Scotland to expand international recruitment for doctors and nurses

Scotland to expand international recruitment for doctors and nurses

June 22 2018 Activity to recruit doctors, nurses and other specialist health staff will be...

GP trainee round 1 recruitment increases 10%

GP trainee round 1 recruitment increases 10%

June 19 2018 Over 3,000 doctors have been recruited under the current Round 1 GP trainee...

Tier 2 visa cap relaxation for doctors welcomed

Tier 2 visa cap relaxation for doctors welcomed

June 15 2018 Doctors’ leaders have welcomed the Home Secretary’s announcement that...

England will lose more than 600 general practices by 2022, predicts BMA

England will lose more than 600 general practices by 2022, predicts BMA

June 12 2018 The number of general practices in England could decline by between 618 and 777 by...

Tier 2 visa rules need ‘common sense’ overhaul, says RCGP

Tier 2 visa rules need ‘common sense’ overhaul, says RCGP

June 6 2018 The Royal College of General Practitioners has called for visa regulations to be...

  • Scotland to expand international recruitment for doctors and nurses

    Scotland to expand international recruitment for doctors and nurses

    Friday, 22 June 2018 16:07
  • GP trainee round 1 recruitment increases 10%

    GP trainee round 1 recruitment increases 10%

    Tuesday, 19 June 2018 17:53
  • Tier 2 visa cap relaxation for doctors welcomed

    Tier 2 visa cap relaxation for doctors welcomed

    Friday, 15 June 2018 18:39
  • England will lose more than 600 general practices by 2022, predicts BMA

    England will lose more than 600 general practices by 2022, predicts BMA

    Tuesday, 12 June 2018 12:03
  • Tier 2 visa rules need ‘common sense’ overhaul, says RCGP

    Tier 2 visa rules need ‘common sense’ overhaul, says RCGP

    Wednesday, 06 June 2018 12:56

November 19 2015

bullying

Introduction

Earlier this year, the Good Governance Institute was commissioned to consider and investigate how the NHS carries out reviews of bullying and harassment under the Dignity at Work Policy. This was following allegations of bullying and harassment at Worcestershire Acute Hospitals NHS Trust. The investigation concluded that The Dignity at Work Policy was ‘not fit for purpose’.

The report found “insufficient evidence to conclude that bullying and harassment is endemic at the Trust”. Although the report did find an “inconsistent and confusing” approach to the way staff concerns were addressed. Additionally the report stated that there was confusion about the definition of bullying.

A Culture of Fear

Culture refers to the implicit standards and values that underpin an organization.  

However, the culture of many healthcare organizations is permeated with fear.  This negatively affects doctors as well as healthcare co-workers at all levels.  It is increasingly difficult for doctors to deliver quality care; nerves are frayed and tempers short. Patients feel compromised, anxious, and overlooked; they look to doctors for solutions.  In consequence doctors are experiencing unacceptable levels of mental and physical stress.  

Fear & the Brain

The Fear-Free Organization book presents Neuroscientific research that shows the damaging effect fear has on the brain.

In common with all mammals, human beings have evolved with eight basic emotions hard-wired into the brain. Fear, anger, disgust, shame and sadness are the flight/fight/fright/freeze emotions related to escape/avoidance; they prepare us to deal with danger. Love/trust and joy/excitement are the two emotions to do attachment and belonging. Surprise can take us in the direction of either escape/avoidance or attachment.

Excessive and persistent levels of fear create changes in the brain.  These changes then interfere with the ability to work, to make decisions and to think with clarity and purpose.


Bullying

Lord Darzi’s 2008 report concluded there that was a ‘pervasive culture of fear in the NHS’ that directly links to bullying and the failure of staff to speak out and report instances of bullying. A 2015 NHS staff survey showed that 24 per cent of staff said that they had been subject to bullying, with 3 per cent of staff saying they had suffered physical violence from managers or colleagues.

According to the British Medical Association (BMA) hospital doctors are worried about being ‘bullied and harassed’ when raising concerns about patient safety.  In a study conducted at hospitals throughout Wales 60% reported raising concerns; 60% of those doctors reported instances of bullying or harassment as a direct result of raising concerns; of those 60%, 40% reported that no action had been taken. The report further stated that underpinning the bullying and harassment of doctors were pressures resulting from unfilled staff vacancies; pressure to work longer hours, the drive to meet targets and having to work in inadequate facilities.

What Doctors can do in the face of fear and bullying

A culture of fear is the perfect breeding ground for bullying behaviour.  Bullying and harassment cause anguish; they wreck lives, and destroy the fabric of an organization.  

The antidote to fear is quite simple - trust.  Although building that trust is more difficult, and can only be born from creating and maintaining good relationships. Strong teams working towards a common goal create a defence against fear and encourages everyone to feel like they are ‘in it together’.  Good relationships involve honest and open communication and this is particularly important in healthcare when people are being cared for and lives are on the line.  However, it is up to leaders to take note, to realise the importance of eradicating fear in the workplace and follow through on stated policies of zero tolerance of bullying to ensure a fear-free organization is produced.

Joan Kingsley 2

Joan Kingsley is an organizational psychotherapist and together with Dr Paul Brown and Dr Sue Paterson, wrote The Fear-Free Organization: Vital Insights from Neuroscience to Transform your Business Culture, a pioneering new book that draws attention to the need for senior staff to appreciate how fear may be ruling their organizations and how this is affecting their teams, prohibiting the development of new ideas, creativity and unlimited potential.

Links:

fearfreeorganization

The Fear-Free Organization

Joan Kingsley

Mind.org.uk - Workplace Bullying

NHS Choices - Workplace Bullying

Management News

June 22 2018 A review into the scheduling of cannabis for medicinal purposes will look for “significant medical and therapeutic benefits” before a decision is made.
June 6 2018 The Royal College of General Practitioners has called for visa regulations to be reviewed to allow more doctors to work as GPs in the NHS. Home Secretary Sajit Javid announced on Sunday...