• Imrana Siddiqui, Marco Aurelio, Ajay Gupta, Jenny Blythe, and Mohammed Y Khanji.
• Woodgrange Medical Practice, London, UK, Wellbeing Hub lead, Newham Training Hub, London, UK and clinical lead for mental health and learning disabilities, Waltham Forest and East London clinical commissioning groups, London, UK imranasiddiqui@nhs.net.
• Clin Med (Lond). 2021 Jan 1; 21 (1): 667266-72.

BackgroundCOVID-19 has caused acute changes in healthcare delivery; this may impact mental health and wellbeing needs of healthcare professionals (HCPs).AimsWe aimed to identify the causes of anxiety in HCPs during the COVID-19 pandemic, to assess whether HCPs felt they had adequate mental health and wellbeing support and to identify their unmet support needs.MethodWe used a web-based survey utilising an online tool circulated to UK HCPs over 5 weeks. Self-perceived anxiety levels prior to and during the COVID-19 pandemic were measured on a 10-point Likert-type rating scale.ResultsThe survey was completed by 558 HCPs. During the pandemic, self-perceived anxiety scores significantly increased from a median of 2 to 7 (paired Wilcoxon signed-rank test; p<0.001). The main reasons were concerns about exposure to SARS-CoV-2 and lack of personal protective equipment. Other wide-ranging reasons were identified. Only 41% of respondents felt there was adequate support. Thematic analysis of what support HCPs wanted identified 13 wide-ranging themes; including effective leadership and peer support.ConclusionAnxiety levels in HCPs significantly increased during the COVID-19 pandemic and the main causes were identified. Many HCPs felt there was inadequate support and identified what support they needed. Implementing effective strategies to support HCPs' unmet wellbeing needs are required as a matter of urgency.© Royal College of Physicians 2021. All rights reserved.

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