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964,000 People: But Stress Doesn't Begin With a Statistic
964,000. That is the estimated number of workers who experienced work-related stress, depression or anxiety in Great Britain in 2024/25 and 22.1 million working days were lost because of it. Those are significant numbers, they tell us something important about the scale of work-related stress and its impact on individuals, teams, services and organisations. However, there is another part of the story that interests me just as much. What happens before someone beco
Francesca Saunders
2 days ago5 min read


The Cost of Losing Experienced Staff
Explore the operational and human cost of losing experienced employees, plus SMILE Framework™ strategies that support wellbeing and staff retention. The cost of losing valued experienced staff extends far beyond recruitment fees. When a long-serving or highly skilled employee leaves, the organisation may lose professional judgement, trusted relationships, informal leadership and years of knowledge that were never captured in a procedure. Vacancies increase pressure on the
Francesca Saunders
Aug 112 min read


Why "I'm Fine" Isn't Always Fine
“How are you?” is one of the most common questions at work, and “I’m fine” is one of the most common answers. Often it is accurate, sometimes, however, it is a quick protective response that closes a conversation before it has really begun. An employee may not want to worry their manager, burden colleagues or appear unable to cope. They may be unsure whether the conversation will remain confidential or whether honesty will affect future opportunities. In busy teams, “I’m fin
Francesca Saunders
Jul 212 min read


Stress is inevitable. Staying overwhelmed doesn't have to be.
Following on from last week's post - I want to share that of the reasons I developed the SMILE Framework™ was because I became increasingly aware that many wellbeing conversations raise awareness of stress, but don't always leave people knowing what to do next. After almost 40 years working alongside professionals in health, social care and other emotionally demanding roles, I have learned that people rarely need more information about stress and people rarely notice pres
Francesca Saunders
Jul 143 min read


What happens when the system hurts the people trying to help?
Most people don't come into caring professions because they're looking for an easy life. They come because they want to make a difference and care deeply about people. However, over time, something changes, not because they stop caring, but because the pressure keeps increasing. Workloads grow, vacancies remain unfilled, resources become stretched admin demands increase. The emotional weight of supporting people through crisis doesn't disappear when the working day ends.
Francesca Saunders
Jul 73 min read


Surviving Tough Times at Work: Some helpful tips
There are days when you leave work feeling like you've given everything you had yet still wonder whether it was enough. You carry difficult conversations home with you, think about the people you've supported long after your shift has finished, and wake up the next morning ready to do it all again. If that sounds familiar, you are certainly not alone. 1. Emotional Survival: Be Kind to Yourself The work you do matters. Even if nobody says it, even if the impact isn’t immediat
Francesca Saunders
Jun 302 min read


Are You Responding to Requests to Connect Hours After Finishing Work?
It’s after 7.30pm, the weekend or midweek, either way, you are not at work. You’ve finished work for the day, or at least, you intended to. The laptop might be closed, but your phone is still in your hand or next to you on the sofa...then your phone pings. A notification appears. •A connection request. • A LinkedIn message. • An email. • A Teams notification. A quick check turns into ten minutes. Ten minutes becomes half an hour. Before you know it, you are re
Francesca Saunders
Jun 233 min read


Presenteeism Costs More Than Sickness
Presenteeism Costs More Than Sickness Most organisations can tell you how many days were lost to sickness last year. Fewer can tell you how many days people were physically present but emotionally, mentally, or psychologically absent. This is known as presenteeism. It happens when people come to work despite being exhausted, overwhelmed, stressed, anxious, distracted, or running on empty. They show up, log in, attend meetings, answer emails. They keep going, but they are
Francesca Saunders
Jun 163 min read


Nearly Half of Work-Related Ill Health Is Linked to Stress, Depression or Anxiety
When Did Feeling Exhausted Become Part of the Job? According to the latest figures from the UK Health and Safety Executive, stress, depression and anxiety account for nearly half of all work-related ill health cases. That statistic is significant. Not because it tells us something we do not already know, but because it confirms what many people are experiencing every day. Across health, social care, education, fostering, emergency services, charities and many other prof
Francesca Saunders
Jun 94 min read


The people most at risk of burnout are often the people organisations rely on most
There is a group of people within almost every organisation who quietly become the “safe pair of hands.” The people who keep things moving. The people who step in when somebody is off sick. The people who absorb pressure without making a fuss. The people who know the systems, the history, the risks and the realities of the work. They are often experienced professionals in health, social care, education, fostering, leadership and voluntary sector roles, and ironically
Francesca Saunders
Jun 24 min read


