Health and Wellbeing

Taking care of your health and wellbeing is so important that we have created a whole page of ideas and resources to help you cope better in such extraordinary and challenging times. The coronavirus pandemic will almost certainly be a marathon and not a sprint so everyone needs to take steps to maintain their physical health and their mental wellbeing.

The resources on this page are organised in fives levels:

Personal

Practice or Trust

GP Training Scheme

HEE Yorkshire and Humber

National

Personal Resources

In order to survive and thrive in work and life you need a variety of positive coping strategies that you use on a daily basis. Unfortunately during COVID you may have found that many of the things you normally do to maintain your wellbeing are no longer possible- your dance class, a trip to the cinema, a coffee or beer with a friend. So, in order to maintain your wellbeing you may need to do things differently and use alternative strategies, and that’s hard when life is already challenging.

If you can, make time over the next week to identify what you used to do to maintain your health and wellbeing and then decide what changes you need to make to ensure you have a variety of positive coping strategies that you can use during COVID. Write these new strategies down, take a photo of the list, put the list somewhere visible, and most importantly start using these new strategies and keep doing them.

This resource sheet from Red Whale is excellent and really helps guide you to make positive changes. (click icon to access)

There are more in depth resources about developing positive coping strategies, including useful books about ‘surviving and thriving in work and life’ on this site. (click icon to access)

Here are 5 things you can do now

Who is holding your safety net?

You could think about life as walking a tight rope, sometimes it feels easy, sometimes you need something to help you balance, but it’s always easier knowing that there is a safety net below in case you fall. Take time to identify who is holding your safety net, use them as needed for support, sometimes just knowing they are there can help. As well as family and friends, your CS, ES and TPD should be people you can rely on for support.

Three little things every night

There is evidence from the amazing founder of positive psychology, Martin Seligman that the ability to recognise what has gone well and things you should be proud of correlates strongly with wellbeing. Every night before you go to bed write down three things you have done well, are proud of or feel good about. If you do this regularly it builds your resilience and enables you to view the world more optimistically and be better equipped to survive and thrive.

Focus on the light at the end of the tunnel

It is helpful to take each day minute by minute, hour by hour, this can stop you feeling overwhelmed by the number and enormity of daily tasks. But it is also important to spend time looking ahead at the light at the end of the tunnel, and remaining hopeful. Click here to think more about hope.

Connecting

Find something that enables you to connect external trauma, distress or challenge with an inner world of calm. For me what works is reading a poem, like this one and imagining myself as the cork. For you it might be a picture, a photo of your family, a piece of music, a manta or wise-saying. Again, something to have on your phone, or to look at last thing at night before you try to sleep.

Remember these 5 Ways to Wellbeing

These 5 things can make a BIG difference

These are some really useful online resources for helping you maintain your wellbeing

Headspace have made their mindfulness and meditation resources available free to all NHS staff until the end of 2020. The Headspace app contains hundreds of easy-to-follow guided meditations – with topics ranging from stress and sleep, to prioritisation and creativity. You need an NHS email address to access this for free.

Mental Health UK Advice about looking after mental health whilst at home, helping others during self-isolation and advice for carers

Mind Mental Health Charity supporting patients with mental health problems with an advice page about Mental Health and COVID

Unmind have offered free access for NHS workers during COVID-19 outbreak. I’ve not used this site before so if you do use it please give me some feedback- Nicola

Sleepio and Daylight have also offered free access for NHS workers for 2020.

Dr Phil Hammond’s CLANGERS for all

Your Practice or Trust

However challenging work is every doctor in training should feel safe at work and know who to talk to if they have concerns.

You should ensure you still have regular catch-up time with your clinical supervisor for debrief, feedback and support. This might have to happen remotely. If your CS has been redeployed or is off work please make sure some else is acting in this role to support you at work.

Many work places have adapted their coffee & chat or joint lunch breaks so people still feel connected and supported in work. Find out what is happening in your workplace, and set something up if you are feeling isolated.

You might consider setting up a regular remote meeting for a group of work colleagues so you can have time to talk safely about work related issues, your fears and concerns. Many work teams have a WhatsApp group – you don’t need to be actively involved in this but it can help to keep in touch.

Every employer will have a process for reporting and managing sickness and isolation due to the COVID Pandemic, make sure you know who to contact if needed. All employees should also have access to Occupational Health for advice and support.

PPE is a vital resource to keep you safe at work.There has been a significant amount of debate in the press about the availability of PPE and when to use it. You should be clear about when to use PPE and how to safely put it on and take it off.

GP Training Scheme

As GP Teaching has been postponed please make sure you are aware of what your scheme is doing to keep in touch and offer your support.

Each trainee should have a named TPD who you can contact for support and advice.

Your Educational Supervisor should also be available for advice, support and guidance. Your ESR should still be happening so make contact now to arrange a date to meet remotely- phone, Zoom, FaceTime, Skype, Whereby all can work well.

Many schemes are now having a regular Zoom meeting, find out when yours is.

WhatsApp is a great way to maintain contact with your colleagues either in small groups or as a whole scheme. Check out what your scheme is doing, and if there is no group why not enlist the support of GPST admin to help set one up.

Many schemes have websites with masses of great resources, here are a few of the good ones:

HEE Yorkshire and Humber

Wellbeing Common Room 

Organised by a group of GP leadership fellows, the ‘Wellbeing Common Room’ offers regular wellbeing workshops for GP Trainees. The sessions contain a taught wellbeing element as well as a chance to connect with each other and to access other support resources. This is a space for trainees, run by trainees. With all that is going on, we recognise that trainees need a safe space and time to look after their wellbeing. 

We will be running regular Zoom meetings. 

The first session is Wednesday 15th April at 8pm. 

To receive the log in details, please email us at wellbeingcommonroom@gmail.com​.

HEE Y&H Wellbeing Resources

Advice for doctors who have recently moved to the UK

Support and advice for Nigerian doctors working in the UK

HEE SuppoRTT for doctors returning to training after a break

HEE Support for doctors experiencing difficulties in training

National Resources

These national organisations all have resources for supporting you and helping you maintain your health and wellbeing.

BMA Wellbeing service – 0330 123 1245 – available 24/7

NHS Every Mind Matters

NHS Practitioner Support

RCGP Wellbeing Advice and Support

Samaritans their usual helpline and a resources page of support during COVID 19

WHO advice Mental Health and Psychosocial Considerations During COVID-19 

If you have any other useful resources that you would like to share, please email Nicola njgill@doctors.org.uk

Page updated 14/4/2020