Care Under Pressure

Academic & Policy Outputs


Pearson, Alison, Daniele Carrieri, Anna Melvin, Charlotte Bramwell, Jessica Scott, Jason Hancock, Chrysanthi Papoutsi, Mark Pearson, Geoff Wong, and Karen Mattick. “Developing a typology of interventions to support doctors’ mental health and wellbeing.” BMC Health Services Research 24, no. 1 (2024): 573. 24.

Maben J, Taylor C, Jagosh J, Carrieri D, Briscoe S, Klepacz N & Mattick K. Causes and solutions to workplace psychological ill-health for nurses, midwives and paramedics: the Care Under Pressure 2 realist review. Health and Social Care Delivery 2024;12(9).

Taylor C, Maben J, Jagosh J, Carrieri D, Briscoe S, Klepacz N, Mattick K (2024). Care Under Pressure 2: a realist synthesis of causes and interventions to mitigate psychological ill health in nurses, midwives and paramedics. BMJ Qual Saf DOI: 10.1136/bmjqs-2023-016468

Bull S, Terry R, Rice N, Carrieri D, Tarrant M, Curnow, G (2024). Social connections and social identity as a basis for learning and support: Experiences of medical students with minoritised and non-minoritised ethnic identities. Medical Education

Bramwell C, Carrieri D, Melvin A, Pearson A, Scott J, Hancock J, Pearson M, Papoutsi C, Wong G, & Mattick K. (2023). How can NHS trusts in England optimise strategies to improve the mental health and well-being of hospital doctors? The Care Under Pressure 3 (CUP3) realist evaluation study protocol. BMJ open, 13(11), e073615.

Burford B, Mattick K, Carrieri D, Goulding A, Gale T, Brennan N, Vance G. How is transition to medical practice shaped by a novel transitional role? A mixed-methods study. BMJ open. 2023 Aug 1;13(8):e074387.

Mattick K, Goulding A, Carrieri D, Brennan N, Burford B, Vance G, Dornan T (2023). Constraints and affordances for UK doctors-in-training to exercise agency: a dialogical analysisMedical Education.

Uys C, Carrieri D, Mattick K. (2022). The impact of shared social spaces on the wellness and learning of junior doctors: A scoping review. Medical Education.

Lock FK, Carrieri D. (2022). Factors affecting the UK junior doctor workforce retention crisis: an integrative review. BMJ Open12, e059397.

Taylor C, Mattick K, Carrieri D, Cox A, Maben J. (2022). ‘The WOW factors’: comparing workforce organization and well-being for doctors, nurses, midwives and paramedics in England. British Medical Bulletin141(1), 60-79.

Burford B, Vance G, Goulding A, Mattick K, Carrieri D, Gale T, Brennan N. (2021). 2020 Medical Graduates: The work and wellbeing of interim Foundation Year 1 (FiY1) doctors’ during COVID-19. GMC report.

Carrieri D, Peccatori FA. (2020). Seeing beyond COVID-19: understanding the impact of the pandemic on oncology, and the importance of preparedness. HPLS42, 57.

Carrieri D, Pearson M, Mattick K, Papoutsi C, Briscoe S, Wong G, Jackson M. (2020). Interventions to minimise doctors’ mental ill-health and its impacts on the workforce and patient care: the Care Under Pressure realist review. Health Services and Delivery Research8(19), 1-132.

Carrieri D, Mattick K, Pearson M, Papoutsi C, Briscoe S, Wong G, Jackson M. (2020). Optimising strategies to address mental ill-health in doctors and medical students: ‘Care Under Pressure’ realist review and implementation guidance. BMC Medicine18, 76.

Hancock J, Mattick K. (2020). Tolerance of ambiguity and psychological well‐being in medical training: A systematic review. Medical Education, 54, 125-137.

Carrieri D, Peccatori FA, Grassi L, Boniolo G. (2020). Dealing with death in cancer care: should the oncologist be an amicus mortis? Supportive Care in Cancer, 28, 2753–2759.

Carrieri D, Gerada C, Thistlethwaite J. (2019). Health and well‐being: time to be strategic. The Clinical Teacher, 16(4), 295-297.

Mattick K. (2019). Medical students’ experiences, stressors and coping strategies. In ER Van Teijlingen & G Humphris (Ed.). Psychology and sociology applied to medicine: An illustrated colour text (4th ed). Elsevier.

Awad F, Awad M, Mattick K, Dieppe P. (2019). Mental health in medical students: time to act. The Clinical Teacher, 16, 312-316.

Carrieri D, Briscoe S, Jackson M, Mattick K, Papoutsi C, Pearson M, Wong G. (2018). ‘Care Under Pressure’: a realist review of interventions to tackle doctors’ mental ill-health and its impacts on the clinical workforce and patient care. BMJ Open, 8, e021273.

Carrieri D, Peccatori FA, Boniolo G. (2018). Supporting Supportive Care in Cancer: The ethical importance of promoting a holistic conception of quality of life. Critical Reviews in Oncology/Hematology, 131, 90-95.

Lundin RM, Bashir K, Bullock A, Kostov CE, Mattick KL, Panagopoulou E, Rees CE, Monrouxe LV. (2018). “I’d been like freaking out the whole night”: Developing an emotion regulation event model based on junior doctors’ narratives. Advances in Health Sciences Education, 23(1), 7-28.


UK Parliament. Health and Social Care Committee report 2021: ‘Workforce burnout and resilience in the NHS and social care‘. Care Under Pressure submitted written evidence (WBR0082) – PDF Available here.

Care Under Pressure: What can we do to improve the mental health of doctors? Policy Workshop, Friends House, London, April 2019

Online articles, blogs & podcasts

Melvin A.(2023)How can we make life better for doctors in postgraduate training?BMJ  Careers

‘Wellbeing in Medical Education’ TASME Time Talks in Medical Education
Dr Clementine Wyke, a psychiatry trainee in South London and Dr Anna Melvin, a post-doctoral researcher based at the University of Exeter talk about all things wellbeing in UG and PG Medical Education (2022). Listen to podcast here.

Carrieri D. (2019). “Care Under Pressure”: How can we achieve wellbeing at work for doctors? BMJ Opinion

Carrieri D, Foxall P, Jackson M, Mattick K, Dieppe P. Why are so many doctors leaving the profession: is the answer one, seven or forty-two? BMJ Rapid Response (2015)