Psychological Safety: Can We Really Speak Up?

Psychological Safety: Can We Really Speak Up?

🎙️ Behind the Uniform | Episode 3 Psychological Safety: Can We Really Speak Up?Every healthcare professional has experienced that moment.You notice something doesn't feel right.You have a question.You think someone has made a mistake.Do you speak up?Or do you stay silent?In this episode of Behind the Uniform, Josie (Clinical Governance & Patient Safety Consultant) and Gemma (Counsellor & Therapist) explore one of the most important factors influencing patient safety, staff wellbeing and organisational culture: Psychological Safety.Together we discuss:🗣️ What psychological safety actually means (and what it doesn't)🩺 Why speaking up can literally save lives🧠 How fear, hierarchy and workplace culture influence our behaviour💙 The impact psychological safety has on staff wellbeing🏥 The connection between psychological safety and patient safety👥 What leaders can do to create teams where people feel safe to speak up💬 Real-life healthcare scenarios we've all experiencedWhether you're a nurse, doctor, AHP, paramedic, healthcare assistant, therapist, manager, student or healthcare leader, this conversation is for anyone who believes that safe cultures create safer care.Because behind every uniform is a human being.📚 Resources & Further Reading🩺 NHS England – Psychological Safety📖 NHS England – Psychological Safety Toolkit (formerly HEE)🗣️ Freedom to Speak Up🏥 NHS Patient Safety Strategy⚖️ Patient Safety Incident Response Framework (PSIRF)🧀 Human Factors & Systems Thinking🏛️ CQC – Well-led📢 CQC – Freedom to Speak Up

Stress Management & Self-Care for Healthcare Professionals: Why It’s Not a Luxury

🎙️ Behind the Uniform | Episode 2 I Stress Management & Self-Care for Healthcare Professionals: Why It’s Not a Luxury Healthcare is demanding: long shifts, difficult conversations, critical decisions and emotional labour.In this episode, Josie and Gemma explore why self-care isn’t selfish — and why staff wellbeing matters for safe, compassionate care. We discuss: 💙 How stress affects decision-making 🧠 The stress response and nervous system 🩺 Staff wellbeing and patient safety 🧀 James Reason’s Swiss Cheese Model 🚨 Critical incident stress 🎭 Understanding and naming emotions 🎬 What Inside Out can teach us about emotions 🚧 Setting boundaries at work 🌱 Practical self-care strategies Self-care matters, but it cannot compensate for unsafe staffing, excessive workloads, poor leadership or harmful workplace cultures. ❤️ Because behind every uniform is a human being. 📚 Resources James Reason: Human Error, Models and Managementhttps://pmc.ncbi.nlm.nih.gov/articles... