The words to use
- Principle 8
- The GDC standard "Raise concerns if patients are at risk". You must raise concerns even if you cannot control your workplace, and the duty overrides loyalty.
- CUS words
- "I'm concerned", "I'm uncomfortable", "This is a safety issue": assertive phrases from healthcare team training, used in rising order.
- Two-challenge rule
- Raise a safety concern at least twice so you know it has been heard. If it is still not resolved, take stronger action, such as going to someone else.
- SBAR
- Situation, background, assessment, recommendation: a structured way to pass on a concern that needs action, used across the NHS.
