1. Workforce Behaviour Miss Ruth Mason Consultant O&G Worthing Hospital
Workforce Behaviour Champion for KSS

2. Is it a problem in O&G?
Prevalence of Bullying: 20% staff reported having been bullied in last 6 months
Associated outcomes: with lower levels of psychological health, job satisfaction and higher levels of intention to leave work
Barriers to reporting: perception that nothing would change, seniority of bully, not wanting to be seen as a trouble maker, uncertainty over policies/management
New contract

4. Why is it a problem in O&G?
High empathy scores
High stress environment
Changes in working hours and patterns
High work load
Blame culture
Acute nature of specialty
The significant on-call commitments
The perfectionist characteristics exhibited by many consultants
The high risk of being involved in clinical incidents

5. What is it?
Bullying: is behaviour that hurts or frightens someone who is less powerful, often forcing them to do something they do not want to do.
Undermining: behaviour that subverts, weakens or wears away confidence.

6. Who does it? doctors(40%) midwives (40%) nurses (18%)
admin and other (2%)

7. Why does it matter? Reduced quality of training
Impact on physical and mental health
Poor team working
Ineffective individuals
Reduced patient safety
Increased cost due to absenteeism

9. RCOG / RCM https://www.rcog.org.uk/underminingtoolkit
Joint taskforce (2013)
Toolkit to provide advice (2014)
Appointment of champions for each area

10. What can you do? Use RCOG STRATOG modules Don’t walk past
Contact your Champion
Develop resilience
Don’t do it yourselves

11. Resilience (noun)
1. the ability to become strong, healthy, or successful again after something bad happens.
2. the ability of something to return to its original shape after it has been pulled, stretched, pressed or bent.

12. Resilience

14. Prolonged bradycardia
What can’t wait?
Cardiac arrest
Shoulder dystocia
Prolonged bradycardia

15. What can’t wait?

16. How you develop your own resilience
1.       Take breaks
2.       Compartmentalise – do what you need to do at the time (especially revision – stick to the timetable, don’t do s, facebook etc)
3.       Step back (ten seconds for the next ten minutes)
4.       Be compassionate (to yourself, and others)
5.       Mindfulness – be in that moment not worrying about clinic the next day

17. Need Help?

18. Who can help? Colleagues Mentors Educational Supervisor College Tutor
Workforce Behaviour Champion (me)
TPD
HoS
RCOG
GMC

20. Where to find help