Flourishing on the Frontline

Find support

Practical help when you need it.

This page brings together trusted sources of support for people working across Acute Medicine. Whether you need someone to talk to, help with something happening at work, profession-specific support or guidance on a particular issue, you can find a route to the right help here.

Need urgent help?

If you are in immediate distress or at risk, please reach out now.

SAM is not an emergency or crisis service. Use the urgent support section to find appropriate services and routes to immediate help.

View urgent support

Emotional wellbeing & burnout

If work is beginning to feel overwhelming, there are places you can turn for practical and confidential support.

Stress, exhaustion and burnout can affect anyone working in a demanding clinical environment. The resources here provide a starting point for information, coping strategies and professional support.

You do not need to wait until things feel unmanageable. Seeking support early can help you understand what you are experiencing and decide what might help next.
Looking for profession-specific support? The full directory below includes dedicated resources for doctors and medical students, nursing, pharmacy, therapy/AHP colleagues and the wider MDT.
Go to support by role

Work & career concerns

Sometimes it is not easy to separate wellbeing from what is happening at work. Workload, relationships, health, career uncertainty or a difficult employment situation can all affect how we feel.

Start with the issue that feels closest to what is happening. You do not need to work out the whole solution first. The most useful next step may be support within your organisation, professional advice, or simply talking through your options.
Need independent employment advice? Employment support differs between Great Britain and Northern Ireland.
England, Scotland & Wales — Acas Northern Ireland — nidirect / LRA

Bullying, harassment & discrimination

Unacceptable behaviour at work can affect confidence, wellbeing and your ability to do your job. You may not immediately know whether what you are experiencing is bullying, harassment, discrimination or another workplace concern — and you do not need to decide that before seeking advice.

You have more than one route. Depending on the issue, support might come from someone you trust locally, HR, your trade union or professional body, an equality or employment advice service, or a speaking-up route.
Bullying or an individual employment dispute is not automatically the same as a Freedom to Speak Up concern.

NHS England advises that personal employment matters which affect only the individual are usually best raised within the employing organisation, for example through HR, a local Freedom to Speak Up Guardian, a trade union or the organisation's grievance process. Wider concerns about patient safety, governance or serious organisational failings may follow a different speaking-up route.

It can help to keep things clear

If you decide to seek advice or raise a concern, a few practical steps may make it easier to explain what has happened.

01 Keep a factual record Note dates, what happened, who was present and any relevant communications.
02 Look at local policies Your organisation may have dignity at work, grievance, speaking-up or harassment procedures.
03 Seek advice early A trusted colleague, union representative, HR adviser or professional body may help you understand your options.

Financial support

Money worries can affect anyone. A change in health, caring responsibilities, loss of income, unexpected costs or simply the pressure of everyday bills can quickly become difficult to manage. Free advice and, in some circumstances, financial assistance are available.

You do not have to be in crisis before asking for help. Getting advice early can help you understand your options before missed payments, debt or financial pressure become more difficult.
Worried about missing essential payments? If you are struggling with rent or mortgage payments, energy bills, council tax or other priority commitments, free debt advice can help you work out what needs attention first.
Get help with debt

Can't see a profession-specific fund? Turn2us can search charitable grants based on your individual circumstances, including employment history and other eligibility factors.

Search for grants

Bereavement & loss

Grief is personal and does not follow a timetable. You may be dealing with the death of someone close to you, the loss of a colleague, or the emotional impact of deaths encountered through clinical work. Support is available if you need somewhere to turn.

There is no single “right” way to grieve. Grief can affect emotions, concentration, sleep, relationships and work. What feels manageable one day may feel very different the next.

Loss can reach us in different ways

Working in healthcare does not make us immune to grief — and professional exposure to death can sometimes sit alongside losses in our own lives.

01 Someone close to me has died

Give yourself permission to seek support. Your GP, employer, local bereavement services, faith or community support and specialist organisations may all have a role.

02 A death at work has affected me

The death of a patient or colleague can have a real emotional impact. Peer support, debriefing where appropriate, Occupational Health, EAP or local staff-support services may help.

03 I am supporting someone who is grieving

Listening, acknowledging the loss and allowing someone to tell you what they need can matter more than finding the perfect words.

