Maternity and Neonatal Services Incivility Reporting Tool

If you are filling in this form, you have likely experienced or witnessed some form of unacceptable bad behaviour from a colleague. By giving us as much information as you can, you will help us to support you your team members.

We need your contact information even if you wish to remain anonymous, because we will need to contact you to give you feedback on the outcome of your report and sometimes to gather more information. If you wish to remain anonymous your details will not be shared with anyone from your service/workplace.

We need to gather information about bad behaviours and work on interventions that will address the problem. Our aim is to create a fairer, kinder and more inclusive place to work, so thank you for telling us. We hope this will benefit not only you as an individual, but remove rudeness and poor behaviours for all staff in the future.

The information shared will be reviewed by an independent team, called a Circle Group. They triangulate the information, deal with individual complaints and identify patterns from complaints, so that action can be taken.

This group is coordinated by the HR and OD Team and will not include internal Maternity and Neonatal services management. A member of the Circle Group will contact you for more information. This is to help us understand what your expectation of a resolution would be and how you’d like us to work with you.

Thank you for reporting. We want to make a difference to your workplace and you are helping make that happen.

For more information on how to deal with incivility and how to access support, please access our booklet Time to Change: Bad Behaviour Doesn’t Work.