) of healthcare professionals say they have suffered verbal or physical abuse from patients, or patients’ relatives during COVID-19, according to a survey by Medical Protection. The Medical Protection survey of 1250 doctors in the UK, also showed that a further 7% have experienced verbal or physical abuse from a member of the public outside of a medical setting, with some saying they have been sworn at for using the NHS queue at the supermarket. This follows reports that GP’s are facing abuse and complaints from patient’s who believe they aren’t offering enough face-to-face appointments, despite face-to-face appointments increasing in recent months. Medical Protection said the abuse presents yet another source of anxiety for doctors at the worst possible time. In the same survey, 2 in 5 doctors say their mental wellbeing is worse compared to the start of the pandemic. “I have been sworn at for using the NHS queue at the supermarket.” “I have had more unpleasantness from patients in the last 6 months than in all my previous 50 years in healthcare.I am almost at the point of stopping all clinical practice.” “There is too much verbal abuse to mention but the most upsetting is patients believing that we haven`t been open – we are all on our knees.” Read full story Source: Medical Protection, 31 October 2020
  17. News Article
    More than 200 GPs a month are seeking mental health support as COVID-19 drives up pressure on the NHS - and demand for help is rising fastest among doctors in primary care, figures from a confidential support service suggest. NHS Practitioner Health medical director and former RCGP chair Professor Dame Clare Gerada warns that the pandemic 'must surely be contributing to the increase in numbers of doctors presenting for help compared to pre-pandemic levels'. Before the pandemic, around 60 doctors per week were coming forward for support from NHS Practitioner Health, a free, confidential NHS service for doctors and dentists in England with mental illness and addiction problems. After an initial dip during the first wave of the pandemic, numbers of doctors coming forward each week spiked to 90 per week by June and now 'regularly over 100' per week, Professor Gerada said. Junior doctors and international medical graduates now make up 25% of referrals to the service, and younger women have been particularly affected. Data from NHS Practitioner Health show that up to 69% of all referrals to the service are for women, and nearly a third of all referrals it receives are for female doctors aged 30-39 - for issues 'ranging from anxiety, depression, burnout, PTSD and suicidal thoughts'. Read full story Source: GP Online, 28 October 2020
  18. Content Article
    With the possibility of a spike in COVID-19 cases this winter, doctors, nurses and medical staff may be coming in feeling already depleted from an uncontrolled pandemic. Guest host Dan Gorenstein of the Tradeoffs podcast talks with Dr Albert Wu, co-director of RISE (Resilience in Stressful Events) which provides emotional support to health system staff. Gorenstein and Wu talk about why health care workers may have low reserves right now, how COVID may be changing perceived stigma around mental health support for frontline workers and what institutions can do to ensure the well-being and resilience of all staff."Asking people to be heroic over and over again, to run back into the fire multiple times, gets harder each time" (Dr Wu).This is a podcast called Public Health on Call, produced by John Hopkins Bloomberg School of Public Health.
  19. Content Article
    This report from the Samaritans finds that there is no consistently effective support available to people who self-harm. The research identified four key support needs for people who self-harm, which are seen as essential to providing effective care: distraction from immediate self-harm urges emotional relief in times of stress developing alternative coping strategies addressing the underlying reasons for self-harm.
  20. Content Article
    Stress, depression and anxiety account for a significant portion of work related ill-health cases. With many of those still employed now working remotely as a result of the COVID-19 crisis, this trend seems set to continue, with an always-on-culture that has now entered our homes.In this paper, published with Autonomy and 4 Day Week, Nic Murray looks at the clear overlap between over work and mental ill-health, how this disproportionately affects women and the potential options for reducing our working time and preventing work practices that harm mental health, including a 4 day week. 
  21. Content Article
    The King's Fund has collected some examples of resources to support the mental health and wellbeing of both individuals and teams working across health and care.
  22. News Article
    NHS workers are at breaking point after months of upheaval and high pressure during the coronavirus outbreak with hospital leaders warning the health service is facing a “perfect storm” of workforce shortages and a second wave of COVID-19. In a survey of 140 NHS trust leaders almost all of them said they were worried about their staff suffering burnout ahead of winter. They also sounded the alarm over concerns there had not been enough investment into social care before this winter. NHS Providers, which carried out the survey ahead of its annual conference of hospital leaders, warned the first wave of COVID-19 had made a lasting impact on the health service which had yet to fully recover. Chris Hopson, chief executive of NHS Providers, which represents NHS trusts, said there had been “no let-up in the pressure” during the pandemic, which followed a difficult winter for staff. “And while the response to the spring surge in COVID-19 cases showed the NHS at its best, the pressures took their toll on staff who gave so much,” he said. “The worry is that the sustained physical, psychological and emotional pressure on health staff is threatening to push them beyond their limits of endurance.” Almost all those who responded to the survey, 99 per cent, said they were either extremely or moderately concerned about the current level of burnout across the workforce. Read full story Source: The Independent, 6 October 2020
  23. Content Article
    Due to the concerns around ambulance waiting times, the Healthcare Inspectorate Wales undertook a local review of the Welsh Ambulance Service Trust (WAST). The review explored how the risks to patients’ health, safety and wellbeing are managed whilst they are waiting for an ambulance. It assessed how patients are being managed by WAST’s three Clinical Contact Centres across Wales, from when a request for an ambulance is received to the point the ambulance arrives at the scene.
  24. Content Article
    A lower recruitment and high turnover rate of registered nurses have resulted in a global shortage of nurses. In the UK, prior to the COVID-19 epidemic, nurses’ intention to leave rates were between 30 and 50% suggesting a high level of job dissatisfaction. In this study, published in BMC Nursing, Senek et al. analysed data from a cross-sectional mixed-methods survey developed by the Royal College of Nursing and administered to the nursing workforce across all four UK nations, to explore the levels of dissatisfaction and demoralisation – one of the predictors of nurses’ intention to leave.
  25. Content Article
    Healthcare organisations are committed to the safety of the patients receiving care, treatment, and services. Healthcare organisations are also committed to the safety of those who serve those patients – healthcare workers, whether they be nurses, physicians, medical technicians, pharmacists, lab workers, housekeeping staff. This new book from The Joint Commission pulls together a collection of checklists to keep those healthcare workers safe from chemical and physical hazards, infectious agents, workplace violence, ergonomic problems, work-related stress, and more. The checklists are built upon authoritative guidelines from OSHA, NIOSH, CDC, and others and are intended to simplify healthcare worker safety. Most of the checklists are intended for use by health care workers themselves, depending upon their clinical or other responsibilities. Some of the checklists are intended for management to ensure that policies, procedures, and resources are in place to ensure health care worker safety in all areas of the organization. All of the checklists are straightforward and easy to use and understand and cover the key areas of risk for healthcare workers. Each section of checklists is introduced by compelling statistics that show how dangerous working in the health care environment can be, without proper precautions. The checklists provide the procedures or must-do activities to ensure that health care workers are as safe as can be.  Sample pages
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