1. Wellbeing Dr Sara Booth, Retired Palliative Care Consultant Dr Katie Keller, GP

2. Why? “To be ‘well’ is not only a question of how the body functions - it is also a consequence of the society in which we live.” http://www.sciencemuseum.org.uk/broughtt olife/aboutus/meanstobewell.aspx http://www.sciencemuseum.org.uk/broughtt olife/aboutus/meanstobewell.aspx

3. Changing times and expectations In the late 1600s, for example, the London naval administrator Samuel Pepys wrote in his diary about all the different pains that plagued him. Colds, failing eyesight and pain from bladder and kidney stones were a constant presence in his life, but he visited a doctor relatively rarely. He saw his conditions as something to be managed and lived with rather than cured. Being ‘well’ for Pepys meant being able to carry on with work and other daily activities, and this standard applied to most people living and working in England at this time.

4. What Is Wellbeing? Page 5 in Journal www.nationalgeographicstock.com Think back to a moment when you experienced a sense of utter contentment and life seemed completely good. What were the factors that contributed to your sense of wellbeing?

6. And the opposite? What are the signs and symptoms of “dis-ease”?

7. Early detection of Problems in the workplace Adapted tools: Cage Questionnaire (handout) PHQ9 Validated Tools: Perceived stress scale Other?

8. Performance Issues Poor performance is a ‘symptom and not a diagnosis’ and it is essential to explore the underlying cause or causes. Key areas to explore are; i) Clinical performance of the individual: (knowledge, skills, communication) ii) Personal, personality and behavioural issues: (professionalism, motivation, cultural & religious issues) iii) Sickness / ill health: (personal/family stress, career frustrations, financial) iv) Environmental issues: (organisational, workload, bullying and harassment) HEE/NACT UK Guidance: Managing Trainees in Difficulty 2012 http://hee.nhs.uk/wp-content/uploads/sites/321/2013/10/NACT-Appendix-5-Managing-Trainees-in-Difficulty.pdf

9. Concepts/Framework Connect Be Active Take Notice Keep Learning Give

10. The answer? ‘Expecting an epiphany - some single moment of insight that will forever banish the experience of fear, anger, neediness - may prevent us from noticing the slow and almost imperceptible ways spiritual practice subtly transforms us. With patience and perseverance out habitual reactive patterns slowly erode, until one day we find ourselves in a situation that had always made us anxious - and we notice it is simply gone.’ From ‘Saying yes to life(Even the hard parts)’ by Ezra Bayda quoted in ‘Happiness and How it Happens’ by ‘The Happy Buddha’ Leaping Hare Press, 2011

11. How Can We use this?