Self-rostering to improve paediatric residents’ well-being in a tertiary hospital: a quality improvement project

An ideal rota should support training, allow for good work–life balance and ensure safe staffing, as set out in the British Medical Association good rostering guide. We aimed to improve resident well-being and training through a self-rostering approach. An initial pilot scheme, followed by a full-scale roll-out over a 1-year period, was implemented. Serial surveys, informal feedback and analysis of rota data and locum costs were reviewed to assess the success of the project. Post-implementation surveys showed significant improvements in well-being, rest and training opportunities. We demonstrate that self-rostering can improve resident well-being and training while delivering significant financial savings.