We have implemented a cross organisational group, which is committed to make improvements and address issues around exception reporting practices and culture for junior doctors.

Exception reporting is a contractual mechanism which doctors in training can use to report patient safety, rostering and training concerns. Trainees and trusts have encountered challenges following the introduction of this system – these relate to organisational culture, staff engagement and reporting processes.

What does this mean?

In recognition that the morale and wellbeing of the junior doctor workforce has a direct impact on the frontline delivery of patient care, we are bringing together partners from across the system to improve exception reporting practices. An effective exception reporting system will improve workplace wellbeing, morale and patient safety.

We will work in collaboration with the Academy of Medical Royal Colleges, British Medical Association, Care Quality Commission, General Medical Council, NHS Health Education England and NHS Employers to improve the effectiveness of exception reporting.

Our aim is to streamline the process for trainees and employers, as well as develop a ‘speak up’ culture within the NHS.

• Exception reporting: joint statement