Departments should review factors which may contribute to certain behaviours and should promote factors which encourage positive behaviours and address factors that may result in negative behaviours.
If it occurs, review of negative behaviour should be undertaken promptly and by a neutral colleague following local workforce policies.
Corrective action should be fair, proportionate, prompt and should involve remediation. Action should exhibit compassion and should acknowledge individual, personal circumstances. Continuing support may be helpful, for example mentorship.
Inductions should be conducted during normal working hours at times convenient to all concerned.
The induction should be documented. It should ensure competency in the use of equipment and should act as an opportunity to identify those who require additional support in certain skills or areas of practice.
Induction for a short-term locum doctor should include as a minimum familiarisation with the layout of the hospital and the location of emergency equipment and drugs, access to guidelines and protocols, information on how to summon support/assistance, and assurance that the locum is capable of using the equipment and IT systems in that hospital.
Anaesthetists should be given support and time to familiarise themselves with non-theatre locations and different environments prior to solo sessions and out of hours work. This may include undertaking operating lists with a colleague.
Departments should include requirements for PPE into the induction process including fit testing where appropriate and the appropriate and safe use of PPE.68
Departments should have specific processes in place to support IMGs starting work in the UK for the first time.68,69 Medical training initiative trainees and other IMGs, should undergo hospital and department induction, specifically tailored for them.70,71This may include information and orientation about working in the NHS, accommodation facilities, city, banking etc.
