No means no – we call for an end to sexual misconduct | Our news

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No means no – we call for an end to sexual misconduct

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Last month, a research paper published in the British Journal of Surgery (BJS) explored the different experiences faced between men and women in relation to sexual harassment, assault and rape.

It found that women were disproportionately affected, and many felt that organisations did not deal adequately with the issue.

Miss Homa Arshad, clinical lead trauma and orthopaedics at The Royal London Hospital, was one of the authors of the paper. “The silence around sexual assault and harassment by trusted colleagues meant targets often thought they were the only one. In healthcare, our current systems enable and embolden predators and dismiss and deny the experiences of victims. I have seen lives being ruined, and talented people driven out of workplaces and careers. For people struggling to function and facing abuse, there’s a destructive effect on patient safety.”

Unfortunately, this experience is reflective of the wider society we live and work in, with only a small fraction of people reporting the sexual misconduct they experience (including sexual harassment, sexual assault and rape), or witness.

The BJS study found that nearly a third of women (29.9 percent) had been sexually assaulted by a colleague, while the majority of participants (89.5 percent of women, 81 percent of men) said they had witnessed some form of sexual misconduct by colleagues. Only 16 percent of those impacted made a formal report. Of the people who didn’t report it, they cited they were worried about retaliation, career damage and a lack of faith in the system.

Sexual misconduct of any sort by colleagues and patients will not be tolerated at Barts Health. This month, we signed our commitment to further supporting our workforce by signing the NHS sexual safety charter, which Miss Arshad fully supports.

The charter calls for ten key principles and actions to be implemented to bring an end to unwanted, inappropriate and/or harmful sexual behaviours.  We already have many of the actions outlined in the charter in place, but we are mindful that we could strengthen these actions to create a safer place for our people. We are committed to setting up a task and finish group to enhance our response by June 2024.

We strongly encourage that you report your experiences of, or witnessing of, sexual misconduct – whatever form it takes, and even if it happened awhile ago. It takes all of us to change a culture that has become normalised, and not just the person who has been on the receiving end of the misconduct.

“Many people will downplay or even ignore incidents as they don’t want to kick up a fuss or deal with a complex process,” said Tanya Usher, head of wellbeing, The Royal London and Mile End hospitals. “This unfortunately normalises the ‘lower’ levels of abuse and paves the way for the more serious abuses to go unchecked too.”

We offer a range of independent, confidential and peer networks to report your experiences in a way that works for you.

Further information about how we support you to remain safe at work can be found in the dignity at work, disciplinary and safeguarding policies.

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  1. Freedom to Speak Up Guardian (Mary Walsh) Tuesday, 31 October 2023 at 01:27 PM

    I am available if you feel that you can't raise a concern using internal channels. Here is a podcast that reflects speaking up in a variety of industries. Megan Reitz, author and researcher on Speaking Up, shared this podcast recommendation via her LinkedIn page and I thought you may be interested in listening to it: https://www.bbc.co.uk/sounds/play/m001rq70
    It’s ‘A fascinating insight into why we speak up - and why we don't and why leaders and managers sometimes would rather pretend they haven't heard....’

  2. Rachel Taub Sunday, 5 November 2023 at 03:34 AM

    'Sexual misconduct of any sort by colleagues and patients will not be tolerated at Barts Health'.
    Sadly, I will have to disagree with that comment. As of recently, it has been made aware, if there is no witness, no proof, did the incident in question actually happen? After all, it is their word against yours. Now ask yourself. On a scale of 1-10, how likely is any one person going to make a report regardless of proof or witness, if this is how sexual misconduct situations are resolved. Where does that leave 'the victim'?. The system is broken. Is there any wonder why people are being pushed out of their jobs.

  3. Homa Arshad Thursday, 9 November 2023 at 04:12 PM

    Hi Rachel, I agree this is a challenge which needs careful planning. Reinforcing our existing ineffective mechanisms is unlikely to help. The current appetite for encouraging people to speak up, in the absence of specific safe and effective policy puts people at risk. This is a specialist area due to societal myths, bias in favour of privilege and flawed expectations. I have personal experience of the limitations in the freedom to speak up guardian service. NHSE has mandated that all organisations must produce a specific policy, and effectiveness in each Trust will depend on an understanding of what works and what is already known to be ineffective or harmful.

  4. Nicola Pace Wednesday, 11 September 2024 at 04:15 PM

    You speak up, your career gets ruined. Sadly, victim blaming is still ugly and loud. Whilst female Trust lead representation continues to dwindle, having male leadership who empathise but downplay demonstrating a deeper commitment to centrist politics, only a tertiary surface 'change' will be scrapped. Though we don't believe in a blame culture i.e Datix reporting systems, males dominating all main leadership roles naturally has contributed to this issue lacking the diligence and sincerity it deserves. On reading some clinicians responses on this specific topic, it becomes blurred with forms of discriminations, this is sexual safety, an entirely different frame. Don't confuse it please. Failures to recognise will ensure a continuation.

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