If you have concerns about undermining (involving either yourself or a colleague), please report this through any of the following channels:

• Inform your clinical or education supervisor. If you feel unable to do this let your line manager, clinical department lead or clinical director know. The ward charge nurse may also be able to help

• If you feel unable to escalate your concerns to any of the above then please discuss with your site ADME

• The Director of Medical Education, your Foundation Programme Director or Training Programme Director are other options if you feel unable to approach any of the above groups.

There is also the opportunity to report this on the annual GMC National Trainee Survey if you feel that you cannot do any of the above.

If you have a concerns and do not wish to use any of the other routes described, please use the SpeakUp initiative, either via HR online, or via the email address: SpeakUp@nhslothian.scot.nhs.uk