{"id":153,"date":"2022-09-07T11:27:11","date_gmt":"2022-09-07T11:27:11","guid":{"rendered":"https:\/\/sites.exeter.ac.uk\/careunderpressure\/?page_id=153"},"modified":"2025-09-22T07:54:59","modified_gmt":"2025-09-22T07:54:59","slug":"care-under-pressure-3","status":"publish","type":"page","link":"https:\/\/sites.exeter.ac.uk\/careunderpressure\/care-under-pressure-3\/","title":{"rendered":"Care Under Pressure 3"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Optimising the delivery and impacts of interventions to reduce hospital doctors\u2019 mental ill-health in the NHS<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Background<\/strong><\/h3>\n\n\n\n<ul>\n<li>The NHS needs motivated doctors to provide the best care for patients. However, doctors experience high levels of stress, anxiety, and other mental health issues due to very challenging demands and pressurised work environments. However, existing workplace support for doctors seems to be having limited effect.<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>This research builds on our existing work \u2013 <a href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/care-under-pressure-1\/\" data-type=\"URL\" data-id=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/care-under-pressure-1\/\">Care Under Pressure 1 (CUP1)<\/a> \u2013 which brought together evidence to produce guidance and recommendations to reduce doctors\u2019 mental ill-health in the workplace. One conclusion from CUP1 was that we do not need <em>more<\/em> initiatives, but we need to <em>improve<\/em> the ones that we already have.<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>In Care Under Pressure 3 (CUP3) our aim is to work with and learn from eight NHS Trusts to minimise doctors\u2019 mental ill-health and its impacts on the workforce and patient care. Ultimately producing guidance for all NHS Trusts.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Phases<\/strong><\/h3>\n\n\n\n<p>CUP3 has three phases:<\/p>\n\n\n\n<ul>\n<li><strong>Phase 1: <\/strong>Map existing interventions to reduce doctors\u2019 mental ill-health in the NHS; and use this to select eight different NHS Trusts<\/li>\n<\/ul>\n\n\n\n<ul>\n<li><strong>Phase 2:<\/strong> Work with these Trusts to understand their existing strategies to reduce doctors\u2019 mental ill-health<\/li>\n<\/ul>\n\n\n\n<ul>\n<li><strong>Phase 3:<\/strong> Develop guidance for all NHS Trusts to help them evaluate and implement strategies to reduce doctors\u2019 mental ill-health<\/li>\n<\/ul>\n\n\n\n<p>For more information, please <a href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/contact-us-2\/\" data-type=\"page\" data-id=\"471\">Contact Us<\/a> or visit:&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/fundingawards.nihr.ac.uk\/award\/NIHR132931\" target=\"_blank\">https:\/\/fundingawards.nihr.ac.uk\/award\/NIHR132931<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Key Publications <\/h2>\n\n\n\n<p>Carrieri D, Pearson A, Melvin A, Bramwell C, Hancock J, Papoutsi C, Pearson M, Wong G, Mattick K. Optimising the delivery and impacts of interventions to improve hospital doctors\u2019 workplace wellbeing in the NHS: The Care Under Pressure 3 realist evaluation study. <a href=\"https:\/\/www.journalslibrary.nihr.ac.uk\/hsdr\/PASQ1155\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.journalslibrary.nihr.ac.uk\/hsdr\/PASQ1155<\/a><\/p>\n\n\n\n<p>Melvin A, Pearson A, Carrieri D, Bramwell C, Hancock J, Scott J, Collins HF, McPhail S, Pearson M, Papoutsi C, Wong G. Support for hospital doctors\u2019 workplace well-being in England: the Care Under Pressure 3 realist evaluation. BMJ Quality &amp; Safety. 2025 Apr 11. <a href=\"https:\/\/qualitysafety.bmj.com\/content\/early\/2025\/04\/11\/bmjqs-2024-017698 \">https:\/\/qualitysafety.bmj.com\/content\/early\/2025\/04\/11\/bmjqs-2024-017698 <\/a><\/p>\n\n\n\n<p>Pearson, Alison, Daniele Carrieri, Anna Melvin, Charlotte Bramwell, Jessica Scott, Jason Hancock, Chrysanthi Papoutsi, Mark Pearson, Geoff Wong, and Karen Mattick. &#8220;Developing a typology of interventions to support doctors\u2019 mental health and wellbeing.&#8221;&nbsp;<em>BMC Health Services Research<\/em>&nbsp;24, no. 1 (2024): 573. <a href=\"https:\/\/doi.org\/10.1186\/s12913-024-10884-6\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1186\/s12913-024-10884-6 <\/a><\/p>\n\n\n\n<p>Bramwell C, Carrieri D, Melvin A, Pearson A, Scott J, Hancock J, Pearson M, Papoutsi C, Wong G, &amp; 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. <em>BMJ open<\/em>,<em> 13<\/em>(11), e073615. <a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.1136\/bmjopen-2023-073615\" target=\"_blank\">https:\/\/doi.org\/10.1136\/bmjopen-2023-073615<\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"54\" src=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/funded-by-nihr-logo-300x54.png\" alt=\"\" class=\"wp-image-829\" srcset=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/funded-by-nihr-logo-300x54.png 300w, https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/funded-by-nihr-logo-1024x183.png 1024w, https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/funded-by-nihr-logo-768x137.png 768w, https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/funded-by-nihr-logo-1536x275.png 1536w, https:\/\/sites.exeter.ac.uk\/careunderpressure\/wp-content\/uploads\/sites\/97\/2022\/11\/funded-by-nihr-logo.png 1900w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Optimising the delivery and impacts of interventions to reduce hospital doctors\u2019 mental ill-health in the NHS Background Phases CUP3 has three phases: For more information, please Contact Us or visit:&nbsp;https:\/\/fundingawards.nihr.ac.uk\/award\/NIHR132931 Key Publications Carrieri D, Pearson A, Melvin A, Bramwell C, Hancock J, Papoutsi C, Pearson M, Wong G, Mattick K. Optimising the delivery and impacts [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":589,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Care Under Pressure 3 - Care Under Pressure<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.exeter.ac.uk\/careunderpressure\/care-under-pressure-3\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Care Under Pressure 3 - Care Under Pressure\" \/>\n<meta property=\"og:description\" content=\"Optimising the delivery and impacts of interventions to reduce hospital doctors\u2019 mental ill-health in the NHS Background Phases CUP3 has three phases: For more information, please Contact Us or visit:&nbsp;https:\/\/fundingawards.nihr.ac.uk\/award\/NIHR132931 Key Publications Carrieri D, Pearson A, Melvin A, Bramwell C, Hancock J, Papoutsi C, Pearson M, Wong G, Mattick K. 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