Table 1

ABC of doctors’ core needs as outlined in Caring for doctors, caring for patients16

ABC of doctors’ core needsSubcategoriesDescriptionSuggested calls to action in 2019
Autonomy/
Control
Voice, influence and fairnessAbility for doctors to influence the culture of healthcare organisationsClinical leaders should gather feedback from doctors about organisational delivery
Work conditionsProvision of basic facilities such as places to rest and access to food and drinkImplement the British Medical Association (BMA) Fatigue and Facilities charter20
Work schedule and rotasProviding work schedules that enable appropriate breaks, allow communication in advance and ensure flexibilityImplement the BMA’s and NHS Employers’ Good Rostering Guide19
BelongingTeam workingSupporting effective multidisciplinary team working with shared purposeHealthcare organisations should review team working with teams meeting regularly to review performance
Culture and leadershipHealthcare environments with nurturing culture and compassionate leadershipImplement programme of compassionate leadership with mechanisms to feedback
CompetenceWorkloadEnsuring appropriate workloads with doctors performing at top of competenceDevelop alternative roles and review technologies to ensure efficiency
Management and supervisionEnsuring doctors have effective support and supervision in their rolesEnsure those in management/supervision roles have dedicated time within job plans
Learning, training and developmentSupporting doctors with appropriate learning and training opportunitiesReview impact of allocation of training placements and address administrative burdens on doctors
  • ABC, Autonomy/control, Belonging and Competence; NHS, National Health Service.