Overthinking? Is Your Brain being Dramatic—Tell It to Calm Down?
Overthinking? Is Your Brain being Dramatic—Tell It to Calm Down? Ever found yourself lying awake at 2 a.m., replaying that awkward thing you said five years ago? Or convinced that your boss’s "Let’s chat" email means you’re about to be fired? Welcome to the overthinking club—membership is free, but the mental exhaustion is costly. Our brains have a natural tendency to focus on the negatives—it’s called the negativity bias. Back in caveman times, it kept us alive (“That ru
Francesca Saunders
May 262 min read


People only start talking about self-care when they are already exhausted
People rarely come into workshops saying: “I want to learn about self-care because life feels balanced and manageable.” Most arrive exhausted, they are caring for everyone else, firefighting problems, managing pressure, carrying responsibility and quietly pushing themselves beyond what is sustainable. In health, education, social care and fostering, this becomes normalised so quickly that many people stop recognising the warning signs altogether. People often adapt to str
Francesca Saunders
May 194 min read


Behind every statistic is a person trying to keep functioning while emotionally exhausted
We talk about workforce pressures through numbers, sickness rates, turnover, retention, workloads, absence figures.However, behind every statistic is a human being trying to keep functioning while emotionally exhausted. Someone trying to smile professionally while running on empty. Someone still caring for others while neglecting themselves. Someone surviving. Someone answering emails whilst emotionally drained. Someone supporting distressed families, patients, childr
Francesca Saunders
May 123 min read


Why experienced foster carers still get stressed
People sometimes assume that the longer you foster, the easier it gets. In some ways, experience does help.You understand the system better. You have more confidence.You have handled difficult situations before. Experience does not remove the emotional side of the role, in fact, for many foster carers, it brings something else. More responsibility.More expectation.More complex situations and children’s needs...and often, less space to say when things feel h
Francesca Saunders
May 63 min read


Stress Creators and Stress Breakers: Finding Balance in the Chaos
There is a quiet tension many professionals carry, especially in health, social care, education and the voluntary sector. On one side, there are the stress creators...On the other, the stress breakers. Most people are trying to function somewhere in the middle. The challenge is not that stress exists. It is that, over time, the balance shifts without us noticing. The reality of stress creators Stress creators are not always dramatic, they are often small, consisten
Francesca Saunders
May 52 min read


Moral Injury in Frontline Roles (Part 2): Rebuilding Yourself in Systems That Feel Broken
In Part 1, we named moral injury, Part 2 focuses on what actually helps. Whilst you may not be able to change the system overnight…you can protect and rebuild yourself within it. Moral injury does not just exhaust you; it quietly reshapes how you see yourself. You may start to believe: “I am not doing enough” “I should be able to do more” “I am letting people down” Even when you are already giving everything. This is not just about coping; it is about
Francesca Saunders
Apr 282 min read


Retention not resignation...why experienced staff want to stay but feel unable to.
There is a quiet conversation happening across health, social care, fostering, education, and the voluntary sector. It is not always spoken out loud in team meetings; it does not always appear in supervision notes. However, it is there, in tired eyes, in long pauses, in the sentence that starts with “I used to love this job…” Many experienced professionals are not actively looking to leave. They are not disengaged, uncommitted, or lacking passion. In truth, most of them w
Francesca Saunders
Apr 284 min read


Excited to be back at work… or feeling the post-break blues?
A few days off. Time to rest, reset, and return feeling refreshed… right? For many people, the reality feels very different. Instead of energy and clarity, you come back to: An overflowing inbox Unfinished tasks waiting where you left them New demands added while you were away And a creeping sense of pressure before you have even settled back in Sometimes, a short break does not restore you. It disrupts your rhythm… and then drops you straight back into
Francesca Saunders
Apr 213 min read


Moral Injury in Frontline Roles (Part 1)
There is a kind of exhaustion that sleep does not fix. If you work in health, social care, education, or any frontline role, you may recognise it. It is the feeling that comes when you know what the right thing to do is… but something gets in the way. Time, resources, policies, risk, or sheer overload. This is not just stress. This is moral injury . Moral injury happens when your values are repeatedly challenged or compromised in your work. It is the quiet weight o
Francesca Saunders
Apr 212 min read


High performance should not cost people their well-being.
For too long, success has come at a cost: Health, balance, sustainability. Many professionals are quietly carrying the weight of high expectations, heavy workloads, and constant pressure to deliver. But the impact is clear: • Burnout • High absence rates • Disengaged teams • Staff turnover For individuals, it often looks like: • Constant fatigue, even after rest • Difficulty switching off from work • Feeling overwhelmed or undervalued • Losing motiva
Francesca Saunders
Apr 72 min read
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