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Undermining toolkit

The undermining toolkit is an RCOG/Royal College of Midwives (RCM) initiative to address the challenge of undermining and bullying behaviour in maternity and gynaecology services. The toolkit is divided into four sections that can be used independently (there is some deliberate overlap between the sections to facilitate independent use).


An introduction to undermining and why this RCOG/RCM toolkit is important


Explanations of terms used in the toolkit, and the law in relation to bullying, harassment and undermining

Strategic interventions

Recommendations for over-arching institutions such as the wider NHS, GMC, RCOG, RCM and others

Unit, trust and local education provider interventions

Recommendations for trusts and hospitals

Individual interventions

Recommendations for individual victims and perpetrators of undermining


The RCOG/RCM would like to thank the authors who contributed to this resource and everyone who contributed good practice examples.


We are keen to continue to develop the undermining toolkit. If you have any additional good practice examples and resources that you think would be useful, please email Sakinah Takeram at

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