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUUd4T2xPZXNwV0FXZTY5WDNxbHl5aHxBR3JiS2FrWEk4OHhxb3BJcEcxb3VxdTFCWEVZWXRKRFFpeVZVTmhPczh5aGpZSVZMRUdzQXh0N2Z3Z2FZYXJlNzVwbU8wamJMZXBBZEdoc2RvNGN3NnZTakZraFJKb3V5MUhy&q=https%3A%2F%2Fpmc.ncbi.nlm.nih.gov%2Farticles%2FPMC1117770%2F&v=emUn5Impyi8] The NHS Patient Safety Strategyhttps://www.england.nhs.uk/patient-sa... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUTdfNGpxdUZOZXZvRDJSMHZVOGRXdXxBR3JiS2Frb1U3ZzFjdHdvbG84NkhMc1dJbFdHSnhiT2Z1b0M5enZoTHQ5cmRRV0t2cUVUblQ0ZHdwT3MzWDlDMzJqbFhDM3RiSndhVm9rdHU4NzdlUU9UUi1ZaGxLc1NvU0pT&q=https%3A%2F%2Fwww.england.nhs.uk%2Fpatient-safety%2Fthe-nhs-patient-safety-strategy%2F&v=emUn5Impyi8] HSE Management Standards for work-related stresshttps://www.hse.gov.uk/stress/standar... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUmVlNk9UMzVGSXBmNzdTTzNKWjVKeHxBR3JiS2FtRWZKN2NySWhCSEZ1VDdJUmtpZUNDak4zUWpRTlBoU3llWHFCYVhuMXFkNHB4ODZyd0hvSlFsbk04R295Y09XajVZSU1xYzJnQ1o0aFpYN0pGaFJGdTRjTWpCbWlF&q=https%3A%2F%2Fwww.hse.gov.uk%2Fstress%2Fstandards%2Fdownloads.htm&v=emUn5Impyi8] HSE Stress Talking Toolkitshttps://www.hse.gov.uk/stress/talking... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUzR0LTVtbnBMWWRRQnFLRkxyREM4ZHxBR3JiS2FsbTN0eTJJM19nd3oxMGVvT2lXUWVfS01WSVktcDNzRzBvN0ltZnctd2tVYmpLc2hjUmcyak9JcmlQX29GakVOWnczQjNaZXlKWXEzTVpaeVlfT1FsOVYzTDAyTURy&q=https%3A%2F%2Fwww.hse.gov.uk%2Fstress%2Ftalking-toolkit.htm&v=emUn5Impyi8] NHS Employers: Supporting NHS People Experiencing Stresshttps://www.nhsemployers.org/articles... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUnFrbnE2cS1jMnFYUDNqREZ2dnlFanxBR3JiS2FtMUVYT3liUG1SOUMwQ3dfc1ZNeEdqNkNndDdEUmZfSXVBNURMR0dDVHB2d3FSX1h6Njduck5yVWwwWVYxdmdCUFFiNmxIaHZUejJtRVFUYWpvZTVKa0Y3bkx6WVNX&q=https%3A%2F%2Fwww.nhsemployers.org%2Farticles%2Fsupporting-our-nhs-people-experiencing-stress&v=emUn5Impyi8] Mind: Managing Stress and Building Resiliencehttps://www.mind.org.uk/information-s... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUW00bF9feWZYNFZvR3FLUHkwdUlGVHxBR3JiS2FsRk4xc1NWY09Rak80SEs5Mjd6TmFiREZ0MEFVSXFjLVFnN3VNc2tQaU84WW9JU1p2X1NNVk5MZkJ4X0EyZW1nSFdEbDNSeGtVZmpySTRGTFl2aDdwTzFqM1pWQ1ZC&q=https%3A%2F%2Fwww.mind.org.uk%2Finformation-support%2Ftypes-of-mental-health-problems%2Fstress%2Fmanaging-stress-and-building-resilience%2F&v=emUn5Impyi8] Palouse Mindfulness: Free eight-week programmehttps://palousemindfulness.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUkpOblZyTkoxMGlTR1NNSHlRYkVyS3xBR3JiS2FtMEtQUXIwQzNWMFkxTWxuRHZENUdsTkxtN0kwaGdtb1hhRVBuLTZQRldyRmQ0c3RSNWlzUUJwZnd0akZEUEJiRjcxbU8xODRyX2t2eEVwYVFqLTVtRFNnTno5cnVE&q=https%3A%2F%2Fpalousemindfulness.com%2F&v=emUn5Impyi8] Self-Compassion Exercises – Dr Kristin Neffhttps://self-compassion.org/category/... