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Structured team discussions: creating compassion from moral distress
  1. Gareth Llewelyn
  1. Correspondence to Dr Gareth Llewelyn, Department of Neurology, University Hospital of Wales, Cardiff, UK; jgllewelyn{at}

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We work in an increasingly pressurised and bureaucratic environment, with little pause for thought, and tend to accept this state as normal. The risk, and sadly the reality—as the Francis Inquiry Report into the Mid Staffordshire (UK) NHS Foundation Trust1 showed—is that this environment can contribute to disaffected medical staff and poor patient care.

At a time when morale across the UK’s National Health Service (NHS) workforce is low, Tan and colleagues2 in this issue highlight the benefits of setting aside time for structured team discussion. They outline the practicalities of moral case deliberation and provide an example of this process that encourages shared decision-making. It also encourages the realisation that although there is often no ‘right’ answer, there may be a ‘best’ solution to a …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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