FtP process
Buddy pilot: holding your hand through FtP
One of the hardest things about going through any investigatory process is the isolation it brings.
Many registrants are told to not discuss their case with anyone at the start of an employer investigation process. By the time they reach a Fitness to Practice (FtP) investigation, they have already been subject to isolation from work colleagues, fear and anxiety.
A survey that we started in 2019 shows the major impact on self-worth, financial hardship and loss of professional and personal identity that goes far beyond when the case is closed. Since this initial survey, the figures mirror the same themes.
Mental Health Impact - January 2019
- Over half of the respondents rated effects on their mental health being the worst affected
- 67.3% did not know where to go for support
- 96% stated experiencing difficulty sleeping as a symptom of the FtP process
- 88% stated experiencing poor self-confidence as a symptom of the FtP process
- 90% stated experiencing difficulty trusting people as a symptom of FtP process
- 92% of those who responded felt that the FtP process contributed to the symptoms they suffered
- 27% of respondents who received a “no case to answer” outcome returned to work but at a lower level than before FtP with a further 23.2% deciding to leave the profession anyway
- 90% of those who suffered financial issues resulted from loss of earnings
- 31% were unable to continue mortgage payments
- 46% were unable to pay essential bills
Our support group aims to reduce this isolation and remove the fear of talking about the process. Nurses and midwives can discuss their experience confidentially with others who have been through the process and fully understand its impact.
There are useful counselling services available via both the NMC and unions but we are unsure of their positive long-term effects. They rarely address the key issues faced by those undergoing investigation by their regulator and are only available for approximately 4-6 sessions. However, we will always encourage registrants to undertake counselling as it helps them gain insight into their mental health, explore other potential life issues that may be impacting them, and develop coping strategies.
We are also aware that issues of specific FtP support are not unique to the Nursing and Midwifery professions. We are contacted by many other Allied Healthcare Professionals who are struggling and finding it difficult to get the help they need during their investigations.
In 2021 a grant from the Laura Hyde Foundation enabled us to launch the original Buddy service, formalising the support we were already giving. As ongoing funding allows, we will continue to offer this support.
The Buddy service offers:
- One-to-one support with an allocated Buddy from the same level on the register as themselves, who has been through FtP and had their case concluded.
- Up to 10 hourly sessions with their Buddy to explore the impact on their personal and professional lives, along with strategies on how to cope with the outcomes of their investigation. This can include issues such as:
- how to tell colleagues that they are going through FtP
- dealing with conflict or situations that, before FtP, they would have raised higher but now feel anxious to do so
- Signposting for legal advice and other specific support areas including financial advice.
What the Buddy service does not provide is:
- A counselling service
- Case advice
The Buddies themselves will benefit from:
- training for the role
- monthly debrief sessions with a trained psychologist
- adapted skills to take back to the workplace
- a chance to give back
We all want safe practitioners, and we are sure that giving peer-to-peer support can only improve the patient care experience as well as have a more positive impact on career choices for those who have gone through FtP.
Our Buddies encourage registrants to engage with the FtP process. We find that registrants are better equipped to cope with the outcome when they do so. By understanding their actions in the context of an investigation, and by being able to reflect on their practice, a more positive outcome for both registrant and the wider profession often results.
We are actively trying to recruit up to 10 Buddies who will support approx 30 – 50 registrants. If you have been through FtP yourself, and feel ready to commit to helping those just starting their investigation, please get in touch.
Buddy Scheme
If you would like to find out more information about our Buddy Scheme, please get in touch.