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Since that original publication, COVID-19 and the increased demand for healthcare have presented additional challenges, and staff wellbeing remains an increasing concern. The aim of the FPHC Wellbeing Group was to develop a FPHC Wellbeing Charter, to put the recommendations of the report into practice in a document that outlines achievable measures for all pre-hospital organisations to improve their staff and volunteers\u2019 wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Questionnaires and focus groups, alongside a literature search and the original FPHC report were utilised to develop the Charter. This was led by the FPHC Wellbeing Group. Participants were sought from a range of pre-hospital organisations including National Health Service ambulance trusts, air ambulance organisations and voluntary organisations such as Mountain Rescue. The Charter has been reviewed by the FPHC Executive Committee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two hundred eighty-one responses to the questionnaire were obtained and six focus groups were held representing the majority of pre-hospital organisations. As a result of this a FPHC Wellbeing Charter has been developed with four main sections: policies for a good organisation; facilities for a good organisation; support for colleagues in a good organisation and continued professional development, study leave and examination support in a good organisation. Within the policies section there are four sub-sections: rotas and rest; illness\/return to work; patient outcome follow-up and parental leave (including maternity policies).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The FPHC Wellbeing Charter outlines \u2018why\u2019 and \u2018how\u2019 organisations can take measures to improve their staff and volunteer\u2019s wellbeing. Much of the emphasis of the Charter is on reducing secondary stressors by improving simple things, recognising that whilst pre-hospital clinicians and volunteers are often involved in difficult events, daily stresses have a significant cumulative impact. It is anticipated that this will not be a static document; however, a minimum baseline has been set.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13049-025-01503-2","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T02:31:48Z","timestamp":1763778708000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["FPHC Wellbeing Charter: The \u2018Whys\u2019 and \u2018Hows\u2019 of the Charter"],"prefix":"10.1186","volume":"33","author":[{"given":"Sarah","family":"Morton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy","family":"Surman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Bayliss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Storey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Gray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Gant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alistair","family":"Morris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Forbes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Cowan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Stevenson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Hardy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"FPHC Wellbeing Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"1503_CR1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.981","volume":"7","author":"E Murray","year":"2021","unstructured":"Murray E, Kaufman KR, Williams R. 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