My qualifications for my answering are four years in hospital 2012-16 with various nasty conditions and several near death experiences! Like everyone else staff need to be appreciated in order to look after themselves. To be appreciated, they need to be well trained, well supported, effective, kind, good communicators and, surprisingly, tough skinned. Any softies need sending to nice patients only!

That's nurses and carers.

Doctors need the same, except the last which they should be anyway. Not under pressure from an unreasonable work schedule (applies above as well). Not under pressure from bloody bean counters making nasty careers out of sorid work for loads of pay.

Apart from those things in lack, I see no reason at all for any lack of self-care or wellbeing!

Christopher NOCK

Thanks Christopher. I think there are many reasons that stop clinicians from having the appropriser levels of self care. Certainly that’s been the findings of our research. overwhelmingly the whole culture towards Human a Factors has to shift, from the top down. We should start looking at what we most value and how we can best achieve that. Human Factors are a key issue. Thanks again.

Well, it might be better as a bottom-up process? Unhappy cleaners can do a lot of harm to everyone unintentionally. The improvement process needs excellent leadership. It needs to be highly inclusive and team led. Otherwise it will become a few people begrudgingly sucking on a sandwich to get the boss off their back for a while! And I've seen that. It ain't pretty!

NOCK