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53 Consultant teamworking: addressing behavioural concerns
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  1. Benjamin Moxley-Wyles1,
  2. William Sacre2,
  3. Manda Copage1,
  4. Celia Ingham Clark1
  1. 1Medical Directorate, NHS UK
  2. 2Medical Directorate, NHS UK
  3. 2022-23

Abstract

Introduction Effective teamwork is integral to the provision of quality healthcare. Consultant doctors are vital team workers and leaders; their behaviours are commonly pivotal to the culture of a team. When poor consultant behaviour and conduct is not addressed, it can have a detrimental impact on service delivery, patient care, and organisational performance, as well as individual health and wellbeing. Addressing behavioural concerns can be difficult to do well. This is an area where additional training for doctors in leadership positions could be beneficial.

Aims and objectives of the research project or activity Addressing the need for high quality education on the effective management of behavioural concerns in a compassionate and transparent manner is a professional priority. We aim to achieve this through collaborative development of e-learning and interactive modules for Medical Directors and Clinical Directors (who manage consultants).

Method or approach We identified and engaged with key stakeholders spanning leadership, education, regulation, and professional standards, as well as those with lived experience of compassionate performance management. We formed a working group with these key stakeholders to collaboratively develop training on consultant teamworking.

Findings The first e-learning module of this training has been drafted. It covers the importance of fostering a compassionate and transparent workplace culture, addressing behavioural concerns early and informally, and the need for openness and consistency during formal investigations. We provide practical examples of affiliated scenarios and difficult conversations. The working group continues to meet for further refinement, as well as the ongoing development of an interactive module that complements the initial e-learning. Finalisation and publication are planned for later this year.

Key messages Poor consultant behaviour can have a detrimental effect on the clinical team dynamic and healthcare environment. When behavioural concerns are raised, it is vital that they are addressed swiftly, compassionately, fairly, and transparently to reach an optimal outcome for all affected. Educational resource development provides an opportunity to support medical leaders and NHS Trusts with managing behavioural concerns and optimise quality, performance, and wellbeing.

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