{"id":44624,"date":"2019-05-16T11:26:26","date_gmt":"2019-05-16T10:26:26","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44624"},"modified":"2019-05-16T11:27:36","modified_gmt":"2019-05-16T10:27:36","slug":"finn-odwyer-cunliffe-providers-are-innovating-to-give-doctors-a-break-but-more-is-needed","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/05\/16\/finn-odwyer-cunliffe-providers-are-innovating-to-give-doctors-a-break-but-more-is-needed\/","title":{"rendered":"Finn O\u2019Dwyer-Cunliffe: Providers are innovating to give doctors a break, but more is needed"},"content":{"rendered":"<p><span style=\"font-weight: 400\">As part of its <a href=\"https:\/\/www.bmj.com\/wellbeing\">Wellbeing campaign<\/a><\/span><i><span style=\"font-weight: 400\">, The BMJ<\/span><\/i><span style=\"font-weight: 400\"> is telling the sector it is time to give doctors a break. We couldn\u2019t agree more. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The NHS will shortly publish its long awaited interim People Plan, setting out the stall for strategic workforce development in the service over the next decade. Canvassing our members for views to contribute to this plan, we were reminded of the urgency around restoring the sense of value NHS staff get from their working lives, and providing insight into the initiatives trust directors are taking forward to improve culture and wellbeing within their organisations. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Workforce concerns are the most pressing for NHS trusts and foundation trust boards, more so than tackling the daily challenge of meeting financial or performance targets. This has been clear for some time now and was evidenced in <\/span><a href=\"https:\/\/nhsproviders.org\/a-better-future-for-the-nhs-workforce\"><i><span style=\"font-weight: 400\">There for Us<\/span><\/i><\/a><span style=\"font-weight: 400\">: our call for government action to address the national workforce challenge. \u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This report\u2014and NHS Providers\u2019 work on <\/span><a href=\"https:\/\/improvement.nhs.uk\/documents\/1884\/NHS-8-high-impacts-A4v5Bm_with_stickynotes_5_7dglFbL.pdf\"><i><span style=\"font-weight: 400\">Eight high impact actions<\/span><\/i><\/a><span style=\"font-weight: 400\"> to improve the working environment for junior doctors\u2014re-emphasised the extent to which medical staff are stretched in a service with limited capacity to meet rising demand. There is ample evidence to suggest the situation has worsened over the past 18 months. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Trusts boards know they have an important role to play in addressing these issues and there are examples across the country of providers innovating to improve the wellbeing of valued staff. For example, Sheffield Teaching Hospitals Trust has introduced flexible working schemes to enhance work-life balance, including an option for some staff to take on term-time only working. The impact of this and other initiatives has been an increase in staff retention to 91%: one of the highest levels in the country.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Kingston Hospital NHS Foundation Trust has recently implemented a new health and wellbeing strategy which includes access to a staff support chaplain providing free pastoral care and counselling to those affected by stress, anxiety or depression. Telford Hospital has teamed up with the local council to offer free housing to 24 junior doctors as part of its recruitment drive, while an annual leave day for staff birthdays has been introduced by at least one trust in England. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Innovative schemes like these make a big difference, but the benefits have not been felt by staff throughout the service. One of the more disappointing findings in the 2018 NHS staff survey is the fact that only 28.6% of respondents feel their organisation definitely takes positive action to improve staff health and wellbeing: a 3% decrease from 2017. <\/span><\/p>\n<p><span style=\"font-weight: 400\">But while trusts have an important role to play as employers, too much of the equation around burnout is out of an individual organisation\u2019s control. Research has shown that workload is the single greatest determinant of stress at work. Only 22% of respondents to the staff survey last year reported they \u2018never\u2019 or \u2018rarely\u2019 suffered from unrealistic time pressures in their jobs and over two thirds feel there is not enough staff at their organisation to enable them to do their jobs properly. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Trusts will struggle to tackle such workload concerns in a meaningful way while demand for services continues to outstrip the NHS funding settlement (even taking into account the additional funding for the long term plan). These pressures are exacerbated by the fact they are unable to recruit to vacant posts. With 100,000 staff vacancies across NHS trusts in England\u2014and unfilled nursing posts in particular continuing to rise\u2014an enormous strain is being placed on doctors leading treating teams to somehow meet the ever expanding needs of patients. Not to mention the severe pressures faced in primary and social care where recruitment and retention issues are, frankly, even worse. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The interim People Plan will provide a welcome &#8220;reset moment&#8221; to tackle England\u2019s severe NHS workforce shortages, <\/span><a href=\"https:\/\/www.hsj.co.uk\/workforce\/exclusive-ministers-drawing-up-plans-for-new-staff-offer\/7022710.article\"><span style=\"font-weight: 400\">with reports<\/span><\/a><span style=\"font-weight: 400\"> that ministers and senior NHS leaders are seeking to develop a sorely needed &#8220;new offer&#8221; for NHS staff. This would be supported by <\/span><a href=\"https:\/\/www.hsj.co.uk\/workforce\/nhsi-chair-says-regulators-encourage-wrong-kind-of-behaviour\/7024481.article\"><span style=\"font-weight: 400\">a stated commitment<\/span><\/a><span style=\"font-weight: 400\"> for trust regulators to no longer prioritise financial standards over the wellbeing of staff.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Trusts are continuing to innovate to improve staff wellbeing and reduce the impact of work-related stress on doctors\u2019 lives. More can and will be done within individual organisations: a focus on cultural change and the impact of strong staff engagement will help this. However, efforts to tackle burnout and stress\u2014making the job of doctors and all NHS staff much more &#8220;doable&#8221;\u2014will continue to depend greatly on the success of ongoing initiatives to expand the size of the NHS workforce as a whole. <\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Finn O\u2019Dwyer-Cunliffe<\/strong> is a policy advisor at NHS Providers. <\/span><span style=\"font-weight: 400\">\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared<\/em><\/p>\n<table>\n<tbody>\n<tr style=\"border: 1px solid black\">\n<td style=\"border: 1px solid black\"><span style=\"font-weight: 400\"><em>The BMJ<\/em> is calling for doctors to be able to take the breaks that they need for their wellbeing and for patient safety. You can follow our work at <\/span><a href=\"https:\/\/www.bmj.com\/wellbeing\"><span style=\"font-weight: 400\">https:\/\/www.bmj.com\/wellbeing<\/span><\/a><span style=\"font-weight: 400\"> and take part in the campaign by sharing your examples of where things are changing for the better or where more work needs to be done through social media using #giveusabreak. <\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>As part of its Wellbeing campaign, The BMJ is telling the sector it is time to give doctors a break. We couldn\u2019t agree more. The NHS will shortly publish its [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/05\/16\/finn-odwyer-cunliffe-providers-are-innovating-to-give-doctors-a-break-but-more-is-needed\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":43991,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236,18907],"tags":[],"class_list":["post-44624","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs","category-wellbeing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Finn O\u2019Dwyer-Cunliffe: Providers are innovating to give doctors a break, but more is needed - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/05\/16\/finn-odwyer-cunliffe-providers-are-innovating-to-give-doctors-a-break-but-more-is-needed\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Finn O\u2019Dwyer-Cunliffe: Providers are innovating to give doctors a break, but more is needed - The BMJ\" \/>\n<meta property=\"og:description\" content=\"As part of its Wellbeing campaign, The BMJ is telling the sector it is time to give doctors a break. 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