PT  - JOURNAL ARTICLE
AU  - Geeth Silva
AU  - Aiken Yam
AU  - Jessica Court
AU  - Rabia Imtiaz
AU  - Cath Chisholm
TI  - Constructing high-quality rest facilities to maximise performance and ensure patient safety
AID  - 10.1136/bmjoq-2021-001403
DP  - 2021 Jul 01
TA  - BMJ Open Quality
PG  - e001403
VI  - 10
IP  - 3
4099  - http://bmjopenquality.bmj.com/content/10/3/e001403.short
4100  - http://bmjopenquality.bmj.com/content/10/3/e001403.full
SO  - BMJ Open Qual2021 Jul 01; 10
AB  - Introduction Junior doctors are working in an increasingly overstretched National Health Service. In 2018, Kettering General Hospital (KGH) was awarded £60 800 of government funds to create high-quality rest facilities and improve junior doctor well-being.Methods An audit and survey in KGH identified the structural and functional improvements needed. From November 2019 to June 2020, £47 841.24 was spent on creating new rest facilities. On completion, a postaction review assessed how the changes impacted morale, well-being and quality of patient care.Results The majority of doctors were happy with the new rest areas (60%), a majority felt that they would use the on-call room area (63%) and the renovation improved morale and well-being. There was an increased ability to take breaks. However, the majority of doctors are not exception-reporting missing breaks: 79% (2019), 74% (2020).Conclusions and Implications This report recommends the maintenance of increased staffing levels and rest facilities during the recovery phase of COVID-19. The remaining £12 958.76 should be directed at sustaining the quality of KGH rest facilities. Lastly, the rate of exception-reporting must be increased through improving awareness, exploring alternative methods and supporting the action when necessary. The continual investment into rest facilities ensures workforce well-being and translates into patient safety.All data relevant to the study are included in the article or uploaded as supplementary information.