ABC of doctors’ core needs as outlined in Caring for doctors, caring for patients16
ABC of doctors’ core needs | Subcategories | Description | Suggested calls to action in 2019 |
Autonomy/ Control | Voice, influence and fairness | Ability for doctors to influence the culture of healthcare organisations | Clinical leaders should gather feedback from doctors about organisational delivery |
Work conditions | Provision of basic facilities such as places to rest and access to food and drink | Implement the British Medical Association (BMA) Fatigue and Facilities charter20 | |
Work schedule and rotas | Providing work schedules that enable appropriate breaks, allow communication in advance and ensure flexibility | Implement the BMA’s and NHS Employers’ Good Rostering Guide19 | |
Belonging | Team working | Supporting effective multidisciplinary team working with shared purpose | Healthcare organisations should review team working with teams meeting regularly to review performance |
Culture and leadership | Healthcare environments with nurturing culture and compassionate leadership | Implement programme of compassionate leadership with mechanisms to feedback | |
Competence | Workload | Ensuring appropriate workloads with doctors performing at top of competence | Develop alternative roles and review technologies to ensure efficiency |
Management and supervision | Ensuring doctors have effective support and supervision in their roles | Ensure those in management/supervision roles have dedicated time within job plans | |
Learning, training and development | Supporting doctors with appropriate learning and training opportunities | Review impact of allocation of training placements and address administrative burdens on doctors |
ABC, Autonomy/control, Belonging and Competence; NHS, National Health Service.