Abstract

BAPIO (British Association of Physicians of Indian Origin) as an organisation actively promotes the diversity, equality and inclusion of all healthcare professionals. As an organisation which encompasses a majority of ethnic minority members, we hear the unfortunate experiences of bullying, harassment and discrimination that takes place in numerous healthcare settings within the UK. In response to these lived experiences, a committee was appointed to establish a set of standards, to foster dignity within the workplace, using the large body of literature documents available. The ambition of this project is to advocate and advertise for an environment that is free from bullying and harassment and to adopt a zero tolerance policy towards bullying or harassment. We aim to do this by developing, implementing, and evaluating our Dignity@Work Standards. The Standards constitutes of 8 different domains for all healthcare professionals including managerial members to adopt in clinical practice. These domains include: Environment & Culture - ensuring the workplace environment remains a safe place for professionals to raise concerns, be treated fairly and one with dignity for all. Cultural Intelligence - acknowledging and raising awareness of the impacts of culture and diversity on dignity and accounting for intersectionality in the workplace. Organisational Interventions - highlighting the role of the organisation in accommodating the appropriate resources to eradicate behaviours of bullying and harassment. Communication & Interactions - encouraging respectful interactions between staff and creating a safe workplace to communicate any workplace issues. Monitoring & Accountability - adopting a collaborative approach to routinely monitor the standards of behaviour in the workplace and being held accountable for any failures Metrics - collection of data from the workforce to be able to understand the lived experiences of the workplace. Concerns & Grievances - having a transparent process to raise concerns and ensuring the same process is applied to all members of staff. Support - provision of the appropriate support for all staff that are a victim of bullying and harassment. Our preliminary vision of the Standards is to create a document that defines the gold standard for dignity in the workplace. The Standards incorporates the diversity of the workforce and ensures consideration is given to the intersectionality of already known determinants of bullying and harassment within the workplace. The COVID-19 pandemic has created increased pressure on the workforce of the National Health Service and with this pressure has come unacceptable working standards, inappropriate behaviour within staff, increasing reports of bullying and harassment and more staff leaving the NHS than ever before. It is therefore crucial to act now in order to eradicate bullying and harassment within the healthcare setting. We know and appreciate that collaboration is the cornerstone to progress and we encourage working with core leaders within the UK healthcare system to create this change. Together we will deliver.

Highlights

  • Organisations must ensure staff feel valued, supported, and empowered to carry out their work. These values should be role-modelled throughout teams and organisations

  • In the context of Black or minority ethnic (BAME) culture and history, cultural Intelligence has connotations of white supremacy with an author suggesting that people of African or Asian descent have been assumed to be less intelligent than white people - Orientalism

  • 1.13 Impact of B&H The impact of bullying and harassment may include the following[48]: Emotional - make someone feel anxious, humiliated, angry, frustrated, frightened and being unable to cope with the job

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Summary

A BAPIO BIHR NATIONAL CONFERENCE

Alison‌‌Johns‌, AdvanceHE ‌ Amit Gupta, University of Oxford Ananta Dave, Lincolnshire Partnership Trust Andrea Sutcliffe CBE, Nursing & Midwifery Council Apurna Jegannathen, UH N Midlands Asha Day BEM, Leics Partnership NHS Trust Coumar Marimouttou, British Indian Nurses Assoc Chaand Nagpaul CBE, BMA Council Chandra Cheruvu, UH N Midlands Chandra Kanneganti, GP, Stoke-on-Trent Clare‌‌Gearon, Org Dev, St‌‌George’s Univ Hospital Clare‌‌Gerada DBE, Royal College General Pract ‌Clare‌‌Morris‌, Univ of Cambridge Geeta Menon, HEE South London Giridhar Ravi, Highland Hospice, Scotland Habib Naqvi MBE, NHS Race & Health Observatory Hemadri M, N Lincolnshire & Goole Hospital Hina‌‌Shahid‌, Muslim Doctors Association Ibrahim ‌Bolaji‌, MANSAG Iqbal Singh CBE, Healthcare Commission Irfan‌‌Akhtar, APPNE Jagtar Singh Basi OBE, Cov & Warwickshire Trust Jeanette Dickson, Royal College of Radiologists Jenny Vaughan, Doctors Association, UK Joydeep‌‌Grover‌, Medical Defence Shield. From the President 'I am delighted that we are producing another constructive piece of work to improve the work environment and organisational culture that leads in turn to efficient and safe care. A recent survey conducted by BAPIO showed the scale of bullying and harassment to be much larger in staff with certain protected characteristics (based on their gender, race, ethnicity, religion and disability). Such toxic workplaces have a significant negative impact on the productivity, health of staff, and an estimated cost to the UK economy of up to £14 billion per year. We know the implementation of the standards will require commitment from all of you

Executive Summary
INTRODUCTION
AIM
Valued The NHS
Engagement
Fairness
Personal & Collective Accountability
Active Constructive Bystander
Cultural
1.10 Respectful Feedback
1.11 Bullying
1.12 Victimisation
1.13 Impact of B&H
1.14 Effective Interventions
Trade unions
Trained dignity at work advisers/champions
Wellbeing teams
Introduction
There are no nationally accepted standards to evaluate the efficacy of policies for dignity at work
When one deconstructs and understands the concept of dignity, certain concepts take shape
Four key areas worth focussing on are
In healthcare, the prevalence of incivility is much higher
2.11 What are the contributors?
Evidence for Dignity
Staff have no confidence in the organisational processes or culture
Actions needed?
Role of Managers
Appoint medical managers on a values-based approach and those who have the values of compassion
What is good leadership?
5.10 The ability to tackle bystander apathy - Teams should confront incivility themselves
Regulators have a vital role in promoting and maintaining professional standards
During the Francis inquiry into the atrocities at Mid Staffs, Don
6.12 Medical Royal Colleges - The Royal
6.15 Why do we need more than just professional standards?
6.16 Regulators set the tone and have an essential system leadership role
Compassionate Leadership
Dignity and Health
Interventions at an organisational level
Reform and regulation of Managers
Data and
Disproportionate handling when errors occur
10 Implementing the Standards
10.5 Improving the minority experience and what this means for organisations
11. Organisational Culture
11.2 Leadership
12.1 Education
12.2 Accountability
12.4 Focus on Delivery
12.5 Setting the Standards at each level
Findings
39 NHS England » We are the NHS

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