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Zero tolerance

This is one of the recommendations from the ‘strategic’ section of the RCOG/RCM undermining toolkit.

Zero tolerance

The Francis, Berwick and Illing reports identify a permissive culture in parts of the NHS, which can adversely influence workplace behaviour. Considering leadership and management (section 4.1.4), the Illing report highlights that in such a culture bullying can be used ‘rationally’ to achieve performance targets. It concludes that, if bullying is regarded as rational, interventions will be less effective.

Similarly, work-related stress can be used as an excuse for poor behaviour – a stance that needs to be challenged.

The promotion of a zero tolerance approach stops the rationalisation of bullying and undermining under the pretence of ‘being in the best interest of patients’. This applies to both managers and individual clinicians.

Work-related stress (and non-work-related stress where it impacts on behaviour at work) must be addressed but cannot be used to justify continuing poor behaviour.

Elsewhere on the site

Resources and support for trainees
Further resources to support specialty trainees in O&G
Resources and support for trainers
Resources to help trainers deliver the specialty training programme in O&G