Intended for healthcare professionals

Letters Quality and Outcomes Framework on staff wellbeing

NHS staff wellbeing has already been weaponised

BMJ 2023; 381 doi: (Published 18 May 2023) Cite this as: BMJ 2023;381:p1128
  1. Douglas Kohler, specialty trainee year 4
  1. Buckinghamshire Community Learning Disability Team, Aylesbury, UK
  1. douglas.kohler{at}

Salisbury’s concerns about the staff wellbeing quality outcomes framework are generalisable across the NHS.1

Surveys have shown that 78% of junior doctors have felt unwell because of workplace stress, with 39% experiencing burnout. Pay, understaffing, and a lack of breaks and rest facilities are cited as factors.2 Recognition of the problem is improving, and many employers and deaneries now provide wellbeing programmes. While research …

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