Eight High Impact Actions to Improve the Working Environment for Junior Doctors

NHS Improvement has worked with junior doctors and a range of providers to develop these eight high impact actions:

NHS Improvement has worked with junior doctors and a range of providers to develop eight high impact actions to improve the working environment

There is growing understanding of the causes of low morale, high attrition and burnout in the medical workforce and their impact on operational performance and patient outcomes. The working environment for staff is an important window into an organisation’s culture and leadership. Doctors have recommended actions that can be taken to improve their working environment and morale.

PDF Download: Eight high impact actions to improve the working environment for junior doctors

Together with the Faculty of Medical leadership and Management and NHS Providers we’ve  identified eight of these actions you can implement quickly, and we’ve also provided examples of solutions recommended by doctors.

Meaningful improvements will require engagement locally between trusts and junior doctors, with support from senior clinicians, and, in some instances, investment of resources. However, the benefits to staff engagement, performance, cost savings and most importantly, patient care and reduction of harm will provide a worthwhile return.


It is important that junior doctors, like all healthcare professionals, have a constructive and safe working environment that gives them the time and facilities they need to deliver care to their patients. This new guidance sets out common sense proposals that echo the BMA’s recommendations in this area.

It is particularly encouraging to see an emphasis on the wellbeing of junior doctors throughout this report, as this is a critical issue affecting both workforce recruitment and retention. This issue remains a remains a high priority for the BMA and we will continue to work with a range of organisations on this across the NHS.

Dr. Jeeves Wijesuriya, Chair of the Junior Doctors Committee, British Medical Association


Building upon our own recommendations from Being a Junior Doctor and Keeping medicine brilliant, these straightforward and simple actions are incredibly useful for trainees and senior colleagues alike. They provide an effective addition to the conversation around improving working conditions for junior doctors, as well providing a framework for trusts to work towards. Such work is valuable and truly needed. Written in partnership with our own trainees committee and the RCP’s clinical fellows, I hope it aids many trainees currently working in our NHS.

Professor Jane Dacre, President of the  Royal College of Physicians


Source: NHS Improvement