This is one of the recommendations from the ‘unit, trust and local education provider’ section of the RCOG/RCM undermining toolkit.
Anti-bullying charter/code of conduct
Credible but simple charters/codes of conduct can highlight and promote expected standards of behaviour. Charters should be visible and accessible and available on the organisation’s website, as posters and in hard copy.
One of the first examples in a medical training context was produced by the Northern Deanery and has now been expanded for multi-professional use (download the Northern Deanery’s charter; PDF, 707 kb). This work was the basis for the Oxford Deanery code of conduct form.
However, bullying is not confined to the NHS or indeed adults. East Lancashire Clinical Commissioning Group’s anti-bullying charter for children and young adults is just as applicable to the staff of an NHS organisation.
One of the markers of successful trust/hospital-wide interventions identified in the Illing report is a shift of the organisational ‘norm’ to instil individual personal responsibility and a culture of heightened sensitivity. A critical mass of empowered staff can challenge unacceptable behaviours and break down barriers to interventions. Zero tolerance to unacceptable behaviour without challenge is a crucial part of reducing its incidence. No organisations would have a problem if all staff simply chose not to ignore unacceptable behaviour.