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Listening to doctors in training

We undertook a listening exercise to gather together the themes affecting junior doctors’ morale and to understand their experiences of the best training environments.


The report highlights the work taking place across the NHS to address these themes, and suggests ways for health organisations to move forward. In so doing, it seeks to move the conversation forwards towards tangible changes for doctors in training.

The resulting report, ‘Junior doctor morale: understanding best practice working environments’ encapsulates what we have heard about the issues that are contributing to the current low junior doctor morale. We heard that around the country, some excellent training environments already offer positive role models and developmental work experience, however there is a wide range in quality. Many doctors in training reported that they felt disconnected from their employers, and that this extended beyond trusts; to the regional and national organisations impacting on their working conditions.

We are dedicated to improving the working lives of doctors in training and will continue our work to value, support and empower them - and the report suggests a number of ways this can be taken forward. For example, we are working with NHS Improvement, NHS Providers and many individuals to identify best practice that can used towards improvements at trust level. An example case study of excellent training environments accompanies the report and is available to view below - case studies such as these can enable trusts to develop their own action plans to improve junior doctors’ morale.

We are working with NHS Improvement, NHS Providers and many individuals to identify best practice that can used towards improvements at trust level. An example case study of excellent training environments accompanies the report and is available to view below, further case studies are available on the NHS Improvement Hub. These can enable trusts to develop their own action plans to improve junior doctors’ morale. ​

The report accompanies a progress report on our work with partners on initiatives to enhance junior doctors' working lives, including new legal protection for juniors raising patient safety concerns and the impact this may have on their training and looking at how we can enable joint applications from couples.

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