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUlM2U3MtcjROZXB1cGZUbXRPUGM4eHxBR3JiS2FtYW56N3FwLUNSbXNqRFM0UmJ0eU5xcHJhbTJ6T1h6c04wRzZkNVBwVExzY1pSal9hUmZSZXgxeXRYazMxVWxhekluQVlSSndsZlpqRFJadTF6bDZTQzkzUy1vN1Ro&q=https%3A%2F%2Fself-compassion.org%2Fcategory%2Fexercises%2F&v=emUn5Impyi8] The Feelings Wheelhttps://feelingswheel.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUk5ZUVY3NzdYMDkweTRTZVl1UW84UHxBR3JiS2FrRFZjMWdaRFBJQmJRcGVqZVptZ09VLXc0dmljTHUtb0lPSFVlOUphVjgxLWRpem1Ob0x2cmRFOVlsanlXQTgwYldlQkJtazBsUzk5Y2xMUlRfdWVRM3RGcDJCVzRD&q=https%3A%2F%2Ffeelingswheel.com%2F&v=emUn5Impyi8] Pixar’s Inside Outhttps://www.pixar.com/inside-out [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rVGROVzdnbkFOQTFudmJrMUJfTTAyVnxBR3JiS2FsbnBpNklrampLSE9mSl94UzRIeWstT0l6ODVuX3E5a2xJNmN6V1lVb0FWMS1kOFJLYldYTjU4QWxReWtHMFoxQTBCeFRZclFocTg5OUFfZVhGQ3NOTkJBdW16bUV1&q=https%3A%2F%2Fwww.pixar.com%2Finside-out&v=emUn5Impyi8]💙 Confidential support Samaritans: Call 116 123https://www.samaritans.org/how-we-can... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rVHEwMTZWVnpJUnlQdmZmYmxiQk9UTXxBR3JiS2Fsd2hHQVZfT0Z4Rk51UzJrSUZyOWdSZVpvQ1Bxai15T2VaSDVNTXU0X0xSZ1Z3TEJRdFZRRGxuREVxNG5aM050VFR6MFkyanItQ2lyVGkwemRZQW90S1lGanFsd1JM&q=https%3A%2F%2Fwww.samaritans.org%2Fhow-we-can-help%2Fcontact-samaritan%2F&v=emUn5Impyi8] Shout: Text SHOUT to 85258https://giveusashout.org/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rU2xDNWxIQzczNkxDM0NMTW4zUTZYenxBR3JiS2FsZlRWSmt2Mkt2RllzUmRqdFYwbzJna1QwbGRqWmlPWkRNZ3Z2ZDkzbElERjFQNVU1eU5YODk5eVBVUzVYZTNHTVYzNFd2YWFUQWstOWFpaU0xMmdhN0x1ZW0wbVlO&q=https%3A%2F%2Fgiveusashout.org%2F&v=emUn5Impyi8] Frontline19: Support for frontline workershttps://frontline19.com/get-support/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rU2hGODdUVnRMNjRUZG40Q2UyZl9hT3xBR3JiS2FrMUdJRWlaZS16ZUNQOFBCS0hGZ3I2Q0tFX1RNUFNTMG5VczBKT1VUTHFNUDV5dHA1VW5jTjJEY3FnZ2tidkZpTlhWV0k5ZlNJdTRvQ1BfMWpiT2xxeHNmbUt1NkRE&q=https%3A%2F%2Ffrontline19.com%2Fget-support%2F&v=emUn5Impyi8] BMA counselling: Call 0330 123 1245https://www.bma.org.uk/advice-and-sup... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rU2doRmsyeTBwTzF6R25HOWd5MW1pWXxBR3JiS2FuaG4zYnYyWklFTFlRcHhiUVkyQUx5ekZEcU0zZTJuQVZ3cU15NzBob19wRDRhbzl2aVNOYVFNdEs3WXJZQmcxOUFDWDd0NUFQQUl6TV9JYXBScTV2R3ZEMmk1Y1da&q=https%3A%2F%2Fwww.bma.org.uk%2Fadvice-and-support%2Fyour-wellbeing&v=emUn5Impyi8] For urgent mental health support in England, call NHS 111 and select the mental health option. Call 999 where there is an immediate risk to life. Disclaimer This podcast is for education and professional reflection. It does not replace clinical judgement, organisational policy or personalised healthcare advice. Any scenarios discussed have been anonymised or adapted. #behindtheuniform [https://www.youtube.com/hashtag/behindtheuniform] #healthcareworkers [https://www.youtube.com/hashtag/healthcareworkers] #stressmanagement [https://www.youtube.com/hashtag/stressmanagement] #selfcare [https://www.youtube.com/hashtag/selfcare] #patientsafety [https://www.youtube.com/hashtag/patientsafety] #wellbeing [https://www.youtube.com/hashtag/wellbeing]

