Why NHS work named most difficult job of the festive period – and what you can do to help

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As many of us start to think about winding down for the festive period ahead, we’d do well to spare a thought for all those that won’t be getting a chance to down tools and recharge.

In a study by NHS Charities Together, nearly three quarters (72%) of the 2,000 UK adults surveyed said NHS staff have the hardest job this time of year, with many acknowledging the mounting pressure and stresses healthcare workers face. The study places NHS staff at the top of the most difficult jobs during the festive period followed by hospitality workers (49%) and delivery drivers (44%).

Here we’ve outlined key insights from the research, as well as tips from Celebrity GP Dr Radha Modgil for NHS employers to share with their teams. Some could be transferrable to other sectors too.

Increased stress compounded by feelings of being undervalued

The study also polled 500 NHS staff which showed a troubling picture of how they feel at this time of year. Over half of NHS staff (51%) stated that December is the most stressful month for them. These challenges come as the NHS continues to struggle through its busiest time of year, including a potential rise in flu and Covid cases.  

Though 68% of the public acknowledge the increased strain NHS staff experience throughout the winter months, the findings show that many healthcare workers still feel undervalued. 62% of NHS staff report feeling taken for granted, while 25% believe they are not properly appreciated for their hard work. 

The human cost of working in the NHS during the holiday season is also taking a toll on personal lives. 60% of NHS staff said they are likely to miss a festive gathering with friends or family while over half (54%) said they are likely to work extra shifts to cover for sick staff. 

From staff shortages to rising admissions and abusive patients

Staff shortages are identified as the number one cause of stress for NHS staff in December, with 31% naming it as their top concern. Other challenges include staff sickness (15%), a rise in admissions due to seasonal illnesses (13%), and abusive behaviour from patients (10%). To help manage winter pressures, three in 10 (31%) NHS staff said they were likely to turn to services that support their wellbeing such as helplines, counselling, and free or subsidised gym or exercise classes. 

Meanwhile, a concerning finding shows that only 21% of UK adults plan to take care of their health during the festive season. While the festive period is typically one of over-indulgence, this trend could contribute to further pressure on the NHS, as 41% of people admit they tend to overindulge, putting additional strain on already stretched healthcare resources. 

Ellie Orton OBE, CEO of NHS Charities Together, said:  

“Our latest survey reveals that while most of the UK public are winding down at work and busying themselves with social plans, our hardworking NHS staff are bracing themselves for another stressful winter. Working for the NHS was identified as the most stressful job to do during December, with things like staff shortages, sickness in patients and staff, and abusive patients all cited as potential factors. The data also showed that only one in five UK adults intend to take care of themselves by eating a balanced diet and doing regular exercise during December. 

“We’re urging the public to prioritise taking care of themselves this winter and get behind our amazing NHS by supporting our winter appeal. As NHS staff face another tough December, the wellbeing support we fund – such as counselling, helplines, gym equipment and access to green space – has never been more important.” 

Dr Radha’s top tips for NHS staff include: 

  1. It can be really challenging to look after yourself when work is busy, try to take regular breaks, and if you can, try to do some physical activity outside even if that is just a short walk outside. Being in nature does wonders for our physical and mental health, meaning you can return to work feeling a bit better. Although you may feel you cannot spare the time, you will be more relaxed, more productive and have more reserve to manage challenges than if you worked straight through your lunch break or ate at your desk. 
  2. Many of us who care for others as part of our job can often put our own needs and self care right at the bottom of the list of priorities. Set aside some time in your diary for some time for you and do an activity that makes you feel relaxed, valued and joyful. Make sure you are still creating time to see friends and family as our relationships are one of the main protective factors for our health and wellbeing when things are hard. 
  3. Put boundaries in place – it’s OK to say no to other people’s demands. If taking on that extra shift, cooking a huge meal for 10 people or letting your auntie stay in your home for a week is going to cause you additional stress, say no gently and kindly. If you don’t feel comfortable doing this, try to compromise and meet in the middle, or see if others can help and share the load. 
  4. Don’t forget that your local pharmacist can help with common ailments. Visiting your pharmacist for issues – such as a sore throat, earache, sinusitis, impetigo, shingles, infected insect bites or uncomplicated urinary tract infections (UTIs) in women – helps free up GP appointments for other patients. Your local chemist can provide advice and medication, or, if needed, refer you to a specialist or follow-up care. 
  5. Many of us feel under pressure to buy presents for our loved ones even if finances are tough. Could you instead suggest a secret Santa for friends and family, or mutually agree a limit to the amount you spend on each other? Handmade gifts and buying things secondhand are great ways to give someone unique and special without breaking the bank. 

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