Civility and respect
What is civility and respect?
In its simplest form, civility and respect is about how we treat each other at work.
In highly pressurised NHS systems, behaviours of incivility and disrespect can become common place. People report that bullying and harassment is prevalent in the NHS, and this rude and unkind behaviour can have a detrimental impact on staff wellbeing and patient care.
The NHS Long Term Plan recognises that levels of bullying and harassment must come down if the NHS is to achieve its aim of becoming the best place of work and being an employer of excellence.
Furthermore, the People Plan for 2020/21 sets a vision which places a compassionate and inclusive culture at the very heart of the NHS and emphasises that all NHS employees and employers are responsible for tackling bullying and harassment and the importance of creating a civil and respectful culture. We know that staff with one or more protected characteristics, for example, disabled, BAME and LGBTQ+ colleagues, are twice as likely to experience bullying and harassment.
Within NHS England, the national civility and respect programme aims to support and promote cultures of civility and respect in the NHS, creating positive working environments that are kind, compassionate and inclusive for all. The programme uses a preventative approach, with practical resources and evidence-based approaches, to raise awareness of what bullying looks like in the NHS and consider how to reduce it.
Supporting resources
To deliver on the NHS People Plan’s commitment to support NHS organisations in creating a positive workplace culture, the civility and respect programme has developed a practical, flexible and interactive toolkit and additional resources which you can find below.
NHS organisations can also use The Model Hospital System to benchmark where they are against other trusts.
- Supporting our staff: a toolkit to promote cultures of civility and respect
- Condensed version of the full toolkit
- Supporting our staff poster – a toolkit to promote cultures of civility and respect
- Cost of bullying calculator for estimating the costs of bullying on an organisation. It is estimated that bullying and harassment costs NHS England over £2 billion per annum.
- The Civility and Respect diagnostic tool is a quick and easy way to self assess your organisation against the four themes in the Civility & Respect Toolkit.
- Mersey Care NHS Foundation Trust have developed four Just and Learning Culture Online modules which are free for all of NHS colleagues to access. These modules are aimed to support local learning at practitioner, HR and Policy, Board and Leadership levels.
- Module 1 – Introduction to ‘Just and Learning Culture’
- Module 2 – HR and Policy in a ‘Just and Learning Culture’
- Module 3 – Board and Leadership in a ‘Just and Learning Culture’
- Module 4 – Respect and Civility Awareness
Case studies and other resources
- Find out more about the innovative ways colleagues are helping to create cultures of civility and respect in the NHS, creating positive working environments that are kind, compassionate and inclusive for all.
Guidance and policies
- Guidance on commissioning external consultants to review bullying and harassment in NHS organisations. This is a helpful guide for trusts to use when commissioning external reviews into bullying and harassment.
Restorative Just Culture
Restorative Just Culture aims to repair trust and relationships damaged after an incident. It allows all parties to discuss how they have been affected, and collaboratively decide what can be done to repair the harm.
To ensure learning is put into practice in organisations post-training, a ‘Restorative Just Culture’ virtual community of practice has been launched to encourage sharing of resources and strategies that help embed good practice and support the creation of inclusive and compassionate cultures.
The community forum runs in collaboration with the Mersey Care Foundation Trust and will run events for delegates to engage with, as well as access online forums and helpful resources to refer to after their training.
Registration is open to anyone in the NHS with recognised Restorative Just Culture training to share and learn together to implement this approach back in their own organisation.
For more information or to register to the Virtual Community of Practice, please visit: RJC CoP (restorativejustculture.org)
If you have any questions or would like more information please contact the Culture Transformation Team at england.culture@nhs.net
Please also review the NHS Being fair tool, which supports decision-making for patient safety incidents referred to workforce, and to ensure that staff are not treated unfairly after a patient safety incident.