Emotional Workload: The Thing Nobody Talks About in Healthcare

🎙️ Emotional Workload: The Thing Nobody Talks About in HealthcareWelcome to Behind the Uniform — where healthcare meets therapy.Hosted by sisters Josie Winter, Clinical Governance & Patient Safety Consultant, and Gemma Thomas, Integrative Therapist & Counsellor.In our very first episode we explore something every healthcare professional experiences but very few people openly discuss...Emotional workload.By the end of this episode, you'll understand what emotional workload is, why it is particularly significant in healthcare, and why recognising it matters for both staff wellbeing and patient care.Healthcare workers are trained to manage clinical workload.But what about the emotional weight of:🩺 Caring for seriously ill patients💙 Supporting grieving families🚑 Responding to trauma⚠️ Managing complaints and incidents🧠 Carrying emotional experiences long after a shift has endedTogether we explore:✔ Emotional workload✔ Compassion fatigue✔ Burnout✔ Occupational trauma✔ Why self-care is a patient safety issue✔ The Water Butt analogyWhether you're a nurse, doctor, paramedic, AHP, healthcare assistant, manager or healthcare leader, this conversation is for anyone who believes that looking after healthcare professionals is fundamental to looking after patients.❤️ Because behind every uniform is a human being.🌐 Learn moreAdvanced Clinical Solutionshttps://www.advancedclinicalsolution.... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUnFxTXhZekllR01QWndacGtOUndSYXxBR3JiS2FsUGJMUVRFY0cybkhkZkZZU1RENlBETWY2U0ZJak9EMC1pN3puTVlqdTN0eXY4Y1FzMlFMNS0yai1PX0VKMUJkcUFpNzJvdnJxZDNDX2NENW1jNC1UVnhPWmtXSnpo&q=https%3A%2F%2Fwww.advancedclinicalsolution.co.uk%2F&v=49cC4tnc12c]Navigating Minds Therapyhttps://www.navigatingmindstherapy.com [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rVHZJb201QjQwLUhIWVlGY1k5Vk1oanxBR3JiS2FsMU8xRmRrV2EzMmgwRV9XODZsMnFyRmZidXhmeXYwNWJBUkhVWXhJQnAwSGlVOTlBd20yTzNCYnNQTm41SU1aQ1pGcDBVNnVPaVEtbF9zVC1tRDU5Y05CVS1JVGpo&q=https%3A%2F%2Fwww.navigatingmindstherapy.com%2F&v=49cC4tnc12c]Follow us:LinkedIn   / josie-winter-78680029   [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUmM1VW5iQkFpUk1hT3F2NEtMVUcyc3xBR3JiS2FuczRaTDRYdkVnamNmU3BHTWpPbG5xS3VtNG9RT29Sd2pfX2pUdEJVOTRJNVRBSjNXdU96WG1aNnRIcVJ3LVRyYW93cUtETnU3WF8zdG5tYmlEcF9oOE5DeDFvN2Ez&q=https%3A%2F%2Fwww.linkedin.com%2Fin%2Fjosie-winter-78680029%2F&v=49cC4tnc12c]  / gemma-thomas-b31699415   [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUi1NNGNkY0NnZE1HWl93OEdJdnVZbHxBR3JiS2FraHdydFlyVzBKUHFLT1ZPNEE1RkN5YTNab3RKYjladmRyX19sRlJfd0N1ODJ4RHdyQWpVd1BSNW9MZ2VWalRhd1hfR212MXhHemltbjhnUk85ZF9lRFVMNEVxNzFJ&q=https%3A%2F%2Fwww.linkedin.com%2Fin%2Fgemma-thomas-b31699415%2F&v=49cC4tnc12c]📚 Evidence & Further ReadingNHS England – NHS Staff SurveyUnderstanding staff experience, wellbeing and workplace culture.https://www.nhsstaffsurveys.