This is just the beginning

We want to start a dialogue that leads to a positive change in culture within healthcare with orthopaedics leading the way.

What we hope to achieve

  • To create a positive workplace culture  that is free from bullying, harassment and undermining behaviours
  • To recognise the many positive aspects unique to T&O surgery and develop it as a highly desirable surgical specialty to work in, appealing to a diverse population and creating a balanced and representative workforce.
  • To nurture an environment that empowers individuals to speak up if they experience or witness unacceptable behaviours.
  • To promote and share examples of those who demonstrate exemplar behaviours in the workplace and use these to model further improvements in the wider NHS culture.
  • To inspire positive culture change to improve patient care.

What are the current issues?

In 2016, the British Orthopaedic Trainees Association (BOTA) presented the results of a census of Trauma & Orthopaedic (T&O) trainees in the UK.  One of the key issues highlighted from the results was that of bullying, harassment and undermining behaviours.

More information on the Hammer It Out can be viewed in the following articles published by the British Medical Journal and BMJ Careers:

BMJ Article

BMJ Careers

The Wider Community

“Bullying and undermining have no place in surgery. The Surgical Royal Colleges and the Joint Committee on Surgical Training (JCST) are committed to tackling these behaviours, as well as creating positive working environments, and we are currently reviewing such issues across all surgical specialties. We welcome BOTA’s initiative to address unprofessional behaviour in trauma and orthopaedic training which has stimulated a renewed focus on bullying and undermining in clinical practice.”

 Joint Surgical Colleges and JCST Statement, January 2017


Key Documents

Further details can be found in the following links. Watch this space for updates and further developments

Hammer It Out Statement of Intent

BOTA Census Presentation

Stakeholders