Constructing high-quality rest facilities to maximise performance and ensure patient safety

Author:

Silva GeethORCID,Yam Aiken,Court Jessica,Imtiaz Rabia,Chisholm Cath

Abstract

IntroductionJunior doctors are working in an increasingly overstretched National Health Service. In 2018, Kettering General Hospital (KGH) was awarded £60 800 of government funds to create high-quality rest facilities and improve junior doctor well-being.MethodsAn audit and survey in KGH identified the structural and functional improvements needed. From November 2019 to June 2020, £47 841.24 was spent on creating new rest facilities. On completion, a postaction review assessed how the changes impacted morale, well-being and quality of patient care.ResultsThe majority of doctors were happy with the new rest areas (60%), a majority felt that they would use the on-call room area (63%) and the renovation improved morale and well-being. There was an increased ability to take breaks. However, the majority of doctors are not exception-reporting missing breaks: 79% (2019), 74% (2020).Conclusions and ImplicationsThis report recommends the maintenance of increased staffing levels and rest facilities during the recovery phase of COVID-19. The remaining £12 958.76 should be directed at sustaining the quality of KGH rest facilities. Lastly, the rate of exception-reporting must be increased through improving awareness, exploring alternative methods and supporting the action when necessary. The continual investment into rest facilities ensures workforce well-being and translates into patient safety.

Funder

United Kingdom Government - Secretary of State for Health and Social Care

Publisher

BMJ

Subject

Public Health, Environmental and Occupational Health,Health Policy,Leadership and Management

Reference8 articles.

1. Health Education England . Enhancing junior doctors’ working lives a progress report [ebook], 2018. Available: https://www.hee.nhs.uk/sites/default/files/documents/Enhancing%20junior%20doctors%20working%20lives%20-%20a%20progress%20report.pdf [Accessed 04 Nov 2020].

2. Health consequences of shift work and insufficient sleep

3. Work patterns and fatigue-related risk among junior doctors

4. British Medical Association . Fatigue and facilities charter, 2018. Available: https://www.bma.org.uk/advice/employment/working-hours/fatigue-and-facilities-charter [Accessed 14 Sep 2019].

5. Tonkin T . Funds secure to improve rest facilities, 2019. Available: https://www.bma.org.uk/news/2019/may/funds-secure-to-improve-rest-facilities [Accessed 14 Sep 2019].

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