ABC of Clinical Resilience. Группа авторов

Staff shouldn’t be under pressure to work without adequate protective equipment.

       Accommodation: For staff facing long journeys to work or with concerns about family safety, there should be alternative accommodation provided.

       Mental health: Workers’ mental health should be ensured by extending priority access to health and care professionals.

       Remuneration: Staff should receive their full salary if they fall ill; and, beyond the pandemic, no health and care professional should be paid less than the real living wage.

       Care guarantee: Government should support professionals to remain in work by ensuring that they are able to meet unpaid care commitments – such as childcare or caring for other dependent family members.

      Organisations need to embed these guarantees, as part of resilience training and support for practitioners to facilitate safe and effective delivery of patient care. Possible approaches to training are considered in Chapter 10.

      Healthcare practitioners are motivated, almost without exception, by a desire to safely and effectively restore their patients to health and well‐being. During the pandemic, this has been universally recognised by the public in a myriad of forms – from a weekly round of communal applause to feats of extraordinary fundraising to support local staff. They deserve the thanks and respect of us all:

       ‘It is not the critic who counts; nor the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming…’

      – Theodore Roosevelt

Further reading/resources

      1 BBC News (2020) Coronavirus: NHS doctor who pleaded for PPE dies, 10 April 2020. bbc.co.uk (accessed 8.11.2020).

      2 Bourne, T., Vanderhaegen, J., Vranken, R., et al. (2016) Doctors' experiences and their perception of the most stressful aspects of complaints processes in the UK: an analysis of qualitative survey data. BMJ Open, 6 (7), e011711. DOI: 10.1136/bmjopen‐2016‐011711. PMID: 27377638; PMCID: PMC4947769.

      3 British Medical Association (BMA) (2020). A Charter for Medical Schools to Prevent and Address Racial Harassment. British Medical Association, UK.

      4 Casey, D. and Choong, K. A. (2016) Suicide whilst under GMC's fitness to practise investigation: were those deaths preventable? Journal of Forensic and Legal Medicine, 37, 22–27. DOI: 10.1016/j.jflm.2015.10.002. Epub 2015 Oct 22. PMID: 26519926.

      5 General Medical Council (GMC). (2019) Caring for Doctors; Caring for Patients. General Medical Council, UK.

      6 Gottlieb, M., Chung, A., Battaglioli, N., et al. (2020) Impostor syndrome among physicians and physicians in training: a scoping review. Medical Education, 54 (2), 116–124. DOI: 10.1111/medu.13956. Epub 2019 Nov 6. PMID: 31692028

      7 The Health Foundation (2019) Falling Short: The NHS Workforce Challenge. The Health Foundation, UK.

      8 Hofmann, P. B. (2018) Stress among healthcare professionals calls out for Attention. Journal of Healthcare Management, 63 (5), 294–297. DOI: 10.1097/JHM‐D‐18‐00137. PMID: 30180024.

      9 Horsfall, S. (2014) Doctors Who Commit Suicide While Under GMC’s FTP Investigation. The General Medical Council.

      10 HSJ Survey (2020). Adapted from COVID‐19: the risk to BAME doctors. bma.org.uk (accessed 8.11.2020).

      11 Jakab, Z. (2011) Available at: https://www.euro.who.int/__data/assets/pdf_file/0010/135586/RD_speech_Economist_20110317.pdf (accessed 16.10.2020).

      12 Kings Fund, UK (2018). Closing the gap on BME representation in NHS leadership: not rocket science by Mandip Randhawa. Available at: https://www.kingsfund.org.uk/blog/2018/03/bme‐representation‐nhs‐leadership (accessed 21.03.2021).

      13 Kings Fund, UK (2019). We’re here and you’re there’: lived experiences of ethnic minority staff in the NHS by Shilpa Ross. Available at: https://www.kingsfund.org.uk/blog/2019/11/lived‐experiences‐ethnic‐minority‐staff‐nhs (accessed 21.03.2021).

      14 NHS Digital (2017–2018) Data on written complaints in the NHS.

      15 NHS England (2018) National NHS Staff Survey. Available at: https://www.nhsstaffsurveys.com/Page/1101/Past‐Results/Staff‐Survey‐2018‐Detailed‐Spreadsheets/ (accessed 10.11.2020).

      16 Puddester, D., Flynn, L. and Cohen, J. J. (eds.) (2009) CanMEDS Physician Health Guide: A Practical Handbook for Physician Health and Well‐being. The Royal College of Physicians and Surgeons of Canada, Canada.

      17 Riskin, A., Erez, A., Foulk, T. A., et al. (2015) The impact of rudeness on medical team performance: a randomized trial. Pediatrics, 136 (3), 487–495. DOI: 10.1542/peds.2015‐1385. Epub 2015 Aug 10. PMID: 26260718.

      18 Royal College of Nursing (2020) BAME Nursing Staff Experience Greatest PPE Shortages Despite Risk Warnings (accessed 8.11.2020).

      19 Thomas, C. and Quilter‐Pinner, H. (2020) Care Fit for Carers: Ensuring the Safety and Welfare of NHS and Social Care Workers During and After Covid‐19. Institute for Public Policy Research, London, UK. Available at: https://www.ippr.org/research/publications/care‐fit‐for‐carers (accessed 11.01.2021).