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUWhKcFp0UmZfcDJJWW1sMEprZjJmaHxBR3JiS2FrMDlPY1RDRzNoYnhQSlJuWVBSLVNITk1nWmRjeDBncnlUOEpvakZsZXFMdkZBanZuZ2gtUGNoMFpNcVhVVlhhVFZDeWl3OGJDeW91MjNDbW00RjF5VFAwOHk2Um1L&q=https%3A%2F%2Fwww.nhsstaffsurveys.com%2F&v=49cC4tnc12c]NHS England – People PromiseSupporting staff wellbeing and creating compassionate workplaces.https://www.england.nhs.uk/ournhspeop... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rVEhoOGxVVzVfNVJISDd4RllGTXdsLXxBR3JiS2FtTTZjbGZjSUxneW9GRUs4anc4N0dvV0t2clJ3aXhkR1BuWFZjRWFBVTJFUVlwS3UwY1NoWWdhRE1lNXR0SlFnbEI0RmEzVFE1YXRtTHpwRC1kTG1GakltdGRCVUZ2&q=https%3A%2F%2Fwww.england.nhs.uk%2Fournhspeople%2Fonline-version%2Flfaop%2Fsupportive-and-inclusive%2F&v=49cC4tnc12c]NHS England – NHS People PlanWhy staff wellbeing is fundamental to delivering safe patient care.https://www.england.nhs.uk/ournhspeople/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rUlEzeFF1SGR3OW9kOUxqQ3h5RHEzNXxBR3JiS2FuNUdPOEJ5RWx6bXRMOXl2VmlqSVhYTWY4cnc4N1RZQWJXV3A5UjRHOGI3VlZkdnNTRVdUbkxSOTYxbnVndGF2T3pwb01uOWs1RC1vNGptNThkWGVlS2dGYUZ6T2dr&q=https%3A%2F%2Fwww.england.nhs.uk%2Fournhspeople%2F&v=49cC4tnc12c]Health and Safety Executive (HSE)Managing work-related stress.https://www.hse.gov.uk/stress/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rU2RkLURaTU9CVU5vQ2ZXQkhidXJHVnxBR3JiS2FuQ2sxR1ZLT2QwZGJ0TWVHS0x1Y0h4NjVzYU91alVXdGpmalVhWW9YVGJQN21Gbkp3cm5Ja09HRUppUFRDWU9qVWNEek1LWTBzTjR0aGhRYlZ1Z2g1cVp6Uk9wX2Mx&q=https%3A%2F%2Fwww.hse.gov.uk%2Fstress%2F&v=49cC4tnc12c]World Health OrganizationHealth workforce wellbeing and support.https://www.who.int/teams/health-work... [https://www.youtube.com/redirect?event=video_description&redir_token=QUM4Zm9rVGczLXEzNWxNMXJvX1M4M2E1QjRyUXxBR3JiS2FtRVpNVGxuOVJqZDRVODg3QUctOFhScTYzdk5icFAtRTdjeDlRcVhrU1dOYngwcTJLeV84cW15VDR4QWl3V0Y0WmxQbWFEeXVQR2JJSDhmeVM2aFNNeUFLaVV5T0hh&q=https%3A%2F%2Fwww.who.int%2Fteams%2Fhealth-workforce&v=49cC4tnc12c]Books📘 The Body Keeps the Score – Bessel van der Kolk📘 When the Body Says No – Gabor MatéDisclaimerThis podcast is intended for education and professional reflection. The discussions shared are based on current evidence, professional experience and therapeutic practice but should not replace individual clinical judgement, organisational policy or personalised healthcare advice.Any clinical scenarios discussed have been anonymised or adapted to protect confidentiality.