Practical questions after a death

Bereavement can bring administrative, legal and financial questions at the same time as grief. The Bereavement Advice Centre provides information and signposting on practical matters following a death.

Bereavement Advice Centre Information on issues such as registration, funerals, bereavement benefits, probate and administering an estate.

Looking for support specific to your profession? We bring together professional and peer-support routes later on this page.

Support by role

Professional support by role

Different professions have their own support services, professional bodies, peer networks and sources of advice. Choose the role that best reflects your professional background to find some useful places to start.

Acute Medicine is multidisciplinary. This directory is not just for doctors. It brings together support for colleagues working across the acute medical team.
Your profession does not have to define where you seek help. Many of the general, workplace, financial and bereavement services elsewhere on this page are available across professional groups.
General wellbeing support

Support across the UK

Health and wellbeing support is organised differently across England, Scotland, Wales and Northern Ireland. Choose where you work to find the most relevant national or regional routes.

Your local organisation matters too. Occupational Health, employee assistance, psychological support and wellbeing services are often provided locally, so your employer may have additional support alongside the national services shown here.
England

Support for NHS people in England

NHS England maintains national wellbeing resources alongside support provided by individual employers. Specialist confidential treatment is also available through Practitioner Health for eligible NHS staff who cannot access care confidentially through local routes.

Start locally too Ask your organisation about Occupational Health, staff psychological support, employee assistance and local wellbeing provision.

National routes

Useful places to start alongside support available from your own organisation.

England has moved towards locally commissioned staff mental-health support. NHS England advises staff to check the wellbeing, HR or Occupational Health support available within their own organisation.
Many support services are UK-wide. The general mental-health, professional, financial and bereavement resources elsewhere on this page may be available regardless of where in the UK you work.
Browse general support

Not sure where to start?

You do not need to know the name of the service you need. Choose the statement that feels closest to what is happening and we will point you towards the most relevant part of this page.

There is no wrong place to begin. Some concerns overlap. You may find more than one section useful, and you can always return here and choose another route.

Which feels closest?

Choose one option. This simply helps you navigate the support available on this page.

A place to begin Choose the option that feels closest

We will suggest the most relevant section of the Find Support page.

This route finder is simply a navigation aid. It does not assess, diagnose or determine what support you should use.

Urgent support

If you need urgent help for your mental health, there are services you can contact directly. The right route depends partly on how immediate the situation is and where in the UK you are.

SAM is not an emergency or crisis service. The routes below connect you to services that can provide urgent assessment, crisis support or someone to talk to.
Emergency

If you or someone else is in immediate danger

Call 999 or go to the nearest Emergency Department. This includes an immediate risk to life, serious self-harm, overdose or another medical emergency.

Call 999

Need urgent mental-health help?

If the situation is urgent but there is not an immediate life-threatening emergency, use the route for the nation you are in.

External services
England

NHS 111 mental-health support

Call NHS 111 and select the mental-health option to access urgent mental-health support and speak to a trained professional.

NHS urgent mental-health help
Scotland

NHS 24 Mental Health Hub

Call 111 and choose the mental-health option. The Mental Health Hub provides urgent support for people of all ages, 24 hours a day.

NHS Scotland urgent help
Wales

NHS 111 Wales — press 2

Call NHS 111 and select option 2 for urgent mental-health support. The service is available to people of all ages, 24 hours a day.

NHS 111 Wales mental health
Northern Ireland

Lifeline

Lifeline provides free, confidential crisis support for anyone in Northern Ireland who is distressed, overwhelmed or struggling to cope, 24 hours a day.

Find out about Lifeline
Need someone to talk to? Samaritans are available free, day or night, 365 days a year. You do not have to be suicidal to call.

If you are already receiving care from a mental-health service and have been given a crisis or emergency contact in your care plan, you can also use that route.

Support is only one part of flourishing

The Wellbeing Hub also explores how we can look after ourselves and each other, build healthier teams and challenge the working conditions that make it harder to provide the care our patients need.

SAM provides these links for information and signposting. External organisations are responsible for their own services, eligibility criteria and content. SAM does not provide clinical, employment, legal or financial advice through this directory.
Back to Wellbeing Hub