Grievances can have a significant impact on any workplace, causing stress, anxiety and worry for parties on both sides of the dispute. Dental practices are no exception, so it's vital that practice owners aim to deal with them in a timely and efficient way, to avoid things escalating and making them worse for all concerned.
Grievances in the workplace
Difficulties that are allowed to fester and are not managed properly can have a detrimental impact on staff performance, with subsequent absenteeism and financial cost to the organisation. In fact, the Advisory, Conciliation and Arbitration Service (ACAS) estimates that almost 10 million people a year experience workplace conflict, costing UK businesses £28.5 billion per year, with grievances alone costing £360 million per year.
In 2021/22 30% of employers reported an increase in grievances. The most common reasons were:
- bullying or harassment (67%)
- relationships with managers (54%)
- relationships with colleagues (49%).
Grievances in dentistry
Between 2020 and 2023, there has been a decrease from 10% to 7% in the number of new GDC cases where the informant was another registrant.
Despite this, many personal grievances are not reported to the GDC, and the DDU is seeing an increase in the number of claims and GDC cases that appear to have arisen out of personal disagreements that have escalated between dental professionals.
This could be for a number of reasons. Firstly, as more dentists reduce their NHS commitment, taking on more private practice work or even retiring early, the pressure felt by those who remain is understandably increasing as they take on extra work. This can lead to stress and burnout, making them more prone to raise issues.
At the same time, recruitment and retention of practice staff is more difficult than ever. Some employees may have felt emboldened by these recruitment difficulties, giving them the confidence to raise an issue knowing that if it doesn't work out in their favour, they can move on to another job.
Alternatively, it could be because many are feeling the pinch of price rises and are more willing to push for changes. Along with the cost-of-living crisis, it's probably of little surprise that organisations have reported an increase in grievances.
The DDU is seeing an increase in the number of claims and GDC cases that appear to have arisen out of personal disagreements...
Effective policies and procedures are key
So what can dental employers do to deal with these grievances effectively, and before they get out of control?
Firstly, it's vital to have the necessary processes in place, and a grievance policy is essential. This acts as a primary point of reference for anyone in the team who has a complaint or concern, and directs them on what they need to do - and what they can expect to happen - once they have initiated their grievance.
This policy should, as a minimum, be based on the ACAS code of practice on disciplinary and grievance procedures. This sets out the basic processes and principles that all organisations should follow when handling employee concerns.
In the first instance, a grievance policy should encourage the situation to be dealt with, and hopefully resolved, in an informal manner. This is the best approach for minor grievances, as instigating a formal procedure is a form of escalation that might unnecessarily inflate the grievance.
This process involves the relevant line manager (or if the complaint is about them, another manager or HR representative) talking to the individual with the concern, establishing if they would agree to the matter being dealt with informally, finding out what they want to achieve, and doing some preliminary investigations into the issue. Hopefully, the manager will be able to respond informally satisfactorily to the aggrieved employee, and the matter can be dealt with quickly and efficiently.
However, not all issues can be dealt with informally. Some are too significant, as with bullying or harassment (for which many organisations have a separate and specific policy), where a senior employee is involved, or if the employee has become particularly upset by the issue. If that is the case, a formal procedure is needed, and it's best for this to be arranged without delay.
Case law has shown us that the longer a grievance is delayed, the more upset by it an employee can become. If the organisation delays dealing with a matter, and the original reason for the grievance continues, the impact can be so great on the employee that they resign and claim constructive unfair dismissal (if they have over two years' service) or potentially bring some other claim, such as discrimination.
Managerial skills play an important role
Whether the process is formal or informal, a key factor for it to work properly is the ability of the manager in charge of dealing with the issue.
There is a great deal of skill involved in resolving a grievance appropriately and professionally. This could require giving formal training to managers before dealing with any grievances, providing them with a mentor in the form of a more experienced manager, or allocating a HR practitioner to support them through the process. Once again, a detailed policy will be invaluable by giving the manager a clear guide of the steps to follow to ensure consistency across the organisation.
In conclusion, it is important for all parties to keep communication channels open when disagreements emerge so issues can be resolved proportionately and professionally.
Find out more about the benefits Peninsula offers DDU members.
Leo Briggs
Deputy head of the DDU
Leo Briggs
Deputy head of the DDU
Leo Briggs qualified from University College Hospital, London, in 1989. He has worked extensively in the community dental service including a brief period overseas. He has also worked in general dental practice.
Leo gained a masters degree in periodontology from the Eastman in 1995 and is on the GDC specialist register for periodontics. From 1995-2017 he provided specialist periodontal treatment in both the salaried dental services and private practice. He started working for the DDU in 2005. Between 2007 and 2009 he worked part time at the DDU and part time as a clinical tutor at the School for Professionals Complementary to Dentistry in Portsmouth. In 2009 Leo went full time with the DDU. In January 2016 he became deputy head of the DDU.
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Vicky Kitney
Lead business partner, Peninsula
Vicky Kitney
Lead business partner, Peninsula
See more by Vicky Kitney