WORK FORCE I S SUE S
acting on, staff feedback.
While NHS organisations have a formal structure to raise concerns through Freedom to Speak Up Guardians, there is no equivalent for adult social care. Therefore, the Committee called for the extension of Freedom to Speak Up Guardians for this care domain.
Helené Donnelly OBE, ambassador for
cultural change at Midlands Partnership NHS Trust, and former Mid Staffs whistleblower, said that there was a “real appetite” for compassionate leadership across the service. However, it was undermined by managers and, in particular, middle managers being “sandwiched between their teams and trying to support them, but also trying constantly to meet targets with ever-increasing pressure.” She told the Committee that although the “vast majority of staff”, throughout health and social care, worked exceptionally hard, bullying remained a “real problem” that had to be acknowledged and addressed. She said that it was “in the minority” but emphasised that the results of that behaviour could be “catastrophic”. A second problem highlighted by Helené Donnelly was the practice whereby those who had behaved negatively did not leave the system altogether, but instead were moved on elsewhere.
This approach merely passed on the problem and led to “more and more staff to feel apathetic and disillusioned”. She also highlighted the fact that, despite the excellent work of the National Guardians, some Trusts were “still not getting it.” In those cases, “significant deep dive drills” were required to identify where the problems lay and what the barriers were.
She added that “greater accountability and sanctions” were required for those who “refuse to reflect and those who persistently and consistently display bullying and intimidating behaviours, even when support has been offered.” To tackle these problems, she recommended: l The creation of a national body or a steering group comprising all the relevant stakeholders to provide “tangible traction on improving cultures, compassionate leadership and stamping out bullying once and for all”.
l The provision of peer support and expert support to organisations that are struggling; and
l Greater accountability in relation to individuals and organisations who fail to address the problems in workforce culture.
Work/life balance Resetting the work/life balance for staff was also highlighted as an important
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