This is one of the recommendations from the ‘strategic’ section of the RCOG/RCM undermining toolkit.
Support and ‘buy-in’ from leaders and managers
When an intervention is introduced, the support and ‘buy-in’ of leaders and managers is critical for success. This applies to leaders in the health system (as advocated in the Francis and Berwick reports) as well as those in leadership roles within organisations.
Section 5 of the Illing report provides clear evidence of the need for support and outlines successful strategies to help achieve this, including:
- The need to send and promote the message in presentations, correspondence and actions
- The development of policies which are clearly stated and publicised/promoted
- While maintaining the confidentiality of staff, the need to hear (by various media and the ‘grapevine’) about positive action that has been taken to address poor behaviour
The 2014 GMC report Building a supportive environment also recognises the need for effective senior leaders who can support improvements such as:
- Recognising the importance of training and allocating adequate resources
- Supporting investment in service reorganisation to allow better training and reduce stress relating to workload
- Ensuring good leadership to promote cohesion at departmental level.