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Mental health plan for workers of the London Nightingale Hospital: following the evidence to support staff
  1. Neil Greenberg1,
  2. J Cooke2,3,
  3. E Sullivan3,4 and
  4. D K Tracy5,6
  1. 1 Health Protection Research Unit, The Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
  2. 2 Great Ormond Street Hospital for Children, London, London, UK
  3. 3 256 Fd Hospital, London, UK
  4. 4 Royal Marsden Hospital NHS Trust, London, London, UK
  5. 5 Cognition, Schizophrenia, and Imaging Laboratory, Department of Psychosis Studies, the Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, London, UK
  6. 6 Oxleas NHS Foundation Trust, London, UK
  1. Correspondence to Dr D K Tracy, Cognition, Schizophrenia, and Imaging Laboratory, Department of Psychosis Studies, the Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London SE5 8AF, UK; derek.tracy{at}


The COVID-19 pandemic has extracted an enormous physical health toll on many millions worldwide, and the wider societal impact from economic turmoil, unemployment, social isolation and so forth continue to be measured. A less explored aspect has been the psychological impact on treating healthcare staff, with emerging evidence of ‘moral injury’ and mental illness for some. This review explores the evidence base for implementing a tiered model of care to minimise this and foster ‘post-traumatic growth’, and describes the authors’ implementation of this in the London Nightingale hospital, with lessons for the armed forces.

  • mental health
  • adult psychiatry
  • depression & mood disorders

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  • Twitter @derektracy1

  • Contributors NG and JC conceptualised the work. NG, JC and DT designed the paper. NG, JC, DT and ES drafted the work, revised it critically for important intellectual content and gave final approval of the version to be published. All four authors meet ICJME criteria for authorship. NG is responsible for the overall content as manuscript guarantor.

  • Funding This study was funded by Health Services and Delivery Research Programme (NIHR200890).

  • Competing interests NG runs a psychological health consultancy that provides resilience training for a wide range of organisations, including a few NHS teams. The work was supported by the National Institute for Health Research (NIHR) Health Protection Research Unit in Emergency Preparedness and Response at King’s College London, in partnership with Public Health England and in collaboration with the University of East Anglia and Newcastle University.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available. No data are available for this manuscript.

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