At the General Medical Council (GMC) conference in April 2019, Supporting a profession under pressure in delivering good care, speaking up and organisational culture was discussed within the context of patient safety, quality and care. It is often the case in organisations such as the NHS that poor behaviour is validated and replicated due to widespread complicity. This makes it difficult for lone individuals to pose viable challenges and to call out bad behaviour without incurring backlash themselves.

Professor Megan Reitz explored how power dynamics in organisations can hamper speaking up. The video below can be used by anyone to develop awareness of how power and perception influences the ability of employees to speak up in their organisations in real world settings.

In the NHS studies show that the majority of people are unwilling to speak up about poor practice, behaviour or patient safety concerns because they don’t think they will be believed, because they think they will be victimised/their career stalled and because of widespread complicity with bad and/or unethical behaviour.

This video can help senior managers who want to make changes, explore how they are perceived and how they can enable speaking up in their healthcare organisations for the benefit of patient safety, patient care, staff wellbeing and to promote healthy workplace communication and relationships.