What could make a difference to the mental health of UK doctors? A review of the research evidence

Kinman, Gail and Teoh, Kevin (2018) What could make a difference to the mental health of UK doctors? A review of the research evidence. Technical Report. Society of Occupational Medicine & The Louise Tebboth Foundation.

Abstract

A new study commissioned and funded by the Louise Tebboth Foundation has revealed that UK doctors are at greater risk of work-related stress, burnout and depression and anxiety than the general population. The incidence of suicide, especially among women doctors and for GPs and trainees, is also comparatively high. The report, entitled ‘What could make a difference to the mental health of UK doctors?’ and published in conjunction with the Society for Occupational Medicine, finds that the incidence of mental health problems among doctors is increasing alongside the growing demands and diminishing resources experienced in the healthcare sector. GPs, trainee and junior doctors appear to be particularly vulnerable, experiencing distress and burnout early in their career. The stigma associated with disclosing mental health problems and ‘a failure to cope’ revealed in the report mean that many doctors are reluctant to seek help as they fear sanctions and even job loss. The report, carried out by Professor Gail Kinman of the University of Bedfordshire and Dr Kevin Teoh of Birkbeck University of London, reviewed research on the mental health of doctors, the factors that increased the risk of poor mental health, and the implications for their own wellbeing and that of their patients. Professor Kinman commented: “The findings of our report are alarming. The poor mental health evident among UK doctors and the implications for themselves and their patients should be of grave concern to all healthcare stakeholders. Action is urgently required to address a working environment that can be toxic to health.” Dr Teoh added: “It is crucial to provide doctors with more support from recruitment to retirement and develop a culture that challenges the mental health stigma and encourages help seeking.” Dr Alex Freeman, the LTF Chair, said: “This report should be of interest to policy makers, employers, and others who have a responsibility for doctors’ mental health. Whilst initiatives to treat and support doctors who are struggling are to be welcomed, what is needed is to develop a healthy working environment. Prevention should be taken seriously, at all stages of a doctor’s career. The level of suicide in the profession is of major concern, and support for the bereaved workplace affected by such suicides is lacking. The concerns identified in the report must be taken seriously. For this reason we welcome the announcement made yesterday by NHS chief Simon Stevens that there will be national funding for a new mental health support scheme which will cover all doctors working in the NHS. The scheme will cover approximately 110,000 more doctors in addition to those already supported.

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