1. Morale, resilience and burnout – Developing a wellbeing strategy
Dr Cleave Gass, Head of the London Academy of Anaesthesia
Dr Claudie Sellers, Medical Education Fellow in Anaesthetics HEE south London
Mr Scott Summers, Training Director, The Skills Farm

2. Objectives Understand the implications of low trainee morale
Present an effective Resilience Training workshop
Explore the role of Educational Organisations in improving trainee morale and wellbeing

3. NHS morale at an all time low
GMC State of Medical Education and Practice 2016
BMA Quarterly Survey 2016
NHS morale at an all time low
Professionals Allied to Medicine survey 2016
King’s Fund Quarterly Monitoring Survey 2015
RCP Being a Junior Doctor 2016

4. Made worse by

5. Why does it matter? Higher standardised mortality ratios
Higher MRSA rates
Worse patient satisfaction
15.7 million sick days in
27% > public sector average
£3.3 billion on locum and agency staff 2014/15
Direct cost of sickness absence £1.7 billion/year
10,383 left NHS due to poor work–life
balance (5.5% total leavers)
3,819 people left due to ill health (2%)
GP training fill rate 82% 2016
CIPD. Absence management: annual survey report London: CIPD, 2013.
Boorman S. NHS health and well-being: final report. London: Department of Health, 2009.
West MA, Dawson JF. Employee engagement and NHS performance. London: The King’s Fund, 2012.
HEE National Recruitment Data 2016.

6. poor Educational supervision
What factors negatively affect learner morale and wellbeing in your clinical area?
Contractual
Educational
Systemic
e.g. pay, working hours
e.g. ARCPs,
e.g. reorganisation,
poor Educational supervision
financial pressures

7. Resilience Training 2 dates April 2016 26 Anaesthetic SpRs
HEE Senate House
What do we mean by resilience? Resourcefulness?

8. Resilience Training A P L E

9. motional intelligence
Resilience Training A P L E
ttitude
eople
urpose
aughter
motional intelligence

10. Resilience Training

11. Resilience Training
‘Rarely get to think about these kind of things, all very useful’
‘This course is badly needed amongst clinical NHS staff’
‘I am excited to try out my new found techniques’
‘Best of this kind of course I have ever been on’

12. What are you already doing?
What can Educational Organisations do to improve trainee morale and wellbeing?
What are you already doing?
What else could you do?
Recognise its importance
Acknowledge the multifactorial causes
Respond to negative feedback
Promote good will and positivity

13. A National Priority
HEE statement on non-contractual support for doctors in training
Recognise its importance
Acknowledge the multifactorial causes
Respond to negative feedback
Promote good will and positivity
“3.6. continue to work with partners to improve retention of trainees, including reducing avoidable attrition from training programmes by 50 per cent by 2017”

14. Developing a wellbeing resource
HEE south London
Developing a wellbeing resource
Communicate HEE National Work
Collate wellbeing information & resources
Fund specific initiatives e.g.
SLaM Mindfulness
GREATix
BDA pilot
Resilience/burnout prevention workshops

15. What are your thoughts? Recognise its importance
Acknowledge the multifactorial causes
Respond to negative feedback
Promote good will and positivity

16. Keep the conversation up
Thank you
Keep the conversation up

17. RCP The King’s Fund
Being a Junior Doctor. Mission: Health. Royal College of Physicians. 2016
Counting the smiles. Morale and Motivation in the NHS. The King’s Fund. 2002