Current developments
GMC training survey shows improvement but persistent variation
General Medical CouncilRCOG refreshes support resources for doctors
Royal College of Obstetricians and GynaecologistsRCP publishes SAS priorities for 2026–30
Royal College of PhysiciansRCEM condemns rising violence and discrimination against NHS staff
Royal College of Emergency MedicineBullying and harassment
Understand the difference between bullying, unlawful harassment and legitimate management, and respond using evidence rather than labels alone.
Bullying has no single statutory definition in Great Britain, but unwanted intimidating, offensive, degrading or humiliating behaviour can still breach policy and cause serious harm. Harassment has specific legal meanings, including conduct related to a protected characteristic and sexual harassment. Record the behaviour, context, effect and response, then obtain advice on the appropriate route.
By the end of this module, you should be able to:
- Distinguish bullying, harassment and legitimate management action.
- Identify evidence that helps an organisation examine the conduct fairly.
- Choose a safe response that does not depend on proving motive.
What bullying can look like
Acas explains that there is no legal definition of bullying, although it covers various forms of unwanted behaviour. Examples may include threats, humiliation, persistent criticism without constructive purpose, exclusion, spreading malicious rumours, misuse of authority, deliberately impossible deadlines or withholding information needed to work safely. Behaviour may be spoken, written, digital, physical or expressed through work allocation and opportunity.
A single serious incident can require action. Repetition can reveal a pattern, especially where individually ambiguous events consistently disadvantage the same person. The effect matters, but impact alone does not determine every policy or legal question. Record what was said or done, when and where, who was present, the work context, the effect and what happened after the issue was raised.
Harassment and sexual harassment
Under the Equality Act 2010 in Great Britain, harassment involves unwanted conduct related to a protected characteristic that has the purpose or effect of violating dignity or creating an intimidating, hostile, degrading, humiliating or offensive environment. Sexual harassment and less favourable treatment following rejection of or submission to sexual conduct have specific provisions. Northern Ireland uses different equality legislation and advice routes.
The legal assessment considers the person's perception, the other circumstances and whether it was reasonable for the conduct to have that effect. This is more nuanced than asking only whether offence was intended. The Worker Protection (Amendment of Equality Act 2010) Act 2023 introduced an employer duty, in force from 26 October 2024, to take reasonable steps to prevent sexual harassment. Obtain current specialist advice because facts, jurisdiction and deadlines matter.
Management action or bullying?
Managers may set standards, allocate reasonable work, give evidence-based feedback, investigate concerns and use formal procedures. A doctor may understandably find these actions stressful without them being bullying. The relevant questions include whether expectations are clear and achievable, evidence is shared, the process is consistent, the doctor can respond, feedback is respectful and decisions are proportionate.
Legitimate authority can still be exercised badly. Public humiliation, personal insults, shifting allegations, selective enforcement, denial of a fair response or repeated disproportionate scrutiny should not be excused merely because the speaker is a manager. Focus on process and conduct, compare treatment where appropriate and seek representation when formal capability or disciplinary action is contemplated.
Gather evidence lawfully and proportionately
Keep a contemporaneous chronology and preserve relevant emails, rotas, meeting invitations, feedback and policy documents to which you are entitled. Confirm important agreed actions in a measured follow-up email. Identify potential witnesses without coaching them. Keep patient details in approved clinical or incident systems rather than a personal evidence file.
Do not secretly record meetings, access records without a work purpose, forward confidential documents to an insecure personal account or collect material indiscriminately. The legality and employment consequences of covert recording are fact-sensitive. Obtain union or legal advice before assuming that a recording is lawful, admissible or wise.
Choose a response
If the conduct is low-level, isolated and safe to address, a direct conversation or supported informal intervention may stop it quickly. For serious behaviour, repeated conduct, sexual harassment, threat, marked power imbalance or failed informal action, use the formal policy and obtain advice. A formal grievance should set out the nature of the complaint, relevant examples, effect, evidence and desired resolution.
Acas advises that employers take complaints seriously, investigate fairly and sensitively, support those involved and protect confidentiality. Formal procedures should not presume guilt: the complainant, witnesses and person complained about all require fair treatment. Confidentiality means controlled, necessary sharing - not that no one can be told enough to investigate.
After reporting
Ask for acknowledgement, the policy being used, named contact, expected stages, interim protections and review dates. If temporary separation is needed, it should not automatically disadvantage the person who raised the concern. Keep records of outcomes and monitor whether agreed changes occur.
Watch for retaliation, adverse opportunities, exclusion, hostile references or unexplained scrutiny. Raise new events promptly and obtain advice about victimisation or detriment. Do not assume that an internal outcome determines a legal claim; internal policy findings and tribunal tests are related but not identical.
Worked example: showing a pattern
A doctor reports that a supervisor is bullying them. An adviser helps replace the label with a chronology: public criticism using personal language on three dates, removal from teaching without explanation, conflicting instructions followed by blame, and hostile messages after the doctor asked for clarification. The doctor identifies witnesses and documents and explains the effect on escalation and confidence.
The account also records a separate occasion when the supervisor gave justified private feedback, demonstrating that the doctor is not treating every criticism as bullying. This balanced presentation strengthens credibility and helps the organisation distinguish management from harmful conduct.
Questions for policy and advice
Ask which policy applies, whether informal action is optional, who will assess conflicts, what interim protections are available, whether accompaniment is permitted, what information will be shared with the person complained about, how witnesses will be approached and how outcomes and appeals are communicated.
If sexual harassment, threat, stalking, hate crime or severe psychological harm may be involved, seek specialist advice promptly. The appropriate response may extend beyond an ordinary relationship meeting.
Which three examples most clearly demonstrate the behaviour and why it matters, without speculating about motive?
Three takeaways
- 1Bullying and harassment are overlapping but not identical concepts.
- 2Respectful, evidence-based management is legitimate; misuse of authority is not.
- 3Preserve proportionate evidence and obtain advice before high-risk steps.
Check your understanding
Six questions on Bullying and harassment test process and practical judgement. This is educational: it does not assess your health, evidence sufficiency or decide a legal issue.
Recommended workbooks
Use these privately and remove identifiable clinical information.
Official and professional guidance
Open the current source and note the jurisdiction before applying it.