Challenges and support for workers coming back to work after maternity leave

Successful return to work after maternity leave is a global problem in all areas of work, including healthcare, as highlighted recently by Allen et al. [1]. In June 2020, the UK General Medical Council commissioned community research for induction of doctors, including those returning to work, and showed that the induction process was sometimes overlooked as employers were not aware of changes that might have occurred [2]. Safe return after maternity leave needs to be addressed [3]. A smooth induction should include a personal development plan to focus on areas of concern; a brief period of observation or shadowing; and appropriate measures to safeguard patient safety. Special return-to-work courses may help with this process. For workers who are breastfeeding, facilities to express and store milk, and rest areas should be provided [3].

According to NHS England around 10% of doctors in training posts are on pre-approved time-out from training for a long duration [4]. To support their re-joining, the NHS has a SuppoRTT programme (Supporting Return To Training) which can be accessed via local Health Education England offices [4]. This programme focuses on an enhanced supervised period, funding supernumerary working, refresher courses and funding for other courses as per individual needs. Some offices also provide Keeping In Touch (KiT) days after maternity leave and Shared Parental Leave In Touch (SPLiT) days to allow for attendance at relevant courses and meetings. Small amounts of funding are also provided to cover childcare during those periods [4].

Induction after maternity leave can be a daunting process and policies should be in place even before going on leave. Rotas need to be tailored to individual needs and modified gradually for full-time work. As the NHS is facing workforce challenges, smooth and planned induction can help to motivate a person's return to work at their full potential. Childcare and breastfeeding facilities should be in place to support the emotional health of the parents. Poor support after retuning back to practice can lead to adverse effects on mental health and loss of career ambition.